Rural Health
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Rural Americans face different health disparities than urban Americans requiring the need for different rules and programs. National Rural Health Association’s Policy Institute helps facilitate state offices with their individual rural communities to remove barriers to healthcare access. The purpose is to ensure enough healthcare access and healthcare delivery systems to promote a healthy rural America.
Additional Links and ResourcesRHC Rules and GuidelinesRural Health Clinics - Rules and Guidelines MLN – Rural Health ClinicMLN Fact Sheet for Rural Health Clinics CMS - RHC CenterCMS.gov - Rural Health Clinics Center AHA Rural Health CareAmerican Hospital Association Rural Health Care Access Hospitals CenterCritical Access Hospitals Center Rural Health ODFRural Health Open Door Forum State Rural Health AssociationsState Rural Health Associations Rural Health Clinics/ Federally Qualified Health CentersCh. 9 Medicare Claims Processing Manual Select the title to see a summary and a link to the full article. December 8th, 2020 IPPS and DRG's: What it Means| Published December 8th, 2020 Understanding hospital pricing can get complicated, so we have broken it down according to CMS and the acute Inpatient Prospective Payment System, also known as IPPS. Find-A-Code uses IPPS for inpatient pricing with our MS-DRG grouper. The following information comes from CMS.gov and answers the most common questions regarding DRGs ... July 1st, 2020 Understanding UCR Inpatient Fees used on DRGs| Published July 1st, 2020 December 19th, 2019 CMS- Patient Driven Payment Model Effective October 01, 2019| Published December 19th, 2019 According to CMS, In July 2018, CMS finalized a new case-mix classification model, the Patient-Driven Payment Model (PDPM), that, effective beginning October 1, 2019, will be used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for classifying SNF patients in a covered Part A stay.
Using the new Patient-Driven ... August 21st, 2019 So How Do I Get Paid for This? APC, OPPS, IPPS, DRG?| Published August 21st, 2019 You know how to find a procedure code and you may even know how to do the procedure, but where does the reimbursement come from? It seems to be a mystery to many of us, so let's clear up some common confusion and review some of the main reimbursement systems. One of the ... Select the webinar title to view a summary and link to the webinar video. June 29th, 2017 How to Convert Your Medicare Patients to Cash to Avoid the Penalties of MACRAThe #1 concern reported by CMS about chiropractors is that, as a profession, we do a poor job of understanding maintenance care. Of course, that is THEIR definition of maintenance care. When you better understand the rules of medical necessity in Medicare, you begin to see what they are talking about. The truth is that there is a “gray” area between the distinct “white” of active treatment and the “black” of maintenance treatment, and that gray area is confusing when defining “covered” vs. “not covered” chiropractic care in Medicare. Join us to find out the following critical information in time for the MACRA Section 514 implementation January 1, 2017:
Find out exactly what Medicare deems as maintenance care and how to recognize it with our patients
Learn what your options are for treating your Medicare patient’s maintenance care for cash
Hear scripting that is vital to your patient understanding what’s going on with their coverage, or lack thereof
Properly document the difference between active and maintenance care
Better manage those little incidents that come up for chronic, Medicare patients
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