What is the difference between an FQHC and an RHC?

What is the difference between an FQHC and an RHC?

A federally qualified health center (FQHC) and rural health center (RHC) both provide healthcare services. RHCs are in rural areas, while FQHCs may be in either rural or urban areas. Both types of clinics provide primary care services. FQHCs may provide more community and social services than RHCs.

What is a CG modifier?

When a preventive health service is the primary service for the visit, RHCs should report modifier CG on the revenue code 052x service line with the preventive health service. Medicare will pay 100% of the AIR for the preventive health service.

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What does RHC mean in medical terms?

A FQHC can bill for a face-to-face, medically necessary visit furnished by a dentist, podiatrist, optometrist, or chiropractor if the service furnished is on the list of qualifying visits for FQHCs and all other requirements are met.

What is Medicare RHC?

The Rural Health Clinic (RHC) program is intended to increase access to primary care services for patients in rural communities. RHCs can be public, nonprofit, or for-profit healthcare facilities. … The main advantage of RHC status is enhanced reimbursement rates for providing Medicare and Medicaid services.

What is rural health care?

In medicine, rural health or rural medicine is the interdisciplinary study of health and health care delivery in rural environments. … Research shows that the healthcare needs of individuals living in rural areas are different from those in urban areas, and rural areas often suffer from a lack of access to healthcare.

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Are rural health clinics exempt from MIPS?

You may be exempt from MIPS if you are a part of a Rural Health Clinic (RHC) or Federally Qualified Health Center (FQHC).