Federally Qualified Health Centers
CMS Updates Instructions for RHC/FQHC Billing of Hospice Attending Physician Services
Beginning January 1, 2022, to receive the Rural Health Center (RHC) All-Inclusive Rate (AIR) or Federally Qualified Health Center (FQHC) Prospective Payment System (PPS), the RHC or FQHC must report the GV modifier (attending physician not employed or paid under arrangement by the patient’s hospice provider) when a physician, Nurse Practitioner (NP), or Physician’s Assistant […]
Read MoreCMS Updates Instructions for RHC/FQHC Billing of Hospice Attending Physician Services
Beginning January 1, 2022, to receive the Rural Health Center (RHC) All-Inclusive Rate (AIR) or Federally Qualified Health Center (FQHC) Prospective Payment System (PPS), the RHC or FQHC must report the GV modifier (attending physician not employed or paid under arrangement by the patient’s hospice provider) when a physician, Nurse Practitioner (NP), or Physician’s Assistant […]
Read MoreCMS Issues Systems Changes, Guidance for RHC/FQHC Billing of Hospice Attending Physician Services
Earlier this year, Congress authorized Rural Health Centers (RHCs) and Federally Qualified Health Centers (FQHCs) to bill Medicare for hospice attending physician services provided by a physician nurse practitioner (NP) or physician assistant (PA) who is employed by the facility and is the patient’s designated attending physician. The Centers for Medicare & Medicaid Services (CMS) has […]
Read MoreProposed Physician Payment Rule Addresses Attending Physician Services Provided by RHCs, FQHCs
–CMS Proposes Part D EPCS Exceptions that Exclude Hospice Waiver The Centers for Medicare & Medicaid Services (CMS) recently issued its proposed CY2022 physician payment rule and, as is frequently the case, the rule addresses some issues relevant to hospice care (as well as other matters). This article will discuss two hospice issues: Proposed implementing […]
Read MoreSurvey Reforms & Other Significant Changes for Hospice
The Consolidated Appropriations Act 2021 was passed at the end of December 2020, contains numerous provisions applicable to all provider types and some that are hospice-specific. (See this NAHC Report for earlier news & analysis on the subject.) Below is a detailed summary of the hospice-specific provisions in date order, as appropriate, and any additional information […]
Read MoreNew Guidance and Waivers for Home Health, Rural Health and More
The Centers for Medicare & Medicaid Services (CMS) has issued new guidance for home heath care providers and waivers for Rural Health Clinics ( RHC)s and Federally Qualified Health Centers (FQHC) that have a direct impact on home health care providers.. On April 14, CMS issued several waivers for RHCs and FQHCs. One of the […]
Read More
