by Charles James Jr. | Aug 11, 2020 | home page 1
CHART Model Fact Sheet From the CMS, Through the Community Health Access and Rural Transformation (CHART) Model, CMS aims to continue addressing disparities by providing a way for rural communities to transform their health care delivery systems by leveraging...
by Charles James Jr. | Jul 17, 2020 | Billing Help, home page 2, RHC, RHC Help, Telehealth
Due to COVID, we have seen how out-of-date telehealth regulations had been.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...
by Charles James Jr. | Jun 19, 2020 | FQHC, RHC, Telehealth
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)...
by Charles James Jr. | Jun 12, 2020 | FQHC, RHC, RHC Help
HHS is distributing $15 billion to eligible Medicaid/CHIP providers. Each provider will receive at least 2 percent of reported gross revenue from patient care. The final amount will be determined from data submitted to HHS. Before applying through the enhanced...
by Charles James Jr. | Oct 23, 2019 | RHC Help
Emergency Medication Requirement Change: QSO-19-18-RHC CMS has allowed RHCs to determine which Emergency Meds are appropriate for the RHC. These are stated in 42 CFR 491.9(c)(3). This includes the following: “analgesics, anesthetics (local),antibiotics,...
by Charles James Jr. | Oct 11, 2019 | Uncategorized
Dear all – Here is the updated Advanced RHC Billing presentation that I gave at NARHC this week. I updated claim examples and added some explanation on service detail billing. I thought my comments on billing full charge amounts vs using the “$.01”...
by Charles James Jr. | Sep 26, 2019 | Uncategorized
CMS Final Rule for RHCs and FQHCs! Policy and Procedure Review, Annual Evaluation, and Emergency Preparedness requirements have been changed. Document Number: 2019-20736 “Medicare and Medicaid Programs: Regulatory Provisions to Promote Program Efficiency,...
by Charles James Jr. | May 13, 2019 | home page 2, Uncategorized
“As emergencies rise across rural America, a hospital fights for its life” https://www.washingtonpost.com/news/national/wp/2019/05/11/feature/whos-going-to-take-care-of-these-people/?utm_term=.667991f96042
by Charles James Jr. | May 2, 2019 | RHC Help, Uncategorized
Dear all – This is an example of the Medicare RHC Negative payment when the whole charge and deductible amount exceeds the RHC encounter rate. Medicare Negative Payments Example The correct way to get these posted to your patient accounts? However you can get...
by Charles James Jr. | Feb 2, 2017 | RHC Help
RHC providers have new requirements! CMS issued new Emergency Preparedness Rules which apply to all 17 provider types. As a result, Rural Health Clinic (RHC) providers need some upgrade! Please see my accompanying presentation which summarizes the CMS Rule. The rule...
