Rural Health
Resources by Topic: Reimbursement and payment models
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.
Type: Document
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.
Type: Document
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.
Type: Document
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.
Type: Document
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.
Type: Website
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.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Medicare Learning Network: Telehealth Services
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, and a list of helpful websites.
Type: Document
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, and a list of helpful websites.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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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