1. Rural Health Clinic Billing & CodingBy
Janet Lytton, Director of Reimbursement
Rural Health Development
April 24, 2019

2. Overview RHC Billing Overview “How To’s” of Problem Claims
MSP Requirements

3. 2019 Medicare Patient Deductible = $185 per year
IRHC Rate = $84.70/visit
PBRHC PPS Hospital Rate = $84.70/visit
PBRHC <50 bed hospitals = No limit
** New Medicare cards have all been issued in 2018 with numbers not associated with beneficiary social security numbers. All billers should be using the new numbers.

4. Billing Overview RHC Billing Regulations
CMS RHC Internet Only Claims Manual
Guidance/Manuals/Downloads/clm104c09.pdf

5. What is a Visit? Face-to-Face with the Provider Medically necessary
Physician, PA, NP, CNM
Clinical Social Worker or Clinical Psychologist
Medically necessary
Does it require the skills of a Provider?
Payer Class
All payer classes are counted in the total visit count
Place of Service
Clinic, Home, NH, SNF/SW B, Scene of Accident
Level of Service
All levels apply, to include procedures
To include all services “incident to”

6. CPT Procedure Codes
All Procedure Codes that are normally performed in a physician’s clinic are applicable in the RHC
If your coder is also your biller, the knowledge of what service to bill to which payer is imperative
Some CPT codes will have to be “split” billed, i.e. EKG tracing and interp, xray prof & tech comp

7. Medicare Covered But Nonbillable Services
Nurse service w/o face-to-face visit or “incident to” visit
I.e. allergy injection, hormone injection, dressing change, venipuncture
Provider MUST be onsite to have “incident to”
Service MUST be “previously” ordered
CMS Manual Chapter 13 Section 120 & 140
Telephone services
CMS Manual Chapter 13 Section 120
Prescription services

8. Examples of no medical necessity
Routine INR visit for lab
Simple suture removal
Dressing change
Results of normal tests
Blood pressure monitoring
B12 injection
Allergy Injection
Lab tests for screening w/o med necessity
Prescription service only
Chief Complaint: “here for refills”

9. RHC UPDATED REGULATIONS
Global Billing
All procedures in the RHC are not subject to Globals
If RHC sees PT for the surgical DX of another provider, must assure the proc was billed w/54 mod
If RHC prov performs hosp proc, bill w/54 mod, and then bill each visit at clinic level as not in global
Services never included in global surgical package
Initial visit to determine surgery required
Visits unrelated to DX for surgical procedure
Treatment for underlying condition or an added course of treatment which is not part of normal recovery
3-Day Payment Window
RHC services are not subject

10. MODIFIER -25
Significant, separately identifiable E/M service by same provider on the same day of a procedure or other service.
Append to E/M code , I.e (in system only)
Use Modifier 25 when:
Visit for a problem unrelated to the procedure
Visit for a new problem or a problem that has changed significantly and requires re-evaluation before performing the procedure.
Visit for the same problem in different sites; one treated surgically and one treated medically.
(DO NOT use -25 on claim as it means there was a separate visit on the same day for unrelated diagnosis, effective 10/1/16)

11. EXAMPLES OF MODIFIER -25
Visit for a problem unrelated to the procedure or service
Preventive AWV = patient seen for annual wellness visit
E/M service = Patient also c/o leg pain, swelling and hot spot. Evaluated for phlebitis
Supporting Documentation
E/M documentation identifiably distinct from procedure documentation
Must meet ALL requirements for E/M visit along with documentation of procedure. Can only count “bullets” of documentation once in setting the level.
DO NOT SHOW THE -25 ON YOUR MEDICARE OR MEDICAID CLAIMS

12. Medicare Part A Billing RHC Services
UB 04 form or 837i electronic format
Bill Type 711
52X and/or 900 Revenue Code(s) with CPT code of face-to-face visit with CG modifier and the bundled charges minus any preventive service charges
All other revenue codes listed on separate lines with CPTs of the “bundled” charge line items
Charges on subsequent lines must be $.01 or more
Sent to MAC
Claims for all RHC visits
Office, Skilled Nursing Home, Swing Bed, Nursing Home, Home, Scene of an accident

