Rural Health

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

Select the title to see a summary and a link to the full article.

IPPS and DRG's: What it Means

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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 ...

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Understanding UCR Inpatient Fees used on DRGs

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CMS- Patient Driven Payment Model Effective October 01, 2019

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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 ...

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So How Do I Get Paid for This? APC, OPPS, IPPS, DRG?

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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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