2019 Fall Institute

Event Date: 10/7/2019 - 10/9/2019
8:30 AM - 5:00 PM

Event Overview
Hyatt Regency St Louis at the Arch
313 Chestnut Street
St Louis


The NARHC 2019 Fall Institute will be held at the popular
Hyatt Regency St Louis at the Arch!

Dates: October 7-9, 2019 (M-W)

NARHC Institutes are put on by the only national association dedicated strictly to Rural Health Clinics (RHCs). A wide range of rural health professionals will be in attendance including CEOs, CFOs, Physicians, PAs, NPs, Clinic Managers, Billers & Coders.

Earn Continuing Education Credits: 14 CME from AAFP (for MDs, PAs, NPs) and 18 CEUs from AAPC (for coders), and NEW... ARCHPC (for coders).

Additionally, we are now offering an online course, the Certified Rural Health Clinic Professional (CRHCP), with the final exam live at the conclusion of the NARHC Institute. This course is a separate registration fee.  If you want to attend both the conference and the course, you will be required to pay both registration fees.  For more information on the CRHCP course Click Here.

Member Rates: Save $100-$125 per person on registration by being a NARHC member! If you are interested in becoming a member Click Here for the membership application. Unsure if you're a member? Call us and we'll be happy to check your organization's status for you (866-306-1961 x1).

Room Rates: Under the the room block National Association of Rural Health Clinic, room rates begin at $159/night. This rate is not guaranteed through 3rd party online booking services.

Reservations: Book your room at https://www.hyatt.com/en-US/group-booking/STLRS/G-NARH, or by calling 888-421-1442, and reference the National Association of Rural Health Clinic to receive the group rate. Make reservations early as possible. The block will close September 14th, 2019, or when full, whichever comes first.

Transportation Options:

Airport - St Louis Lambert International Airport (STL): 20 Miles from the hotel

Train - Amtrak St Louis Station, 430 S 15th: 1.5 Miles from the hotel

Parking: For parking options and current rates click here.

Event App: If registered for the event you will receive an email with your login information to our Event App, beginning September 16th. Read and follow the instructions (before October 1st) within the email and you could win a $50 gift card! For those who haven't attended a NARHC conference and used our app previously, this is a vital piece that will enhance your experience at our conference. It will also allow you to have the chance to be entered into the Prize drawings happening on day 2 of the conference! 

Cancellation Policy: Registration fees are not transferable to other events in lieu of a refund.  A substitute attendee is allowed if we are notified in advance.  All cancellations will incur a $25 per person administration fee. 

30+ days prior (before Sept. 8th) = 100% refund
14-29 days prior (Sept. 8th-23rd) = 50% refund Sept 8-23
0-13 days prior (after Sept. 23rd) = no refund/no transfer


Baugh, Nathan Advocacy for RHCs

Nathan Baugh, BS, Director of Government Affairs, NARHC, Alexandria, VA

Nathan is the Director of Government Affairs for the National Association of Rural Health Clinics (NARHC) where he has worked since April of 2015. Nathan works on both regulatory and legislative policy at the federal level. He has been involved in issues such as the CPT reporting policy, the Chronic Care Management benefit, and the Emergency Preparedness rules. Nathan is instrumental in planning and organizing the annual Washington Fly-in which is a key part of NARHC’s RHC advocacy action plan. He has worked tirelessly on getting the RHC Modernization Act legislation introduced in the Senate and continues seeking support for the same. Nathan is a frequent speaker at state RHC conferences across the country.

Burns, John What's the Future Hold for E&M Services?

