11 November, 2021 13:23

November 11, 2021

Provider Enrollment Application Fee for CY 2022

On October 25, CMS issued a notice in the Federal Register establishing the Calendar Year (CY) 2022 provider enrollment application fee. Effective January 1 – December 31, 2022, the application fee is $631 for institutional providers (as defined in 42 CFR § 424.502) who are:

  • Initially enrolling in the Medicare or Medicaid programs or the Children’s Health Insurance Program (CHIP)
  • Revalidating their Medicare, Medicaid, or CHIP enrollment
  • Adding a new Medicare practice location

You must pay this fee when you submit any of these enrollment applications in CY 2022.

Telehealth Billing Changes for RHCs Beginning October 1, 2026

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...

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Global Maternity CPT Codes Are Going Away

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...

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Don’t Let Vaccine Billing Become an Operational Gap

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...

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A Legacy Rooted in Rural Health Care

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...

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Medicare Extends Medical Telehealth Billing

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...

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