13. Medicare Part A “QVC” Revenue Codes– That can Have The CG Modifier
521 Office visit in clinic
522 Home visit
524 Visit to a Part A SNF or SW patient
Only prof service as labs, drugs, x-ray TC, EKG tracing gets billed to the SNF.
525 Visit to a Pt in a SNF, NF, ICF, AL
Patient not on a Part A SNF Stay
527 Visiting Nurse Service in a HHA shortage
528 Visit at other site, I.e. scene of accident
900 Mental Health Services

14. Rev Codes, HCPCS Codes, & CG modifier
052X and/or 0900 Rev Code w/Qualifying Visit code and the CG mod, HCPCS of QVC, total bundled charges of all service lines except preventive codes; separate line for each bundled service with charge > $.01, list each preventive service w/code and applicable charge.
Any stand alone preventive code or primary code of several preventive codes requires CG modifier.
ALL RHC claims MUST have a CG modifier to receive payment
Detail of Revenue codes except the following are allowed:
002X-024X, 029X, 045X, 054X, 056X, 060X, 065X, 067X-072X, 080X-088X, 093X, 096X-310X

15. Rev Codes, HCPCS Codes, & CG modifier
Some common allowed Revenue codes may be:
052X, 0250, 0300, 0636, 0780, 0900 (this is not an all inclusive list)
All HCPCS codes must match Rev code used; 0250 should not have a CPT code on the line item
Currently, QVC list is not updated and RHCs are allowed to bill for a service that is deemed as a provider service
If providing a service on the QVC list, suggest using that code as the one that has the CG modifier
QVC List Payment/FQHCPPS/Downloads/RHC-Qualifying-Visit-List.pdf
* References are CMS CR9269 and SE1611

16. Timely Filing MEDICARE:
Must file claims within one year from date-of-services—effective 3/23/10.
I.e. January 1, 2019 must be filed by Dec 31, 2019
NE MEDICAID: Must file claims within 180 days from date-of-service
I.e. January 1, 2019 must be filed by Jun 29, 2019
Any adjustment must be completed w/I 90 days
MCD MCOs may have longer timely filing; Heritage Health began 1/1/17
*If any Xover payments are not received, these can be put on your Medicare Bad Debt log for your cost report

17. Medicare RHC Provider Number
RHC office visit services
Excludes all labs, x-ray TC & EKG Tracing, any TC
Includes venipuncture effective 1/1/14
Billed to the MAC, UB04 Form or electronic
Paid on the clinic’s “all inclusive rate”
All Medicare coverage rules apply
Reasonable & necessary
Allowed preventive is covered, I.e. pap, PSA, AWV

18. Medicare Part B Provider Number (IRHC)
All labs, x-ray TC, EKG tracing, any technical components (venipuncture is part of the office visit bundled services)
All hospital services (IP, OP, ER, OBS)
Billed to MAC, HCFA 1500 Form
Paid on the Medicare Pt B fee schedule

19. Medicare Part B Provider Number (PBRHC)
All hospital services (IP, OP, ER, OBS)*
Billed to WPS MAC, HCFA 1500 Format
Paid on the Medicare existing fee schedule
* The only exception is if the CAH is Method II reimbursement

20. PBRHC - Hospital OP Provider Number
ALL Laboratory performed in the RHC, including 6 basic tests (venipuncture is part of the office visit bundled service)
Billed as would have been if provided at the hospital
Technical Component
X-ray
EKG
Holter Monitor placement
All TC’s Billed as would have been if provided at the hospital
Paid on the Medicare Pt B Fee Schedule

21. PBRHC - Hospital OP Provider Number
CAH Method II
Hospital bills for both the professional and technical component when performed in the hospital setting:
X-ray
EKG
Holter Monitor ER
OP/OBS/ASC
Must have separate line item for the prof service
Paid on the Medicare Pt B Fee Schedule + 15%

22. State Medicaid RHC/nonRHC Billing
Each State Medicaid is specific as to their State requirements—50 states, 50 plans
May use either the 1500 or UB04
Managed Care Plans have choice as well
Coverage is specific to each state
Most States require both RHC and nonRHC Medicaid provider numbers
Paid on the RHC rate or a PPS rate
NE has transitioned to Managed Care Payers
Heritage Health began 1/1/17

23. NE Medicaid
Each Managed Care Payer (MCP) can require either/both—UB04 or 1500
All Services for the Managed Care patients are sent to the MCP—nothing sent to DHHS (w/few except.)
Nebraska Total Care
UnitedHealthcare Community Plan of Nebraska
WellCare of Nebraska
MCP can determine how to bill and how to pay claims
MCPs are given RHCs facility specific payment rates to assure MCP is paying the most current rate—RHC Medicaid year is 7/1 through 6/30 each year

