Rural Health Clinic Medicare Payment Reform Rural Health Clinic will undergo Medicare payment reform as part of the year-end COVID-19 relief an appropriations package passed by Congress last night. Midwest Health Care will continue to update on the details of regulations and processes, as they are released. See NARHC article on RHC Modernization Credentialing and…

Telehealth Coinsurance & Reimbursement Policy Update CMS recently updated MLN Matters SE20016 that significantly alters G2025 reimbursement policy. See MLN Matters SE20016 Telehealth Services with Cost Sharing on how CPT code G2025 will be paid. The MAC will be going back to January 27, 2020 and adjusting all paid claims. As you can see, if the charge for CPT…

PCP Directed Payments for RHCs & FQHCs TennCare began working in June with CMS to secure targeted payments, and we are pleased to report that TennCare has received approval from CMS for approximately $12.4 million in state and federal funding to be distributed to TennCare Primary Care Providers (PCP). The approved $12.4 million in state and…