RHC Care Management Services Expansion

CMS FINALIZED THEIR PROPOSAL TO GRANT RHC’S THE OPPORTUNITY TO BILL FOR REMOTE PATIENT MONITORING (RPM) AND REMOTE THERAPEUTIC MONITORING (RTM) SERVICES, AS WELL AS GENERAL CARE MANAGEMENT CODES FOR COMMUNITY HEALTH INTEGRATION (CHI) AND PRINCIPAL ILLNESS NAVIGATION (PIN), BEGINNING JANUARY 1, 2024)

On November 2nd, the Centers for Medicare and Medicaid Services (CMS) issued the?CY 2024 Medicare Physician Fee Schedule (MPFS) Final Rule?and the?CY 2024 Medicare Outpatient Prospective Payment System (OPPS) Final Rule, finalizing several Rural Health Clinic (RHC) specific policy proposals.

Extreme gratitude to our advocates at the National Association of Rural Health Clinic (NARHC) for submitting comments?in September during the rule making process timeline as to how CMS proposals may impact the RHC community. Much appreciation to NARHC for the suggested changes submitted to ensure that safety net providers are able to take full advantage of the expanded benefits. Thank you! We encourage you to join NARHC’s Washington, D.C. team for a webinar on December 11th, 2023, where they will discuss the final rule and answer questions about implementation of these various policy proposals. Register for the webinar?here. If you are unable to attend rest assured, we will be in attendance.

Background Since 2016, RHCs have been able to bill for Chronic Care Management (CCM) services through this consolidated care management code. G0511 pays a consolidated fee schedule amount.......Read Full Article HERE!