24. NE Medicaid Must have RHC and nonRHC number
Form for each is per the Managed Care Payer
NE Plans use the UB04 for RHC services
Use the 1500 for the nonRHC services
Ailments are RHC services
Preventive services are nonRHC services
IRHCs receive 100% of their Medicaid PPS rate
PB of <50 bed hosp receive 100% of their actual charges
PB of >50 bed hosp receive 100% of MCD PPS rate
Must send in a copy of your Medicare CR annually as is a Federal Requirement
With PPS payments there are no cost report settlements

25. NE Medicaid IRHC RHC services—UB04
Detailed line items on UB04 w/RHC Provider #
Lab, X-ray TC and EKG tracings (nonRHC) are billed on the nonRHC provider # on the 1500
Professional components are part of the visit
All preventive, IP, OP, ER, OBS are nonRHC services, billed with nonRHC Provider # on1500
OB is global with exception of first visit (1500)
If only visits, then nonRHC# and list visit dates
Global Period will depend on the MCO—anywhere from 2 weeks (Wellcare) or more

26. NE Medicaid PBRHC RHC services —UB04
Detailed line items on UB04 with RHC Provider #
Lab, X-ray TC, EKG tracing billed with Hosp OP #
Professional components are part of the visit
All preventive, IP, OP, ER, OBS are nonRHC services, billed with the nonRHC # on 1500
OB is global with exception of first visit (1500)
If only OB visits, bill nonRHC# and list visit dates
Global Period will depend on the MCO—anywhere from 2 weeks (Wellcare) or more

27. NE Medicaid
“Incident to” services without a face-to-face visit are billed on the nonRHC # i.e. injection only
Must have both the administration CPT code and the NDC of the drug administered
If VFC is used, Vaccine CPT is billed on the nonRHC # with charge of $19 and SL modifier
nonRHC services paid using the fee schedule and not your RHC rates
Are allowed to have an RHC visit at the same time as a nonRHC visit, i.e. ailment and preventive

28. Private Pay or Private Insurance
Billed as in fee-for-service clinic
No changes in reimbursement
Must not discount charges at time of service
RHC rule that all patients be charged the same fees
no cash discounts
no professional discounts given
All discounts given should be based on finances of patients
i.e. sliding fee scales can be developed to as high as 400% of poverty guidelines per Federal Regulations

29. Medicare Advantage (MA)
Two types of plans
PFFS – Private Fee for Service
Send Claims on UB04 with Medicare Rate letter
Regional/PPO Plans
Must provide service to the entire region per CMS
Send Claims on UB04; you negotiate payment
When patients switch to MA, they are on your “Private” section of your visit counts
You may want to keep them separate as they will count as Medicare patients if you need to figure the % of Medicare utilization.

30. Behavioral Health Services
Clinical Psychologist (PhD)
Doctoral level of education
Clinical Social Worker (CSW)
Masters level with at least 2 years experience
Use 900 revenue code to bill therapeutic behavioral health
After 10/1/16 will require a CG modifier on the bundled line item
The first visit to determine services by a Physician/PA/NP is an RHC visit, then behavioral health services apply
Reimbursement in 2014> changed to 80/20
Can be only service on claim or can also have 521 rev code
If both the 900 and 521 rev codes on claim, both will have the CG mod.

31. QVC required; AIR paid with copay and deductible applied.
900 Rev code is for Behavior Health Providers

32. More Than One Visit Per Day
Only allowed if a different unplanned illness or injury
If same diagnosis, accumulate to set E & M level
1st visit must have a CG modifier; 2nd visit is to be billed with a -59 modifier; or after 10/1/16 also can use -25
Visit by physician and then the mental health provider both are billable—2 visits—Each bundled 521 and 900 will have a CG modifier effective 10/1/16
IPPE and an ailment visit—is 2 visits, only ailment visit requires CG modifier
IPPE, ailment and mental health visit—is 3 visits, ailment visit and mental health visit require CG modifiers
Visit in clinic, then hospital admit (MAC determines); generally both not billable
Visits by two different specialties on same day—is 1 visit
CMS Manual Chapter 13 Section 40.3

33. Effective 10/1/16, the -25 or -59 will only be attached to the RC line item that is the second visit on the same date-of-service for an unplanned different ailment of the patient. 2 AIRs paid

34. Example of claim after 10/1/16, with both 521, 900 and preventive services on the claim. Note the CG modifier is attached to the “bundled” 521 line, and to the “bundled” 900 line with the 521 preventive service charges not included in either of those lines. (2 AIRs). Since the Preventive service is AWV, there is not additional payment.

