Rural health / FQHC
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Spotlight
- Map of rural counties in Florida
Do you know if your practice or facility is in a rural area? Here is the Florida Department of Health map to help you identify Florida counties deemed rural. - MLN booklet -- Information for Critical Access Hospitals (CAH)
A recent Office of Inspector General report found Medicare improperly paid CAHs and health care professionals for the same CAH services. This booklet explains how to properly document and bill for CAH services. - CMS Announces Agency’s First Rural Health Strategy
- View CMS Newsroom Center (Spotlights, news, media releases, outreach, mailing lists, etc.)
Telehealth
- Telehealth Services MLN Booklet
- Telehealth Resource Centers
- List of telehealth services payable under the Medicare Physician Fee Schedule
- Telehealth Services overview on CMS.gov
LCD / NCD
LCDs
Search for rural health and Federally Qualified Health Center (FQHC)-related LCDs using these available tools:
- Interactive LCD index tool
- View First Coast’s active / proposed LCDs / articles on CMS’ Medicare coverage database (MCD)
NCDs
Medical documentation
Medical documentation is used to verify that services were billed correctly and to ensure that payment and processing of Medicare claim(s) are accurate and based on sound policy. Find information, tips, and resources regarding medical documentation.
Education
Utilize educational information from First Coast and CMS.
- CMS Medicare Learning Network (MLN) - filter for rural health publications
- CMS Rural Health fact sheet
- Rural Health Open Door Forum
- First Coast’s upcoming education events
- CMS upcoming events
- CMS open door forums
CMS internet-only manual (IOM)
The CMS IOMs contain day-to-day operating instructions, policies, and procedures based on statutes, regulations, guidelines, models, and directives.
The following CMS manuals contain information specific to rural health and FQHC services:
- Medicare Claims Processing Manual: Chapter 9 - Rural Health Clinics (RHC) / FQHC
- Medicare Benefit Policy internet-only manual: Chapter 13 - RHC and FQHC Services
Rural health services -- additional resources
Listed below are additional resources, specifically for rural health services:
- Visit the Rural Health webpage on the CMS website.
View additional resources identified specifically for rural health services:
- CMS resources
- General resources
FQHC -- additional resources
Listed below are additional resources, specifically for FQHCs:
- FQHC Center
- All inclusive payment for RHCs and FQHCs
- Medicare Advantage (MA) supplemental wrap-around payments - reason code 37098
Frequently asked questions (FAQs)
Before you call the First Coast provider contact center, view our specialty / services FAQs for additional information.
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