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Rural Health Clinic Billing Guidelines
For the Medical Office

The course is designed to provide an overview of Medicare’s guidelines on billing, coding and payment for services provided in a Rural Health Clinic (RHC) setting.

Target Audience

  • Physicians
  • Clinical Nurse Specialists
  • Nurse Practitioners
  • Physician Assistants
  • Practice Administrators
  • Billers and Coders
  • Quality Assurance Staff

Learning Objectives

Participants will learn:

  • What is a Rural Health Clinic (RHC)?
  • RHC Designation and Conditions of Certification Requirements
  • Define RHC Encounter Types and Qualifying Encounters
  • Medicare Coverage for Opioid Use Disorder Treatment Services
  • Provider-Based vs. Independent RHC Billing
  • Core Principals of Reporting RHC Revenue Codes
  • Billing for RHC and Non-RHC Services
  • RHC Claims Processing – Billing for Medicare Part A versus Medicare Part B Services
  • Claim Form Completion and Submission Requirements
  • Identify Modifier Use for RHC Billing
  • Medicare Coding, Billing and Reimbursement for Opioid Treatment Program Services
  • RHC Billing Examples
  • Common RHC Claim Errors
  • An Overview of RHC Cost Reporting
  • RHC Participation in Medicare Shared Savings Programs

Continuing Education Units (CEUs)

PMI CEU APPROVED Earn 6 PMI CEUs for attendance at this program. Practice Management Institute grants CEUs for its certified professionals based on total number of instructional hours (1 CEU per hour of classroom instruction). CEUs may be applied to annual recertification requirements, as directed in the certification renewal requirements for your credential(s).

If you are seeking CEU credits for other certifications or organizations, please contact your organization for pre-approval and credit guidelines. A certificate of attendance will be provided.

Program Schedule

There are no live classes available at this time. See below for more options.

tel: 1-800-259-5562 | fax: (210) 691-8972 | [email protected]

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