CMS Billing Changes Take Effect Today

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-Inclusive Rate (AIR) system when all program requirements are met.

The following resources contain detailed information on navigating the billing policy changes:

CMS Rural Health Clinics Center

HCPCS Requirements for Rural Health Clinics

RHC Qualifying Visit List

MLN Matters: Required Billing Updates for Rural Health Clinics

Additionally, WPS Government Health Administrators is hosting a Q&A teleconference on CMS' recent policy and billing changes on April 21. You can learn more and register here.

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