Rural Health
Resources by Topic: Reimbursement and payment models
Rural Health Value: Innovations & Demonstrations
Profiles of rural health delivery and finance innovations and summaries of selected rural health demonstration programs.
Type: Website
Sponsoring organization: Rural Health Value
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Profiles of rural health delivery and finance innovations and summaries of selected rural health demonstration programs.
Type: Website
Sponsoring organization: Rural Health Value
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CMS Innovation Center
Supports the development, testing and sharing of innovative healthcare payment and service delivery models. Includes data, reports, webinars and forums for sharing knowledge among healthcare innovators, data researchers and policy analysts.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Supports the development, testing and sharing of innovative healthcare payment and service delivery models. Includes data, reports, webinars and forums for sharing knowledge among healthcare innovators, data researchers and policy analysts.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Rural Providers & Suppliers Billing
Provides Medicare billing information by provider type and type of service, including information on where to submit claims. Includes information for Critical Access Hospitals (CAHs), Federally Qualified Health Centers (FQHCs), Home Health Agencies, Rural Health Clinics (RHCs), Skilled Nursing Facilities, and Swing Bed services.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides Medicare billing information by provider type and type of service, including information on where to submit claims. Includes information for Critical Access Hospitals (CAHs), Federally Qualified Health Centers (FQHCs), Home Health Agencies, Rural Health Clinics (RHCs), Skilled Nursing Facilities, and Swing Bed services.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Information for Rural Health Clinics
Provides an overview of the Rural Health Clinic (RHC) program and services. Includes information regarding Medicare certification and payments.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Rural Health Clinic (RHC) program and services. Includes information regarding Medicare certification and payments.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Medicare Disproportionate Share Hospital
Provides an overview of the Medicare Disproportionate Share Hospital (DSH) adjustment provision and lists requirements that hospitals must meet in order to qualify for it.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Medicare Disproportionate Share Hospital (DSH) adjustment provision and lists requirements that hospitals must meet in order to qualify for it.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Information for Critical Access Hospitals
Booklet providing information about Critical Access Hospital (CAH) designation and payments. Discusses the use of CAH beds for general inpatient hospice care and conversion to Rural Emergency Hospital (REH) status. Includes a list of CAH resources and helpful websites.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Booklet providing information about Critical Access Hospital (CAH) designation and payments. Discusses the use of CAH beds for general inpatient hospice care and conversion to Rural Emergency Hospital (REH) status. Includes a list of CAH resources and helpful websites.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Federally Qualified Health Center
Provides a general overview of Federally Qualified Health Centers (FQHCs) and includes a list of helpful rural health resources and websites.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides a general overview of Federally Qualified Health Centers (FQHCs) and includes a list of helpful rural health resources and websites.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Frontier Community Health Integration Project (FCHIP) Demonstration
Describes the Frontier Community Health Integration Project (FCHIP) demonstration including the project purpose, legislation, eligible states, partners, and program contacts. The initial demonstration ended in July 2019. However, the Consolidated Appropriations Act, 2021, authorized a five-year extension period for participating Critical Access Hospitals.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Describes the Frontier Community Health Integration Project (FCHIP) demonstration including the project purpose, legislation, eligible states, partners, and program contacts. The initial demonstration ended in July 2019. However, the Consolidated Appropriations Act, 2021, authorized a five-year extension period for participating Critical Access Hospitals.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Health.mil Rates and Reimbursement: Hospital Classifications
Identifies TRICARE reimbursement methodologies for Sole Community Hospitals (SCH) and Critical Access Hospitals (CAHs). Also lists CAH inpatient and outpatient cost-to-charge ratios (CCRs).
Type: Website
Sponsoring organization: Military Health System
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Identifies TRICARE reimbursement methodologies for Sole Community Hospitals (SCH) and Critical Access Hospitals (CAHs). Also lists CAH inpatient and outpatient cost-to-charge ratios (CCRs).
Type: Website
Sponsoring organization: Military Health System
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Medicare Learning Network: Home Health Prospective Payment System & Coverage
Provides information on the Home Health Prospective Payment System (HH PPS) including background information and consolidated billing requirements, coverage of HH services, elements of the HH PPS, and additional requirements. Includes information on payment adjustments for rural areas.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Home Health Prospective Payment System (HH PPS) including background information and consolidated billing requirements, coverage of HH services, elements of the HH PPS, and additional requirements. Includes information on payment adjustments for rural areas.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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