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Billing/Coding in World of Flat Fee Contracts (Covers S-Codes)

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Billing/Coding in the World of Flat Fee Contracts (Covers S-Codes)

1 hour Audio and Power Point Presentation

Recorded April 29, 2015

Course Objectives:                    

At the conclusion of this session, participants should be able to:      

  • Define common urgent care contracting terms including “flat rate,” “global,” “fee schedule,” “excluded services,” and “after hours codes.”
  • Define and understand various reimbursement options in Urgent Care commercial contracts.
  • Review the pros and cons of Flat Rate and FFS agreements.
  • Review current industry data of average payment per visit for urgent care and other similar service lines.
  • Considerations on how to maximize the flat rate reimbursement.

Faculty Bio:

Tammy Mallow, Director of Contracting and Credentialing

Tammy Mallow is currently the Director of Contracting and Credentialing for DocuTAP. She is an active and widely respected member of the urgent care industry, participating in UCAOA events and as a speaker on a variety of topics. Her experience in public speaking includes webinars for UCAOA and DocuTAP, along with public engagements across the country on topics such as practice management and operations, marketing, billing, and business management. She is also a published author, having written on topics of urgent care, medical management, and emergency medicine. Tammy is a graduate of Missouri State University and holds a Bachelor of Science in Psychology and Social Research. Her background is a mix of consulting support for start-up and existing urgent cares, as well as with health systems. Her former roles include Corporate Director of Professional Service Management for the Schumacher Group, Director of Business Operations for Family Medical Walk-in Clinics, Inc., and Senior Consultant for Mallow Consulting. Her knowledge includes implementation (and analysis) of workflow, revenue cycles, health plan contracts, enrollment strategy, staffing, and related PM practices. Tammy also helps with the development of compliance programs—and policies and procedures. An active participant in the urgent care community, she is a member of national urgent care organizations, is a published author, and performs regular speaking engagements.

Disclosures: The above faculty had no relevant financial relationships to disclose. 

Credit Information:

Designation Statement
The Urgent Care Association of America designates this enduring material activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Accreditation Statement
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education. Credit for this course is good for 1 year after purchase. 

Urgent Care Management Certificate (UCMC) Credit 
This course is designated for 1 credit of Billing and Coding towards the Urgent Care Management Certificate.


Submitting for Credit:  

If you would like to submit for either of the credit above, once you complete the activity you must submit for credit you will need to complete the 5 question exam.  You must answer 3 out of 5 correctly to receive credit.  Your credit will be placed in your profile under Professional Development or click on "My Credits".  Email with questions.  

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