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 Limit
• 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

Starting a Rural Health Clinic – A How-To Manual(pdf)