Update to Rural Health Clinic (RHC) Payment Limits

If your Rural Health Clinic provides telehealth services, an important billing change is coming this fall. Beginning October 1, 2026, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) will no longer bill HCPCS code G2025 for distant site...

Schedule (PFS) Proposed Rule, outlining numerous proposed payment and policy changes that could affect healthcare providers beginning January 1, 2027. The proposed rule is currently open for public comment and is not yet final. For Rural Health Clinics (RHCs), several...

If your Rural Health Clinic provides obstetrical care, an important coding change is on the horizon. Beginning January 1, 2027, the American Medical Association (AMA) is deleting the long-standing global maternity care CPT codes that bundle antepartum care, labor and...

Beginning July 1, 2025, Rural Health Clinics are required to bill these preventive vaccines and their administration at the time of service: Influenza (regular and high dose) Pneumococcal (all types) Hepatitis B COVID-19 This wasn't simply a billing update—it changed...

Many people in the RHC community recognize the Ron Nelson Award, presented annually by the National Association of Rural Health Clinics (NARHC) to honor individuals who have demonstrated outstanding leadership, service, and advocacy on behalf of RHCs. What many may...

CMS recently published a proposal that could significantly change the future RHC recertification process. The proposal would allow clinics to complete a self-attestation process in place of routine periodic on-site recertification surveys currently performed through...

As part of our ongoing commitment to supporting rural healthcare compliance efforts, we want to make all clinics aware of important federal accessibility requirements under Section 504 that may impact healthcare organizations over the next several years. In addition...

Healthcare privacy law is evolving — and February 16, 2026 is a firm compliance deadline for new federal privacy requirements that affect how clinics handle and communicate about substance use disorder (SUD) treatment records. These changes come from HHS’s update...

CMS is improving the Clinical Laboratory Improvement Amendments (CLIA) program by switching to electronic fee coupons and CLIA certificates. After March 1, 2026, paper fee coupons and CLIA certificates will no longer be available; well stop mailing paper versions...

Medicare has extended medical telehealth billing for RHCs using CPT code G2025 through December 31, 2026. Effective January 1, 2026, Medicare has updated the virtual communication codes for RHCs, terming G0071 and replacing it with 3 codes: 98016, G2010 and G2250. For...