RHC FAQ's

RHC FAQ's
- Can our doctors, during RHC time, treat patients at a residential care facility and assisted living care facility and be reimbursed? Can our doctors do house calls and get paid?
- Do you have information on the different types of ownership/governance options available for a RHCs?
- How do we set up a program with ours schools to provide health screening and other wellness services?
- Can our clinic, at a satellite location, offer health services outside of the RHC?
- Are other clinics having trouble with the Medicare software?What software are other clinics using?
- Where do I find used medical equipment for our clinic?
- How does the organizational relationships between an RHC and a Critical Access Hospital (CAH) operate?
- We are an RHC all day. For Medicare patients regarding CPT coding, can we use minutes vs. time spent with the patient?
- I was told in a meeting that if you are a Rural Health Clinic and you do a procedure in the office that a surgery or procedure code cannot charge; that you can only charge an E&M code.
- If you are an RHC and do a colonoscopy or a tonsillectomy as an out patient procedure in the hospital, upon follow up with the patient in your office, can you charge the patient a regular visit that there is no global in the RHC clinic?
- If you make rounds at the nursing home and you see a patient who is on hospice, can you not bill an RHC visit?
- Regarding supplies, in order to be covered in the RHC the supply or service must be:
- Are RHCs subject to 'incident to' regulations as it relates to the provision of services by the midlevel provider?
- When does the "incident to" the physician rule apply to a rural health clinic?
- How are visits to patients admitted to long-term beds in a skilled nursing facility (SNF) billed?
- How are visits to patients admitted to a SNF bed in a skilled nursing facility billed?
- Can you have more than one visit per day?
- If a physician or midlevel goes to a church or another designated place (other than an approved RHC office site, nursing home, or patient's home) is it a RHC visit?
- Can you charge a relative for Medicare services under the RHC program?
- How are flu and pneumococcal shots billed in RHCs?
- What does Medicare require regarding documentation in the flu and pneumococcal logs?
- Do I have to log every flu and pneumococcal shot including non-Medicare patients?
- Can RHC bill for both a rural health clinic visit and an inpatient admission on the same day?
- If you perform a surgery in the hospital using a global fee and the patient has a pre-op and a post-op visit in the RHC, can I bill Medicare Part A for the RHC visits?
- Can an RHC utilize a treatment room and bill Part B for those services?
- Can you bill Medicare Part B for laboratory services including the required six waived tests?
- Can an RHC lab take specimens from patients who are not patients at the clinic?
- What are guidelines for billing technical the carrier and professional charges to trailblazers as RHC services?
- What is Abuse?
- What is Fraud?
- What is an FQHC?
- Don't see your question here?


