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

"A picture is worth a thousand words." 

Blue Cross and Blue Shield of North Carolina’s Risk Adjustment Coding Provider Education and Engagement Team is offering Microsoft LIVE meetings in 2023.

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