John Burns, CPMA, CEMC, CPC, CPC-1, VP Audit & Comp, Assn of Rural & Comm Hlth Prof Coding, Gansevoort, NY

John has worked in healthcare for 20+ years. He focuses on coding, optimization of the revenue cycle & managing compliance risk for the healthcare business. He currently is concentrating on providing audit risk assessments & coding reviews for rural & community health centers across the U.S. He has served as a corporate compliance officer & civilian volunteer to the US Dept. of Defense providing auditing services & specialized training & education to providers, coders, billers, administrators & IT professionals across the country. He began his career with the Medical Management Institute in 1995 & then formed Modern Conventions in Compliance, Inc. where he served as President & CEO from 2004 to 2013. John then joined Doctors Management, LLC where he served as Senior Consultant until 2016. John now serves as President for JFB Consulting, LLC in New York & the VP of Audit & Compliance Support Services for ARHPC. John has been published in various medical journals & publications.

Chambers, Shannon RHC & Billing Basics

Shannon Chambers, AHIMA App CD-10 CM/PCS Trainer, Ambassador, Dir. of Provider Sol., SCORH, Lexington, SC

Shannon assists private physician offices who desire to convert to RHC status & provides technical assistance to RHCs in maintaining compliance with the SC Department of Health & Environmental Control guidelines. Shannon also provides technical assistance in billing & coding, EHR implementation, & practice management. for all RHCs. Prior to joining the SC Office of Rural Health, Shannon worked in multiple physician practices. She has experience in Family Practice, Internal Med., Orthopedics, Urology, Peds, & many other specialties. Shannon has been a certified professional coder with the AAPC since 2006. She is also a Notary Public for the State of South Carolina since 2001. In 2015, Shannon became an AHIMA approved ICD 10 CM/PCS Trainer. Shannon has been a key player in the creation of NARHC’s RHC Professional Certification.

Charlet, Angie Incorporate Quality In Your RHC

Angie Charlet, DBA, MHS, RN, Director of Quality & Educational Services, ICAHN, IL

Angie is a Registered Nurse with over 25 years in the healthcare industry. She has a Bachelor’s in Nursing, Master’s in Healthcare Management and Doctorate in Business Administration with a focus on Healthcare Management and Executive Leadership. She is certified in CPHQ, Lean, Black Belt in Six Sigma and Leadership Coach. She is employed by Illinois Critical Access Hospital Network and is the Director of Quality, Compliance and Education and serves the same capacity for the Illinois Rural Community Care Organization (IRCCO-ACO). Angie provides training, education, mock surveys and resources to both critical access hospitals and rural health clinics. Her focus is around regulations, quality initiatives, PCMH implementation and care coordination all which in turn drive population health.

Crawford, Elsie How to Assure a Successful RHC Survey

Elsie Crawford, RN, BSN, MHA, VP of Operations, Wilkens Medical Group / Surveyor, AAAASF, Jellico, TN

Elsie is a certified Medicare RHC surveyor & works for AAAASF doing clinic surveys. She also serves on 3 Boards of Directors: NARHC, KYPCA, & the TN Rural Health Assn. Additionally, she is the VP of Operations & Director of Nursing with Wilkens Medical Group since 1974 where she manages clinics in KY & TN. Elsie attended Cumberland College & Carson Newman College for BA & Roane State Community College for Nursing. Elsie has served on the board of The TN College of Applied Science (Nursing Div) since 2004, Board Member of NARHC since 2006, Jellico SDA Church School Board Member (Treasurer) for 9 years & Jellico City Council Member for 12 years.

Finerfrock, Bill Washington Update

Bill Finerfrock, Executive Director, NARHC, Alexandria, VA

Bill co-founded NARHC & serves as the Executive Director. He is a recognized expert on rural health issues & also acts as a policy consultant for NOSORH. He has worked with HMOs & assisted pharmaceuticals with their legislative & regulatory programs in addition to his work with health care providers & practitioners. Bill has worked in & with the U.S. Congress/Federal agencies for 30+ years. He began his public policy career in Washington, DC in 1976 as an LBJ Intern for Congressman Bob Edgar (D-PA). Between 1977 & 1984 he worked for Senators Edward W. Brooke & Roger Jepsen. In 1999 he wrote a book for the Federal Office of Rural Health Policy on managed care. More recently, Bill co-wrote & edited a publication entitled, “Starting a Rural Health Clinic, a How To Manual”. Mr. Finerfrock is a 1977 graduate of Penn State University. From 1985 – 1993, he was Director of Federal Affairs for the AAPA.

