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NARHC-News
Updated Non-Eligible RHC Codes-CMS
Page 1 of 1
12/2/2020 @ 5:29:00 PM
Post 1 of 5

Contributor: Megan Krogen, SilverCreek Medical Reimbursment Solutions

This year CMS released several codes that are no longer eligible to be billed stand alone in an RHC facility. Here are the list of codes and website link; 10060, 11721, 12001, 20604, 11750, 11765, 20600 and 69210. https://www.cms.gov/Medicare/Coding/OutpatientCodeEdit/OCEQtrReleaseSpecs

In order to get reimbursed for these services as an RHC facility, what steps need to be taken? In order to bill under Part B, would we need to carve these services out on the cost report?

Thanks! 

 

12/2/2020 @ 6:12:00 PM
Post 2 of 5

Contributor: Julie York, Marengo Family Medical Clinic

Following

Julie York
Clinic Billing Supervisor
Compass Memorial.org

12/2/2020 @ 6:25:00 PM
Post 3 of 5

Contributor: Patty Harper, inQuiseek Consulting

This is a problem that NARHC is aware of and to my understanding that the
association and our legislative affairs staff is in discussions with CMS
about why the codes were removed from the QVL list.







Patty Harper, RHIA, CHTS-IM, CHTS-PW, CHCR

Healthcare Consultant/Principal

318-243-2687 (Cell)

866-855-0683 (Fax)



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Shreveport, LA 71104



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1/13/2021 @ 1:34:00 PM
Post 4 of 5

Contributor: Julie York, Marengo Family Medical Clinic

Has there been any developments on this?  Because we have a podiatrist who uses 11721 quite often, this is impacting us financially.  Thanks.

---------- Original Comments ----------


Last Post By: Julie York, Marengo Family Medical Clinic

Following

Julie York
Clinic Billing Supervisor
Compass Memorial.org

1/14/2021 @ 8:40:00 AM
Post 5 of 5

Contributor: Devi Ray, Horn Physicians Clinic - Ida Grove

Following..


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