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Medicare Payment Basics: Federally Qualified Health Center and Rural Health Clinic Payment Systems

Description
Presents an overview of Medicare payments for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Details how the all-inclusive rate (AIR) is calculated for RHCs and how the national statutory payment limit applies to provider-based RHCs enrolled in Medicare before December 31, 2020, and whether they part of a hospital with fewer than 50 beds. Includes information on special payment rules for certain services provided by FQHCs and RHCs.
Date
10/2023
Type
Document
Organization
Medicare Payment Advisory Commission
Tagged as
Federally Qualified Health Centers · Legislation and regulations · Medicare · Reimbursement and payment models · Rural Health Clinics

Organizations (1)