Gill, John Welcome

Wm. John Gill, PA-C, President, NARHC, Wauchula, FL

Mr. Gill is the senior PA with a provider based rural health clinic in one of the most rural counties remaining in Florida. He participates in state and national rural health issues and remains a frequently requested speaker. John is the current President of the National Association of Rural Health Clinics’ Board of Directors. He serves as NARHC’s representative on the HRSA Rural issues focus group.

Hill, Kate How to Maintain Compliance & Pass Your Next Survey | Incorporate Quality in Your RHC

Kate Hill, RN, VP of Clinical Services, The Compliance Team, Spring House, PA

Kate is a graduate of Einstein Medical Center School of Nursing. As an Army Nurse, Kate served in Viet Nam where she was awarded the Bronze Star for meritorious service. Kate joined The Compliance Team in early 2012 to direct TCT’s rural health clinic accreditation program & has fallen in love with Rural. As VP of Clinical Services, she has spearheaded the TCT Rural Health Clinic Accreditation program combining her clinical expertise, business acumen & passion for delivery of the best care possible to every patient. She presently serves on the NARHC Board. Her years of business & nursing experience combined well to contribute meaningfully to the NARHC board. She feels fortunate to have been able to speak at numerous state & national meetings about RHC compliance countrywide which gave her the opportunity to learn firsthand the diverse regional issues clinics are facing. Kate is now also working with clinics in TCT’s PCMH program & is seeing that a PCMH accreditation is being increasingly rewarded by payers. Kate also serves on the NRHA Rural congress and is always advocating for Rural Health Clinics. Kate lives in suburban Philadelphia with her husband and near her three granddaughters. She loves teaching Sunday school to the 4s. She’s happy to share photos anytime.

James, Charles IV Advanced RHC Billing | Provider Based Rules & Compliance

Charles James, Jr., MBA, President & CEO, North American Healthcare Management Services, St. Louis, MO

Charles took the position of President & CEO in 2004 after the loss of the company founder, Charles James, Sr. North American celebrates its 25th year in business in 2017. Charles began his career with James Clinic running the IT department. As part of North American, Charles has overseen & helped develop all aspects of the company. Today, North American is a proud gold-certified, Aprima EHR/PRM. In addition, he provides Revenue Cycle Management, RHC certification/cost reporting/Annual Evaluations, Provider Enrollment, and Financial Consulting to all types of healthcare entities.

James, David Cost Report Basics

David S. James, CPA, CFO, North American Healthcare Management Services, St. Louis, MO

David is a graduate of Westminster College in Fulton, MO where he earned a B.A. degree in Finance. He has extensive experience in accounting & all financial aspects of medical practices. He has worked intensively on financial management of medical practices since 1992. He completed the CPA examination in May of 2000 & is currently licensed as a Certified Public Accountant in Missouri. David is responsible for the preparation of client cost reports, financial projections, and North American's internal accounting system. David completes more than 100 cost reports annually for FQHCs & RHCs across the country.

Lee, Brian Hardwire A 5-Star Patient-Centered Clinic Experience

Brian Lee, CPS, CEO, Custom Learning Systems Group LTD, Alberta, Canada

Brian is one of North America's leading voices in the fields of Patient/Resident Satisfaction, HCAHPS, Continuing Care, & Nurse & Employee Retention. He is a best-selling author & sought-after presenter in the healthcare industry (having presented all over North America, & 14 countries worldwide). His publications include "Keep Your Nurses for Life" and "Satisfaction Guaranteed". He also has published more than 60 audio & video training programs, including "Essential Secrets to Become the Healthcare Employer of Choice." Brian and his team have led hundreds of hospitals and healthcare organizations through the journey to service excellence. Known as Healthcare's "Mr. Loyalty," Brian not only educates his audience on the how-to's of patient, staff, and physician loyalty (a particularly important subject in this era of HCAHPS and Value-Based Purchasing), he also inspires hope and commitment, resulting in a renewed passion for care-giving.

