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Rural Health Information Hub

Rural Health
Resources by Topic: Medicare

Ambulatory Surgical Center (ASC) Regulations and Notices
Lists federal regulations and notices related to the Ambulatory Surgical Center (ASC) Payment System, including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Acute Inpatient Prospective Payment System (IPPS) Regulations and Notices
Lists federal regulations and notices related to the Acute Inpatient Prospective Payment System (IPPS), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Care Management Medicare Reimbursement Strategies for Rural Providers
Information for rural healthcare providers on Medicare billing codes for services to keep beneficiaries healthy and better coordinate services to support beneficiaries at home. Addresses Annual Wellness Visits, Chronic Care Management, Transitional Care Management, Principal Care Management, and more.
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, Rural Health Information Hub
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Quick Maps of Heart Disease, Stroke, and Social Determinants of Health
A collection of maps showing county-level data on heart disease and stroke hospitalization and mortality by race/ethnicity, as well as Medicare cost of care per capita, and selected social determinants of health.
Sponsoring organization: Centers for Disease Control and Prevention
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Market Saturation and Utilization State-County
Provides an interactive map and access to information on national, state and county-level, and Core-Based Statistical Area (CBSA)-level provider services and utilization based on Medicare claims data. Includes the following services: ambulance, hospice, home health, long-term care, Federally Qualified Health Centers (FQHCs), physical and occupational therapy, and more.
Additional links: Market Saturation and Utilization Core-Based Statistical Areas (CBSA)
Sponsoring organization: Centers for Medicare and Medicaid Services
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Quality Payment Program (QPP) Small Practices
Section of the Quality Payment Program (QPP) website offering free resources and updates for practices with 15 or fewer clinicians participating in QPP. Includes resources on Merit-based Incentive Payment System (MIPS) eligibility, how to choose and report on quality measures, and flexibilities and reporting options to help clinicians in small practices meaningfully participate and succeed in MIPS.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Health Professional Shortage Area Physician Bonus Program
Provides an overview of the Health Professional Shortage Area (HPSA) Physician Bonus Program and explains how bonus payments are calculated and paid. Includes information related to Critical Access Hospitals (CAHs) as well as primary care and mental health HPSAs.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Advantage Rates & Statistics
Provides links to information for Medicare Advantage (MA) organizations regarding MA payment policies, including announcements on payment methodology and advance notices of changes, rate books and supporting data, fee-for-service expenditure data by county, and more.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Physician Bonus Payment Eligibility Analyzer
Tool to determine if an address is in a Health Professional Shortage Area (HPSA) eligible for a Medicare Physician Bonus.
Sponsoring organization: Health Resources and Services Administration
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Mapping Medicare Disparities
Provides access to county-level data and comparisons on chronic disease prevalence, Medicare spending, hospital and emergency department utilization, preventive services, and preventable hospitalizations, readmissions, and mortality rates for Medicare beneficiaries. Also offers 2018 Medicare Advantage encounter data. Includes hospital-level quality of care and cost of care data and comparisons as well as social determinants of health data for both the Medicare and non-Medicare population down to the census tract level.
Sponsoring organization: Centers for Medicare and Medicaid Services
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