35. Example of claim effective 10/1/16, with a Medical Visit 521,
900 Mental Health Visit and IPPE on same DOS. Note the CG
modifier is attached to the “bundled” 521 line, and to the
“bundled” 900 line. (3 AIRs pd); the Preventive service is NOT
included in the bundle.

36. The CG modifier must be attached to the main preventive service with all the other services listed on subsequent lines. 1 AIR is paid, unless there was an IPPE (G0402), then 2 AIRs are paid; no lines are bundled.

37. BILLING NONCOVERED CHARGES
How do you bill noncovered charges?
If all charges are noncovered, send 710 TOB with all charges as noncovered and condition code 21.
If only some of the charges are noncovered can use:
Modifier GY = noncovered by Medicare Statute
or Modifier GX = ABN Issued, Beneficiary liable.
Can use one or both on Medicare claim but the charge for the item must be shown as noncovered and will not be bundled in the CG line.

39. Claim when only partially noncovered

40. INFUSION THERAPY Infusion with an Office Visit
In your system 9920X or 9921X for OV, J-Code for Infusion med, CPT for Infusion subcutaneous or intravenous
96365 Intravenous infusion, for therapy, prophylasis or diagnosis; initial up to 1 hr.
96369 Subcutaneous infusion for therapy or prophylaxis, initial up to 1 hr, including pump set-up
Add charges bundled to the E/M code and line item entry of each bundled service (Medicare)

41. Laboratory Services All coded with the accurate CPT code
Don’t forget to charge the venipuncture with OV
effective 1/1/14 is part of the office RHC services
If more than one of the same test is done on the same day, a -91 modifier is added to the CPT code
IRHCs—All Labs, to include the required basic 6 tests, are payable through Medicare Part B
PBRHCs—All labs, to include the required basic 6 tests, both Medicare & Medicaid are payable through the Hospital OP provider number

42. Radiology Services
All coded with the accurate CPT code for each the technical component (TC) and the professional component(PC) if provider interprets
Effective 1/1/18, some x-ray codes are both the TC and PC but no list given as yet, i.e. Chest x-ray = Two views frontal & lateral has no splits
Interpretation is billed with the office visit and included in the total charges that are submitted to Medicare Rural Health; then listed separately
Technical Component is billed to Medicare Pt B or for PBRHC, billed using the hospital OP provider number
Medicare reg on nonRHC service billing, TCs & EKG tracing:
CMS Internet-Only Manual, Publication , Ch 9, Sec 90.

43. EKG Services
Coded using the tracing only for the TC & the interpretation only if provider interprets.
EKG Tracing only =
EKG Interpretation and report = (521 rev code)
Interp is billed with the office visit and included in the total charges that are submitted to Medicare Rural Health, then listed on separate line
Tracing only is billed to Medicare Pt B for IRHC or PBRHC bills using the hospital OP provider number
Medicare reg on nonRHC service billing, TCs & EKG tracing:
CMS Internet-Only Manual, Publication , Ch 9, Sec 90.

44. Note xray reading is -26 modifier and CPT for EKG interp; all bundled with the OV on the CG line; 1 AIR pd, $36 copay

45. “Incident to” Services
Direct supervision by provider required
Must be in clinic, not in same room
being in the hosp when attached to clinic is NOT “incident to”
Exception is the Chronic Care Management services
Part of provider’s services previously ordered
integral, though incidental
covered as part of an otherwise billable encounter
I.e. dressing change, injection, suture removal, blood pressure monitoring
Medicare (Medicaid if State requires) services should be billed under the provider that performed the service—NE Medicaid does require

46. Services Rendered on non-visit days—“Incident To” Services
Can be combined on claim with a visit within “a medically appropriate” timeframe (30 days pre/post)
NEVER considered a separate visit or sent to Part B
List only the date of the FTF visit as date-of-service
Charges should reflect all services bundled (CG line)
Added charges will be on subsequent lines of UB04
When added, additional reimb is the 20% copay
Adjustments OK—717 Type of Bill; CC=D1; remarks “changes in charges”
Otherwise, the costs are included on the cost report and claimed indirectly
CMS Internet Manual , Ch 13, Sec 120

