Revenue Code For Rural Health Clinic

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Revenue code for rural health clinic. Qualified provider are billed using revenue code 900. Rhcs bill revenue codes on the ub 04 claim form when billing to medicare. Therapeutic services are subject to a 62 5 payment limitation. For claims with dates of service on or after april 1 2016.

Below are the most. Sites of service revenue codes for rural health clinics rhcs and federally qualified health centers fqhcs to use when billing medicare. Rhc clinics are only required to report the appropriate revenue code for medical 052x and mental health 0900 services. And search rural health clinic.

Beginning october 1 2016 report modifier cg on one revenue code 052x and or 0900 service line to receive air and charges are subject to coinsurance and deductible non rhc service cms iom publication 100 02 medicare benefit policy manual chapter 13 section 60 1. Diagnostic services are paid as an encounter. Rural health clinics rhcs report one service line per encounter visit with revenue code 052x and a qualifying medical visit from the rhc qualifying visit list. This article was updated on october 23 2012 to reflect current web addresses.

Beginning on october 1 2016 the medicare administrative contractors macs will accept modifier cg. Rural cd 3 part 2 rural health clinics rhcs and federally qualified health centers fqhcs. All claims are billed on a ub 04. These clinics are intended to help improve the accessibility of healthcare in underserved rural areas.

All charges associated with the patient s visit should be combined into a single dollar amount reported with the appropriate. Using revenue code 052x for medical services and or revenue code 0900 for mental health services. Rhcs are allowed to report additional 052x or 0900 revenue code lines. Effective april 1 2016 rhcs are required to report a hcpcs code for each service furnished along with an appropriate revenue code.

Billing codes page updated. This guidance is available in mln matters article mm9269 at https. Actual charges should be. Rural health clinic qualifying visit list rhc qvl 8 01 16.

Se1039 pdf rural health clinics rhcs and federally qualified health centers. Preventive services using revenue code 052x for medical services and or revenue code 0900 for mental health services. Rural health clinic billing examples qualifying medical visit. However hcpcs codes are required when billing preventive services on the rhc bill type 71x.

Rural health clinics rhcs healthcare common procedure coding system hcpcs reporting requirement and billing updates.