North American Healthcare Management Services

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Rural Health Clinic

North American HMS is the leader in RHC and FQHC billing and compliance.  RHC and FQHC clients love us for the service we provide.  Revenue Cycle Management, Aprima EHR/PRM hosting, 340B Management and Audit, Cost Reports, Implementation, Compliance, and Policies and Procedures.

Proposed RHC Telehealth Legislation

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Due to COVID, we have seen how out-of-date telehealth regulations had been. It is essential the legislative changes be made to expand Telehealth statutes for Rural Health Clinics and FQHCs. As soon as the Public Health Emergency ends, Telehealth services and reimbursement will go back to the “old normal”.  We will no longer be able to provide services as the distant site. 

Please contact your US Senators and US Representatives.  Advocate for change!

H.R. 6792/S. 3998 – Improving Telehealth for Underserved Communities Act of 2020

  • allows RHCs/FQHCs to bill for telehealth through their normal reimbursement mechanisms for the duration of the Public Health Emergency.
  • raises the RHC cap to $92.03

Link To Senate Bill 3998

Link to HR 6792

H.R. 7187 – HEALTH Act of 2020

  • Permanently establishes RHCs/FQHCs as distant site providers paid through normal mechanisms (telehealth services would also count as visits)
  • Makes the payment methodology explicit.
  • Eliminates originating site requirements for telehealth services furnished by RHCs/FQHCS

Improving Telehealth for Underserved CommunitiesTeleHealth Act of 2020!

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RHC and FQHC Telehealth Legislative Update:

Contact US Congresspeople and Senators to support “The Health Act”!

On Thursday, June 18th, the Improving Telehealth for Underserved Communities Act was introduced in the Senate by Sen. Cindy Hyde-Smith (R-MS) and Sen. Angus King (I-ME).

“Thanks to the leadership of Sen. Hyde-Smith and Sen. King, the RHC community is one step closer to fixing our telehealth reimbursement issues” said Bill Finerfrock, Executive Director of the National Association of Rural Health Clinics.

Please support the Health Act. 

  • RHCs and FQHCs bill telehealth visits through their normal reimbursement mechanisms throughout the COVID-19 public health emergency.
  • Costs associated with telehealth are incorporated into annual cost reporting.
  • Telehealth visits count toward RHC productivity standards.
  • Claims data is accurate because accurate coding would be used, rather than the single G2025 code.
  • No recoupment period in July.
  • See One Page summary here:  Health Act One Page Summary.
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HHS Medicaid-CHIP Provider Distribution!

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HHS is distributing $15 billion to eligible Medicaid/CHIP providers. Each provider will receive at least 2 percent of reported gross revenue from patient care. The final amount will be determined from data submitted to HHS.

Before applying through the enhanced provider relief portal, applicants should:

Read the Medicaid Provider Distribution Instructions – PDF*

Download the Medicaid Provider Distribution Application Form – PDF*

If the facility did not get money from the targeted RHC relief payment, we highly recommend this route. Multiple CCN numbers can be reported. Please see here for Provider Relief Fund information:

Provider Relief Fund Information

Please give us a call at 314.968.0076 extension 201 to request more information or email us at info@northamericanhms.com.

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