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 Resources
RHC Rules and Guidelines
Rural Health Clinics - Rules and Guidelines
MLN – Rural Health Clinic
MLN Fact Sheet for Rural Health Clinics
CMS - RHC Center
CMS.gov - Rural Health Clinics Center
AHA Rural Health Care
American Hospital Association Rural Health Care
Access Hospitals Center
Critical Access Hospitals Center
Rural Health ODF
Rural Health Open Door Forum
State Rural Health Associations
State Rural Health Associations
Rural Health Clinics/ Federally Qualified Health Centers
Ch. 9 Medicare Claims Processing Manual
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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 ...
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June 29th, 2017
How to Convert Your Medicare Patients to Cash to Avoid the Penalties of MACRA
The #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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