Lee, Toni Create An Opioid Treatment Program In Your RHC

Toni Lee, Clinic Manager, North Canyon Family Medicine, Gooding, ID

Toni is the Clinic Manager for North Canyon Family Medicine. She graduated from the Naval Hospital Corpsman School from Great Lakes, IL in 2003 and the Naval School for Health Sciences, San Diego, Ca in 2007 for Respiratory Therapy. She served in the United States Navy on Active Duty from February 2003-December 2011 and currently continues to serve in the United States Navy Reserves. She joined North Canyon Family Medicine in 2015 and has worked with Dr. Lofgran in addition to her clinical duties as the MAT Program Coordinator for their Outpatient Addiction Treatment Program. Her background and training is emergency, field and critical care medicine focused to include Mental Health First Aid-Youth, safeTALK Suicide Alertness for Everyone), ASIST (Applied Suicide Intervention Skills Training), Sexual Assault Prevention & Response Victims Advocate and HERT T4T (Hospital Emergency Response Team) certified.

Lofgran, Reid Create An Opioid Treatment Program In Your RHC

Dr. Reid Lofgran, D.O. Family Physician, Addictionologist, North Canyon Medical Center, Gooding, ID

Dr. Reid Lofgran is an addiction & family medicine doctor and author. He received his medical degree from Kirksville College of Osteopathic Medicine in Kirksville Missouri. He has worked in both Independent & PB RHCs. He co-founded Gooding Family Physicians in 2006 and they joined North Canyon Family Medical Center in 2014. Opioid addiction has made headlines over the past decade and is steadily increasing in scope and cost. Many other addictions are also problems within our society. Alcohol, nicotine, methamphetamine, and other drugs are also problematic. Behavioral addictions likewise pose high costs to our society. To help everyone understand the risks of addiction, how to avoid addictions, and how to find healing from addictions, Dr. Lofgran has written a book called “Understanding Addiction”.

Martin, Barry Think Outside of the RHC Box

Barry Martin, MHA, CEO, Primary Care Centers of Eastern Kentucky (PCCEK), Hazard, KY

As CEO of PCCEK, Barry operates four RHCs in the heart of Appalachia. In the past he has also acted as a KY Medicaid Auditor, a Controller in a long-term care facility, CFO of Shriners Hospitals, and as an RHC consultant. Barry’s 30+ years of diverse healthcare experience has given him the business understanding & industry knowledge to build a clinically integrated, multi-tiered, patient-centered primary care system using the RHC model. The practice includes Family Medicine, Pediatrics, OB/GYN, Behavioral Health, Dentistry, Diabetes Center, Pharmacy & other ancillary services all in one location. Additionally, he has developed unique relationships with various partners to meet the needs of the patients PCCEK serves. Working with the local hospital, U of KY, & a regional Community Mental Health Center he has developed innovative approaches to issues faced by the PCCEK patient population. Barry has been a board or committee member for 20+ years with the KY Primary Care Assn (KPCA) and currently serves as Chair. He graduated from U of KY with a B.S. in Accounting & a Masters’ of Health Administration.

Quinn, Julie Medicare Bad Debt

Julie Quinn, CPA, MBA, VP of Cost Reporting & Provider Education, Health Services Associates, Ringgold, GA

Julie is a CPA with over 25 years’ experience in governmental compliance and cost reporting, 15 of which she spent in the Medicare Contractor arena. She holds an MBA with a concentration in Healthcare Administration. During her years with Medicare, she managed an audit staff responsible for independent RHC cost reports in 15 states and served as Compliance Officer for a Medicare Contractor. In her current role, she assists RHCs with cost reporting, audit resolution, rate setting and various cost issues. Ms. Quinn also works with new and existing RHCs providing mock surveys, policy and procedure manuals, as well as HIPAA and other compliance solutions.

