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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare facilities

Medicare Claims Processing Manual Chapter 4 - Part B Hospital (Including Inpatient Hospital Part B and OPPS)
Outlines rules and regulations for processing Medicare Part B hospital claims. Covers special rules for Critical Access Hospital outpatient billing, hospital-based Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) billing for non-RHC/FQHC services, and payment adjustments for Rural Emergency Hospitals (REHs).
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Minnesota Chartbook Section 8B Health Care Providers and Service Availability: Clinics, Imaging and Other Facilities
Provides information on availability of physician clinic services, diagnostic imaging services, and freestanding outpatient surgical services in Minnesota. Includes number and distribution of physicians practicing by isolated rural, small town rural, large rural city, and urban location, as well as regional data and state maps on primary care and specialty care clinics, imaging services, and outpatient surgical services.
Date: 11/2024
Sponsoring organization: Minnesota Department of Health
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Medicare Learning Network: Rural Emergency Hospitals
Details the regulatory requirements for providers to become a Rural Emergency Hospital (REH). Provides information on REH billing for Medicare services, Medicare payments for REH services, and the additional monthly facility payment.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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October 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2024 meeting. Covers an analysis of Medicare beneficiaries in nursing homes, findings from MedPAC's annual beneficiary and provider focus groups, supplemental benefits in Medicare Advantage, a work plan for a mandated final report on the impact of recent changes to the home health prospective payment system, and initial estimates of home health care use among Medicare Advantage enrollees. Includes rural references throughout.
Additional links: Medicare Beneficiaries in Nursing Homes - Presentation Slides
Date: 10/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Hospital Price Transparency: What Hospitals Need to Know – Part 2
Webinar recording presents part two of a discussion on the Centers for Medicare and Medicaid Services (CMS) hospital price transparency requirements that went into effect on July 1, 2024. Features a presentation and discussion from a CMS representative.
Date: 10/2024
Sponsoring organization: Rural Health Information Hub
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Quality Measurement in Rural Health Clinics: Policy Brief and Recommendations to the Secretary
Provides an overview of the Rural Health Clinic (RHC) program, RHC participation in value-based programs and models, and quality reporting challenges. Describes opportunities for growth in RHC quality reporting. Offers two policy recommendations to support RHC participation in value-based care.
Date: 10/2024
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Observed Factors Influencing REH Conversion Decisions: Insights from the Rural Emergency Hospital Technical Assistance Center's Financial Modeling Process
Summarizes key findings from the Rural Emergency Hospital (REH) Technical Assistance Center's financial modeling activities for rural hospitals considering conversion. Discusses barriers identified by hospitals considering REH status and common themes for why hospitals chose not to pursue the REH designation.
Date: 10/2024
Sponsoring organization: Rural Health Redesign Center
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Increasing Medication Assisted Treatment in Rural Primary Care Practice: A Qualitative Comparative Analysis from IT MATTTRs Colorado
Examines how the characteristics of rural primary care practices in Colorado affect their ability to provide medication assisted treatment (MAT) for opioid use disorder (OUD), utilizing data from the Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado (IT MATTTRs) intervention. Analyzes practice characteristics including practice size, behavioral health availability, MAT prescriber staffing, clinicians with MAT experience, private or non-private practice, and leadership buy-in.
Author(s): Jodi Summers Holtrop, Rebecca Mullen, Kristen Curcija, et al.
Citation: Frontiers in Medicine, 11, 1450672
Date: 10/2024
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Separate Payment for Essential Medicines – New Biweekly Interim Payments for the Inpatient Prospective Payment System
Provides an overview of payment adjustments to small, independent hospitals for establishing and maintaining access to buffer stocks of essential medicines for cost report periods beginning on or after October 1, 2024.
Date: 10/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Recruitment and Retention in the National Diabetes Prevention Program Lifestyle Change Program in Two Federally Qualified Health Centers in Rural Hawaiʻi
Examines factors influencing enrollment and participation in the National Diabetes Prevention Program lifestyle change program (National DPP LCP) which was administered by Federally Qualified Health Center coaches in Hawai'i. Identifies motivators, barriers, facilitators, and suggestions for program participation from interviews with 14 female enrollees. Highlights perspectives of Native Hawaiian, Other Pacific Islander, and Filipino interviewees.
Author(s): Kara Saiki, Alena Shalaby, Blythe Nett, et al.
Citation: Preventing Chronic Disease, 21, 240156
Date: 10/2024
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