Practice Support Update Blog

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

0 Comments

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.

Read More

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

0 Comments

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.

Read More
  • There are no suggestions because the search field is empty.

Practice Support Services

Health care practices in North Carolina face many challenges. Our team of quality improvement coaches (QICs) have skills and expertise to support you in your transformation efforts.

To learn more about Practice Support Click Here

Apply for practice support services - fill out an application here

Subscribe to Blog Updates

Additional Resources:
Tip Sheets
Lib Guides
Interactive Resource Guides
Digital Library
New call-to-action
Join email list

Connect With Us:

Posts by Topic

See all

In Case You Missed It... Check Out These Recent Posts