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Federally designated rural health clinics (RHC) receive enhanced Medicare and Medicaid reimbursement. Recent changes to federal law make RHC designation for clinics in rural areas even more attractive. The applicable billing and coding rules, however, can be confusing.

RHC reimbursement, billing, requirements, and designation were discussed during a PYA webinar, “Healthcare Regulatory Roundup: Rural Health Clinic Opportunities,” on February 21, 2024.

PYA’s Martie Ross and Traci Waugh focused on several topics including:

Services that qualify as an “RHC visit” reimbursable under the all-inclusive rate
RHC reimbursement for telehealth services, care management services, communication technology-based services, vaccines, and non-RHC services
RHC regulatory requirements and the process to receive RHC designation
This webinar was part of PYA’s twice-monthly Healthcare Regulatory Roundup (HCRR), a popular series during which PYA experts provide practical insights on the latest industry regulatory developments.

Learn about PYA’s Center for Rural Health Advancement.

If you would like assistance with rural health reimbursement, legislative or regulatory impacts, or any matter involving compliance, valuation, or strategy and transactions, one of our executive contacts would be happy to assist. You may email them or call (800) 270-9629.