47. MEDICARE INJECTIONS Injections with Office Visit
Charge All CPT codes in system
Bundle all charges with the QVC; list the RC 0250 w/no CPT code, or RC 0636 with the J-code & submit claim to RHC MCR
If it is a Pt D drug, it must be sent to Pt D plan or Patient
Can participate with the transactrx.com site for Pt D payments
Injections only—nurse service (Incident to service)
Charge in system
Either DO NOT bill (write off) as there is no f-t-f visit
OR can be bundled with a visit within “a medically appropriate time” generally 30 days pre or post nursing service and submitted with the f-t-f visit
If injectable is a Part D drug it MUST not be on RHC claim; only billable to the patient or to Part D

48. PART D - INJECTIONS
Injectable/Vaccine as a Part D drug – 1/1/08 Injections, i.e. Gardasil, Zostavax, Varivax, Tetanus (as immunization update), DTAP (90697 check your MCR payer as it may have a LCD to be under Pt B; WPS allows to be Pt B for an injury, effective 1/1/16 LCD L34596)
The injectable/vaccine is payable only through Pt D
Exception is flu and pneumonia is payable through the RHC cost report; Hepatitis B is Pt B covered if indicated Pt high risk and billed on the visit claim
If injectable/vaccine is obtained at the clinic level, then the patient is to pay for the injectable/vaccine and the administration privately and then they have to submit that claim to their Part D company to be reimbursed for the services.
Clinics can link to: and bill the Pt D drug and get payment to include administration of the drug and the system will let you know the copay amount. (an electronic system for the clinic to bill is suggested by CMS)

49. NonRHC Services
MCR excluded services, i.e. dental, hearing & eye tests = Patient payable
Lab Services; Technical components of an RHC service = Billable to Pt B for IRHCs; PBRHC billed by parent hospital
DME, Prosthetic devices, Braces = Must have DME provider # to bill items
If no provider #, build the cost of the item in the procedure code being billed
Ambulance Services = Ambulance company bills
Hospital Services ER, OP, IP, ASC, MCORF = Billed to Pt B; if CAH Method II, ER, OP, ASC billed by CAH
Telehealth distant-site services = Billed on the RHC claim with 780 RC with Q3014 and charge
Hospice Services (if for DX of hospice); Auxiliary Services, i.e. language interpretation, transportation, security = not billable to anyone

50. How Do We Bill: OV, Lab, EKG, Xray
Medicare: Bill OV, EKG interp, xray read (if provider does the interp/read) to RHC Medicare on UB 04 (use E & M with bundled charges w/CG and subsequent lines of the & with charge); Bill labs, EKG tracing & Xray TC to MCR Pt B for IRHCs & PBRHCs bill with Hosp OP # on UB04
NE Medicaid: IRHC follows Medicare guidelines w/CPT; PBRHC list all line items and paid total charges.
Private/Commercial: Bill as in FFS clinic

51. Claim to RHC Medicare; 1 AIR pd, copay $41
IRHC claim to Mcr Pt B per the fee schedule
PBRHC—Hospital would submit UB04 claim with OP prov. #s

52. How Do We Bill: Procedures w/OV
I.e. Lesion removal, joint injection, wound closure, AND E & M code (multiple procedure services)
Medicare: Bundle the OV, the procedure codes, any med used—bill as bundled into the 521 rev code; w/CG (OV CPT on claim, with subsequent lines of proc code(s) and med used)
Medicaid: IRHC: Bundle all charges on 1 line; PBRHC: Charge the OV level w/-25, the procedure codes, any med used w/J-code & NDC—on UB
Private/Commercial: Bill as in FFS clinic

53. NOTE: For Medicare will allow the -25 modifier on the E & M code when billed with a procedure and will not result in a double payment. (info recently acquired), 1 AIR pd, $140 copay

54. How Do We Bill: OV & Hospital Admit same day for same ailment
Medicare: MACs say it depends on medical necessity– but generally, if for same ailment, are not allowing both services to be billed; thus bill the Admit (services must be a face-to-face in the hospital)
Medicaid: Bill the hospital admit and not the clinic visit.
Private/Commercial: Bill the hospital admit
For all payers make sure you are “accumulating” all services to set the level of admit.

