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.

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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Adjusting Your Collection Strategies to HDHPs

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High Deductible Health Plans (HDHPs) are recent and growing trend in healthcare that is probably here to stay, regardless of the future changes to the national healthcare system or federal regulations.....

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New Payment Model launched by CMS- Bundled Payments for Care Improvement Advanced (BPCI Advanced).

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  • HCC Coder
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Select the webinar title to view a summary and link to the webinar video.

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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Reimbursement Guides
2020 Edition

Find-A-Code's 2020 specialty specific Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it.

  • Medicare
  • Procedure & Supply codes
  • Documentation
  • Compliance
  • HCC information
  • ICD-10-CM codes



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