Rural Health
Resources by Topic: Medicare
NARHC REF RHC Data Portal
Interactive tool providing data on the Healthcare Common Procedure Coding System (HCPCS) codes and Current Procedural Terminology (CPT) codes used by Rural Health Clinics (RHCs) for services provided to Medicare beneficiaries. Uses a statistically adjusted sample of health care claims data and carrier file claims from 2019-2021. Data are searchable by claim year, code, and percentage and frequency of use.
Type: Tool
Sponsoring organizations: Catherine Cutler Institute, National Association of Rural Health Clinics, National Association of Rural Health Clinics Research and Education Foundation
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Interactive tool providing data on the Healthcare Common Procedure Coding System (HCPCS) codes and Current Procedural Terminology (CPT) codes used by Rural Health Clinics (RHCs) for services provided to Medicare beneficiaries. Uses a statistically adjusted sample of health care claims data and carrier file claims from 2019-2021. Data are searchable by claim year, code, and percentage and frequency of use.
Type: Tool
Sponsoring organizations: Catherine Cutler Institute, National Association of Rural Health Clinics, National Association of Rural Health Clinics Research and Education Foundation
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Medicare Learning Network: Chronic Care Management Services
Provides general information about payable chronic care management service elements, practitioners able to bill for CCM services, patient eligibility, service codes, concurrent billing, and Medicare Physician Fee Schedule (PFS) billing requirements. Includes information on Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) billing for CCM services.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides general information about payable chronic care management service elements, practitioners able to bill for CCM services, patient eligibility, service codes, concurrent billing, and Medicare Physician Fee Schedule (PFS) billing requirements. Includes information on Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) billing for CCM services.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model, a voluntary state total cost of care model that will test state accountability for controlling overall growth in health expenditures while increasing investment in primary care and improving population health outcomes.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model, a voluntary state total cost of care model that will test state accountability for controlling overall growth in health expenditures while increasing investment in primary care and improving population health outcomes.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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State Operations Manual Appendix B - Guidance for Surveyors: Home Health Agencies
Presents interpretive guidelines clarifying statutory and regulatory requirements for home health agencies.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presents interpretive guidelines clarifying statutory and regulatory requirements for home health agencies.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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State Operations Manual Appendix M - Guidance for Surveyors: Hospice
Details the hospice survey process and presents interpretive guidelines clarifying statutory and regulatory requirements.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Details the hospice survey process and presents interpretive guidelines clarifying statutory and regulatory requirements.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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State Operations Manual Appendix G - Guidance for Surveyors: Rural Health Clinics (RHCs)
Provides details and interpretive guidelines clarifying the Rural Health Clinic (RHC) survey and certification processes.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides details and interpretive guidelines clarifying the Rural Health Clinic (RHC) survey and certification processes.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Shared Savings Program
Provides an overview of the Medicare Shared Savings Program. Offers links to program resources, including application information, program data, and program statutes and regulations.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Medicare Shared Savings Program. Offers links to program resources, including application information, program data, and program statutes and regulations.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Making Care Primary (MCP) Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Making Care Primary (MCP) Model, which offers a pathway for primary care clinicians in eight states to gradually adopt prospective, population-based payments while building infrastructure to improve behavioral health and specialty care integration and enhance equitable access to care.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Making Care Primary (MCP) Model, which offers a pathway for primary care clinicians in eight states to gradually adopt prospective, population-based payments while building infrastructure to improve behavioral health and specialty care integration and enhance equitable access to care.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO Realizing Equity, Access, and Community Health (ACO REACH) Model, which is intended to encourage healthcare coordination to improve care for people with Medicare, especially those from underserved communities.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO Realizing Equity, Access, and Community Health (ACO REACH) Model, which is intended to encourage healthcare coordination to improve care for people with Medicare, especially those from underserved communities.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Emergency Hospitals
Provides an overview of the Rural Emergency Hospital (REH) provider designation. Outlines the services REHs provide and REH Conditions of Participation. Describes the facilities that are eligible to become an REH, the Medicare enrollment process, and technical assistance to REHs.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Rural Emergency Hospital (REH) provider designation. Outlines the services REHs provide and REH Conditions of Participation. Describes the facilities that are eligible to become an REH, the Medicare enrollment process, and technical assistance to REHs.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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