As of April 1, 2016, Rural Health Clinics (RHCs) are now required to provide CPT/HCPCS-2 coding details on all Medicare claims. To help SORHs provide technical assistance to RHCs and FQHCs on billing/coding, NOSORH has partnered with the Association for Rural Health Professional Coding (ARHPC). ARHPC provides educational, certification, billing, and auditing consulting services to rural clinical providers and professional staff at RHCs, affiliated rural hospitals, and community health clinics/FQHCs.

ARHPC can partner with SORHs to offer a two-day documentation and coding bootcamp in a convenient location in their state. This training is ideal for anyone who documents in medical records, such as nurses, coders, billers, EHR professionals, and facility/financial managers that work in, own, or manage RHCs, affiliated small rural hospitals, critical access hospitals, large hospital systems covering rural areas, FQHCs and look-alikes. Participants who complete the bootcamp can take an optional online examination to receive certification as a Rural Health Coding & Billing Specialist (RH-CBS) or a Community Health Coding & Billing Specialist (CH-CBS). The two-hour billing portion is taught via webinar within two weeks of the in-person course. NOSORH members will receive a 20% discount on the bootcamp when they mention the special offer code “Learn More to Earn More”.


  • Differences in documentation rules/coding principles/billing processes
  • Medicare’s Evaluation and Management documentation guidelines and auditing rules, modifiers
  • Relevant procedural guidelines from CPT/HCPCS-2/ICD-10-PCS
  • ICD-10-CM diagnosis documentation guidelines and clinical documentation rules
  • CMS billing for RHC and FQHC encounters

To learn more about the changes to billing/coding procedures for rural providers, join NOSORH and ARHPC for a webinar on August 18 at 2:00 pm ET. The webinar will provide an overview of the recent changes, how SORHs can assist rural providers and more information on the ARHPC bootcamp.  Click here to register for the webinar.

If you are interested in bringing clinical documentation, professional coding, and medical billing training and certification opportunities to rural health professionals in your state, contact Gary Lucas at

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