{"id":202,"date":"2020-04-17T20:15:00","date_gmt":"2020-04-17T20:15:00","guid":{"rendered":"https:\/\/quada1.wpenginepowered.com\/cms-releases-guidance-on-telehealth-billing-for-rhcs\/"},"modified":"2026-11-03T21:30:11","modified_gmt":"2026-11-03T21:30:11","slug":"cms-releases-guidance-on-telehealth-billing-for-rhcs","status":"publish","type":"post","link":"https:\/\/quada.org\/fr\/blog-posts\/cms-releases-guidance-on-telehealth-billing-for-rhcs\/","title":{"rendered":"CMS Releases Guidance on Telehealth Billing for RHCs"},"content":{"rendered":"

CMS has released the long-awaited guidance on telehealth billing for RHCs.\u00a0 The full MLN document, New and Expanded Flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) During the COVID-19 Public Health Emergency (PHE),\u00a0 is available.<\/p>\n\n\n\n\n\n\n\n

Here are key points on what CMS is adopting:<\/p>\n\n\n\n

    \n
  1. Medicare claims for RHC telehealth visits occurring since January 27th<\/sup> will be paid by Medicare. If you have been holding these telehealth claims, you can submit them and they will be paid.<\/li>\n\n\n\n
  2. CMS has established a uniform RHC telehealth payment rate of $92.00 per visit. This rate will apply to telehealth visits performed by independent or provider-based RHCs.<\/li>\n\n\n\n
  3. All RHCs will bill for telehealth visits the same as you would bill for an in-person visit and use the 95 modifier on the claim line to signify that the visit was via telehealth rather than in-person.<\/li>\n\n\n\n
  4. In order to expedite adoption of this policy, CMS will INITIALLY pay the RHC\u2019s all-inclusive rate for this visit.<\/li>\n\n\n\n
  5. Beginning in July, CMS will automatically adjust ALL RHC telehealth claims to reflect the $92 telehealth per visit rate that were submitted between now and July 1, 2020. RHCs with a per-visit rate below<\/u> $92.00 will receive an additional payment reflecting the difference between their AIR and $92.00. For RHCs with an AIR above $92.00, CMS will RECOUP the difference.<\/li>\n\n\n\n
  6. After July 1, 2020, through end of the COVID-19 Emergency RHCs will use G Code G2025 to identify distant site telehealth visit services. This code will reimburse $92.00 and no recoupment will be necessary.<\/li>\n\n\n\n
  7. Costs associated with the delivery of a telehealth visit will be reported on the RHC cost report however, they will be included in line 79 of the cost report, non-reimbursable RHC costs. This is so that RHC telehealth costs and telehealth visits will not be counted when determining the RHCs cost-per visit.<\/li>\n<\/ol>\n\n\n\n

     <\/p>\n\n\n\n

    NARHC presents Telehealth Visit Guidance + Other Covid-19 Updates<\/em><\/p>\n\n\n\n

    NARHC is hosting a free webinar on Monday April 20th at 2 PM Eastern regarding the latest guidance from CMS on billing telehealth visits as the distant site provider in a rural health clinic. They will also provide an update on other COVID-19 related topics such as the Paycheck Protection Program and the Provider Relief Fund. Registration is free!<\/p>","protected":false},"excerpt":{"rendered":"

    CMS has released the long-awaited guidance on telehealth billing for RHCs.\u00a0 The full MLN document, New and Expanded Flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) During the COVID-19 Public Health Emergency (PHE),\u00a0 is available.<\/p>","protected":false},"author":2,"featured_media":793,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1,33,32],"tags":[],"class_list":["post-202","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-announcements","category-covid-19"],"acf":[],"_links":{"self":[{"href":"https:\/\/quada.org\/fr\/wp-json\/wp\/v2\/posts\/202","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/quada.org\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/quada.org\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/quada.org\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/quada.org\/fr\/wp-json\/wp\/v2\/comments?post=202"}],"version-history":[{"count":1,"href":"https:\/\/quada.org\/fr\/wp-json\/wp\/v2\/posts\/202\/revisions"}],"predecessor-version":[{"id":7116,"href":"https:\/\/quada.org\/fr\/wp-json\/wp\/v2\/posts\/202\/revisions\/7116"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/quada.org\/fr\/wp-json\/wp\/v2\/media\/793"}],"wp:attachment":[{"href":"https:\/\/quada.org\/fr\/wp-json\/wp\/v2\/media?parent=202"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/quada.org\/fr\/wp-json\/wp\/v2\/categories?post=202"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/quada.org\/fr\/wp-json\/wp\/v2\/tags?post=202"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}