tci Medicare Compliance & Reimbursement - 2004 Issue 5

RURAL HEALTH: New Rule Could Revoke Hospitals' RHC Status

CMS seeks to flush out certified clinics not offering true "expanded access."The Centers for Medicare & Medicaid Services is changing the rules for rural health clinics, which could have a big effect on clinics that were "grandfathered" into the RHC program in the early 1990s.  The grandfather clause originally protected a clinic's RHC status even if their service areas stopped being considered rural or medically underserved. The policy aimed to ensure that needed health care professionals would continue to be attracted to underserved rural areas.   Unfortunately, it worked a little too well, as RHCs more...

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