RESOURCES
CMS Internet Manuals HC Program
RHC Medicare Benefit
http://www.cms.hhs.gov/manuals/Downloads/bp102c13.pdf
Examples of information that can be found in this document include:
- Rural Health Clinics (RHCs) Defined
- Rural Health Clinic Service Defined
- Physician Services
- Services and Supplies Furnished Incident to Physician’s Services
- Nurse Practitioner, Certified Nurse Midwife, and Physician Assistant Services
- Services and Supplies Incident to Nurse Practitioners, Certified Nurse Midwives
- Conditions for Coverage of Visiting Nurse Services
- Clinical Psychologist Services Away and at the RHC
- Clinical Social Worker (CSW) Services Away and at the RHC
RHC Medicare Claims Processing
http://www.cms.hhs.gov/manuals/downloads/clm104c09.pdf
Examples of information that can be found in this document include:
- General Differences Between RHCs and FQHCs
- Method of Medicare Payment for RHC and FQHC Services
- Annual Reconciliation With Cost Report
- Allowable Costs
- Deductible and Coinsurance
- Mental Health Services Limitftp://ftp.hrsa.gov/ruralhealth/RHCmanual1.pdf
- Determining How Much to Charge Patient Before Billing Is Submitted for Part B Payment
- Laboratory Services
- FI/Carrier Coordination
- Agreements Between CMS and RHC/FQHC
- Content and Terms of Agreements
- Termination of Agreement
