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Rural Health
Resources by Topic: Legislation and regulations

"All Hands On Deck": The COVID-19 Pandemic Through Nurses' Eyes
Podcast recording featuring Mary Wakefield describes the role of nurses and the challenges they have faced throughout the COVID-19 pandemic. Discusses shortages of personal protective equipment, workforce challenges, vaccine administration, and solutions to support nurses in the future. Highlights the experiences of nurses at rural hospitals and clinics.
Date: 03/2021
Type: Audio
Sponsoring organization: Commonwealth Fund
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2021 RHC Billing and Coding Update
Recording of a March 9, 2021 webinar providing an overview of coding and billing changes relevant to Rural Health Clinics (RHCs). Discusses guidelines for reporting COVID-19 immunizations and monoclonal antibody infusions, telehealth coding and billing during the COVID-19 public health emergency, ICD-10-CM diagnosis coding for COVID-19, and RHC lab billing and COVID test reporting. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: AMA Code & Guideline Changes, COVID Vaccine Log, Presentation Slides, Transcript
Date: 03/2021
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Medicare Hospital Payments: Adjusting for Variation in Geographic Area Wages
Provides an overview of the use of the hospital wage index applied to the Medicare inpatient prospective payment system (IPPS) to account for geographic differences in hospitals' labor costs. Discusses the effect of the wage index on Medicare payments for inpatient hospital services, exceptions to wage index adjustments, and proposals for wage index reforms.
Date: 03/2021
Type: Document
Sponsoring organization: Congressional Research Service
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The Effect of Medicare Payment Standardization Methods on the Perceived Cost of Post-Acute Swing Bed Care in Critical Access Hospitals
Discusses the different payment systems the Centers for Medicare and Medicaid Services (CMS) uses to reimburse for post-acute care in Critical Access Hospitals (CAHs), prospective payment system (IPPS) hospitals, and skilled nursing facilities (SNFs). Describes how the payment standardization methods may influence post-acute care discharge patterns and access to care for rural residents. Examines the effects of these payment methods on the perceived cost of CAH swing bed care as it relates to the Medicare Spending per Beneficiary performance measure.
Author(s): Tyler Malone, Denise Kirk, Kristin Reiter
Date: 03/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Emergency Medical Services Personnel as Vaccinators: Status by State
Information from all states, the District of Columbia, Guam, and American Samoa, showing scope of practice by level of licensure for paramedics, advanced-emergency medical technicians, emergency medical technicians, emergency medical responders, and other intermediate levels. Features maps with shadings showing whether vaccination administration is always allowed, currently or temporarily allowed, never allowed, or under consideration for administrative or executive action. Information is current as of March 4, 2021.
Date: 03/2021
Type: Document
Sponsoring organization: National Association of State EMS Officials
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CMS Nursing Home Resource Center
Provides information for nursing home providers and CMS partners on regulations and guidance, training and resources, technical information, payment policy, and recent COVID-19 data and related policies. Includes resources and guidance for people in nursing home and their caregivers.
Date: 03/2021
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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NIEA Advocacy to Address COVID-19
Provides legislative updates and resources supporting tribes, tribal schools and communities, and states to ensure they have the means to address COVID-19.
Date: 03/2021
Type: Website
Sponsoring organization: National Indian Education Association
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Investing in a Health Workforce that Meets Rural Needs
Offers suggestions for advancing sustainable financing of rural training and practice and developing strategic planning to build a more flexible, dynamic, and interprofessional rural workforce. Includes a brief overview of current graduate medical education financing in the United States.
Date: 02/2021
Type: Document
Sponsoring organization: Council on Graduate Medical Education
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2021 Rural Advocacy Agenda
Outlines the American Hospital Association's federal policy priorities for rural hospitals in 2021. Offers recommendations in the areas of payment and reimbursement, care coordination, maternal and obstetric care, behavioral health, regulations, health information technology, workforce, and prescription drug prices.
Date: 02/2021
Type: Document
Sponsoring organization: American Hospital Association
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Virtual Communication Services in RHCs and FQHCs Frequently Asked Questions
Provides information for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) regarding billing and payment for virtual communication services as established in the 2019 Physician Fee Schedule Final Rule.
Date: 02/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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