Rural Health Clinics and Federally Qualified Health Centers Billing Guide

This new CMS/TrailBlazer notice is based on Change Requests (CRs) 7038 and 7208 and provides a billing guide for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). It describes the information FQHCs are required to submit for CMS to develop and implement a Prospective Payment System (PPS) for Medicare FQHCs. It also explains how RHCs should bill for certain preventive services under the Affordable Care Act (ACA). Historically, RHCs’ and FQHCs’ billing instructions have been the same. However, effective January 1, 2011, the billing requirements will be different for each of these facility types. For more information, click here.