Rural Health
Resources by Topic: Reimbursement and payment models
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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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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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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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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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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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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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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Rural Community Hospital Demonstration
An overview of a CMS demonstration project which provides cost-based reimbursement for small rural hospitals too large to be Critical Access Hospitals. Examines the community benefits and financial impact for participating hospitals.
Sponsoring organization: Centers for Medicare and Medicaid Services
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An overview of a CMS demonstration project which provides cost-based reimbursement for small rural hospitals too large to be Critical Access Hospitals. Examines the community benefits and financial impact for participating hospitals.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Telehealth & Remote Patient Monitoring
Contains information on originating sites, distant site practitioners, telehealth services, billing and payment for professional services furnished via telehealth as well as for the originating site facility fee, telehealth home health, remote patient monitoring, and a list of helpful websites.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Contains information on originating sites, distant site practitioners, telehealth services, billing and payment for professional services furnished via telehealth as well as for the originating site facility fee, telehealth home health, remote patient monitoring, and a list of helpful websites.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Profiles of Value Based Care in Action
Profiles of rural healthcare organizations that are taking innovative approaches to healthcare delivery and finance.
Sponsoring organization: Rural Health Value
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Profiles of rural healthcare organizations that are taking innovative approaches to healthcare delivery and finance.
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.
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.
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.
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.
Sponsoring organization: Centers for Medicare and Medicaid Services
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