Robbins, Scott Emergency Preparedness

Scott Robbins, Manager of Clinic Development, Midwest Health Care, Inc., Cape Girardeau, MO

Scott works as the Manager of Clinic Development at Midwest Health Care Inc. in Cape Girardeau, MO. He has a Bachelors’ Degree from Union University in Jackson, Tennessee. Prior to working for Midwest, he was the Executive Officer and Compliance Director of Sun Financial, Inc. based in Oklahoma for almost twenty years.

Sacrey, Tressa Conduct the Annual RHC Evaluation and Policy & Procedure Manual

Tressa Sacrey, RHC Compliance Analyst, Health Services Associates, Fremont, MI

Tressa joined Health Services Associates in May 2015 as a Compliance Analyst. She brings over 10 years of business experience to Health Services Associates, Inc. She received her Bachelors’ Degree in Education and has completed courses in Business Applied Technology. Her key areas of responsibility include Policy and Procedure Manuals, Civil Rights, Emergency Preparedness and facilitation of hazardous training, research of CMS regulations, education training, on-site compliance mock surveys, and creating forms and tools to assist RHC's across the nation.

Scavotto, Margaret Is It A Hipaa Breach?

Margaret Scavotto, JD, CHC, President, Management Performance Associates, St. Louis, MO

Margaret Scavotto, JD, CHC strives to make compliance easier. Scavotto helps health care providers design, implement and manage customized HIPAA and compliance programs to maximize quality, operations, and culture. Scavotto uses risk assessments, policies and procedures, training programs, audit tools and culture campaigns to improve processes and operational outcomes. Scavotto’s focus is on developing compliance efforts that become part of operations and culture and are built to last.

Treiber, Teresa RHC Management: Develop a Practice Management Toolbox

Teresa Treiber, Manager Rural Health Team, Spectrum Health, Reed City, MI

Teresa has over 17 years of experience in Rural Healthcare including various leadership positions in the areas of billing, operations & finance for the RHC’s. As the number of Spectrum Health RHC’s grew, Teresa’s role has evolved and now she is considered the internal consultant for RHC’s and Critical Access Hospitals for the Spectrum Health System. Her 8500-square mile coverage area consists of 6 Spectrum Health Regional Hospitals with a current total of 29 Provider Based Rural Health Clinics. Teresa also serves as a member of the NARHC Board of Directors and has been involved in writing curriculum for their RHC Professional Certification. She lives in the same small town that she was raised in and is why she has a passion for rural health clinics and the high-quality care they are able to provide for their patients.

VeltKamp, Robin Conduct the Annual RHC Evaluation and Policy & Procedure Manual

Robin VeltKamp, M.A., ICD-10-CM/PCS Trainer/Ambassador, VP Compliance, Health Services Assoc, Fremont, MI

Robin joined HSA in 2007 & has 30+ years of experience in hospital, medical office & billing. She is handles health care admin issues including HR mgm, coding/billing, safety, quality & compliance. She provides support for various types of medical settings including RHC, FQHC, specialists, family med & hospital. She has assisted clinics obtain/maintain RHC compliance, patient flow analysis, maximizing AR & coding/billing along with assessing safety & risk plus preventive measures to create a safer environment for employees & patients. She works on quality measures in RHC’s, Hospitals, insurance & ACO. Robin serves on a quality initiative group for RHCs in Michigan. She co-authored for the Journal of Oncology, in March, 2012, on productivity assessment of PAs & NPs in oncology in an academic medical center. Robin has a Bachelor's in Health Care Administration and a Master’s in Leadership.