Practice Support Update Blog

Remote Patient Monitoring Optimization for FQHCs

Jun 19, 2025 7:30:00 AM / by Practice Support Team posted in Primary Care, FQHC, remote patient monitoring

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WEBINAR OPPORTUNITY

Remote Patient Monitoring Optimization for FQHCs

June 25, 2025 | noon-1 p.m.

Join us for an exclusive training webinar hosted by NC AHEC Practice Support in collaboration with the NC Community Health Center Association. The training is designed specifically for federally qualified health center staff interested in optimizing or starting remote patient monitoring (RPM) as a solution for improved patient care. RPM is a new healthcare practice that uses digital devices to collect and transmit patient health data to healthcare providers. It allows for continuous monitoring and management of patient’s conditions from a distance. This healthcare practice can work successfully if implemented correctly

This session will provide an overview of the latest trends, how to implement in your workflows, and appropriate Medicare/Medicaid billing codes to ensure financial sustainability and accuracy. Register now and take the first step in learning more.  

Register for the RPM Webinar

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RHC and FQHC Medicare Benefit Policy Manual Update

Apr 8, 2025 7:00:00 AM / by Practice Support Team posted in medicare, rural health centers, medical billing, FQHC

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Graham County view-1

On March 20, CMS released an update of the Medicare Benefit Policy Manual that revises and clarifies payment policy information for Rural Health Clinics and Federally Qualified Health Centers.

 

Some Key Updates Include:

  • Starting January 1, 2025, RHCs and FQHCs must include costs for hepatitis B vaccines on their annual cost reports.
  • CMS no longer requires RHC productivity standards starting with cost reporting periods ending after December 31, 2024.
  • RHCs and FQHCs can continue to bill for non-behavioral health telehealth services by reporting HCPCS code G2025, including services you provide using audio-only technology, through December 31, 2025.
  • CMS includes Principal Illness Navigation Peer-Support and Advanced Primary Care Management in RHC's and FQHC's care coordination services.

There are several additional important updates that RHCs and FQHCs should be aware of.

Make sure your billing staff knows about the 2025 updates to the Medicare Benefit Policy Manual, Chapter 13. 

Source:

Medicare Learning Network, MLN Matters 13946

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Payment for Medicare Part B Preventive Vaccines and Administration for RHCs and FQHCs

Feb 18, 2025 11:00:00 AM / by Practice Support Team posted in Vaccines, medicare, rural health centers, FQHC

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vaccination

Learn about vaccine payment policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs):

 

  • Hepatitis B vaccines are paid like other Part B preventive vaccines effective January 1, 2025.
  • New claim-based payments for Part B preventive vaccines and their administration are effective July 1, 2025.  RHCs and FQHCs will need to annually reconcile payments with the facilities' actual vaccine and vaccine administration costs on their cost reports.

If you have not already, we encourage you to subscribe to the MLN Connects ® newsletter for more information and updates from CMS.

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RHCs and FQHCs: May need to re-submit claims

Jan 17, 2025 2:30:00 PM / by Practice Support Team posted in Billing, rural health centers, claims, FQHC

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photo-1682706841289-9d7ddf5eb999Starting October 1, 2024, the Centers for Medicare and Medicaid Services incorrectly returned certain Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) claims with reason code W7072:

  • Type of bill: 017X (RHC) and 077X (FQHC)
  • HCPCS code 93010 (electrocardiogram, EKG or ECG)

RHCs and FQHCs should resubmit these claims that were returned in error.

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