55. Hospital Procedures No global charges for Medicare in the RHC
Each visit in the clinic for a covered service is a billable visit
If visit is following a hospital procedure, must verify the procedure was billed with the -54 modifier
If not, then the visit cannot be billed
Bill the pre and post visits as RHC visits as it is the RHC facility billing the services, not a specific provider
NE Medicaid has a 2 week global for procedures in the hospital setting

56. Maternity Care in the RHC
Medicare:
Visits would be medically reasonable and necessary and billed as an RHC visit with 711 TOB and 521 revenue code.
Delivery only would be billed as a hospital nonRHC service; each post partum visit is a billable visit
Medicare DOES NOT pay for birth control devices, their Pt D plans will pay for birth control pills
Medicaid:
NE pays global for OB services unless provider transfers for delivery, then bill number of visits with dates as nonRHC services on the 1500

57. Flu & Pneumonia Injections
Keep a log of injections, or have your computer track
Medicare paid on your Medicare Cost Report
Flu payable once per season; pneumo initial must be at least 11 months before second of different vaccine (eff 1/1/15) Prevnar injections do go on the log.
Medicaid is paid only if in your State benefits at time of service
Keep track of vaccine and supply costs (invoices)
Determine average nursing hours per week
Determine average provider hours per week
Generally allow 10 minutes per injection on Cost Report, but must do a time study to verify length of time admin
NO Medicare Advantage on log
LOGS MUST BE LEGIBLE

58. Coding/Billing of NF/SNF Services
For NF/SNF/SW Bed visits
Code/Bill
524 Rev Code for Skilled patient; 525 for NH patient
If Prolonged Services apply
Code also or 99357
Effective with DOS 7/1/08
Can use Prolonged Service codes for NF/SNF services , 99307–99310 & but if codes are set for counseling, must be at highest level of counseling E & M to code the prolonged service code
MM5968, CR5968, Effective 7/1/08

59. Claim for a Resident on a Pt A Skilled Stay
Claim for a regular Nursing Home Resident

60. Services to a Hospice Patient
When seen for the hospice condition
Is not payable to the clinic and must be coordinated with the Hospice Entity
Any TC is billed to the Hospice Co, if required
Coordinate all cares with the Hospice Company
When seen for a condition other than the reason for being on hospice
Bill the MAC as an RHC visit, RC 52X
Use Condition Code 07
Use diagnosis for ailment not the hospice DX
Medicare Benefits Policy Manual 13, Sec. 210

61. Hospice Claim for ailment other than hospice diagnosis

62. Telehealth Site Fee Services
Bill to RHC FI
Revenue Code 780
Does not require a Face-to-Face visit same day
Q3014 code is paid separately from all- inclusive rate at the Medicare Phys Fee Schedule
Bill for transmission fee
REQUIRED to put the Q code on the claim
RHCs are not allowed to be the service provider

64. Adjustments TOB 717 Claim must be in finalized status
Adjustment will appear as a debit or credit on future remittance advice
Encourage submitting electronically
exceptions—denied charges & claims rejected as MSP
Do not send another 711 claim as will error as a duplicate
Examples of Adjustments:
Revenue code changes, Service unit decrease or increase, Total charges changed, Primary payer incorrect

66. Medicare Corporate Compliance
All practices that accept Medicare & Medicaid dollars are required to have a Clinic Corporate Compliance Policy
Are the OIG checks being made monthly?
HIPAA Policies in place
Do we have consents signed?
Are we getting ABNs (Advanced Beneficiary Notices) when appropriate (must be CMS-R-131 3/2020)
Keep copy of ABN
Are we asking the MSP (Medicare Secondary Payer) questions?

67. Internet Websites of Interest
Network-MLN/MLNProducts/downloads/MLNCatalog.pdf
/downloads/som107ap_g_rhc.pdf (CMS State Operations Manual)
Network-MLN/MLNProducts/Downloads/ChronicCareManagement.pdf (CCM Services)
Make sure you are a part of your MAC listserve for updated info!

68. INTERNET WEBSITES OF INTEREST
(NeRHA)
(National Association of RHCs)
Downloads/bp102c13.pdf (RHC/FQHC Regs 01/18)
Rural Health Development Website & my

69. Any ?’s