In April 2016, CMS instructed RHCs to hold claims only for a billable visit shown in red on the Rural Health Clinic Qualifying Visit List until October 1, 2016. Upon billing these claims and/or for claim adjustments beginning on October 1, RHCs must add modifier CG (po...

CMS has released updated guidance on the requirement that RHCs report the HCPCS code for each service furnished, along with the revenue code, on Medicare claims for services provided on or after April 1, 2016.

Coinsurance and deductible are waived for certain approved p...

Starting today, RHCs are required to report the appropriate HCPCS code for each service line along with the revenue code. Services provided through March 31 should be billed under the previous guidelines. Payment for RHC services will continue to be made under the All-...

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