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Rural Health Information Hub

Care Management Medicare Reimbursement Strategies for Rural Providers

In recent years, Medicare has added more billing codes to keep Traditional Medicare patients healthy and better coordinate services to support patients at home. These services can also support rural hospitals, Rural Health Clinics, Federally Qualified Health Centers, and practitioners participating in value-based care programs and alternative payment models by helping improve quality of care and health outcomes. RHIhub, in coordination with the Federal Office of Rural Health Policy (FORHP) and the NORC Walsh Center for Rural Health Analysis, have created this resource to help rural providers become more aware of these new billing codes and how to use them to better serve their patients and assist them in billing appropriately for these services.

Each of the guides below provides a brief overview and links to key documents to help rural healthcare professionals, practices, and hospitals understand the billing code, consider the benefit to their patients and organization, and begin billing Traditional Medicare for the code. RHIhub will be updating this resource with additional billing information as new codes are created and other payment changes are finalized. The current guides include:

More information on care management can also be found on the Care Management section of the CMS website.

NOTE: The information provided in this guide describes services available to Traditional Medicare beneficiaries. Medicare Advantage coverage for these services may vary.

Last Reviewed: 1/14/2025