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Rural Health Information Hub

Rural Health
Resources by Topic: Specialty care

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
Sponsoring organization: National Association of Rural Health Clinics
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Video Telehealth Expands Care for Veterans with Multiple Sclerosis
Features a report on promising practices in providing access to care for rural veterans with multiple sclerosis (MS) via video-based telehealth. Details the traditional barriers to care for MS patients in rural areas and how the video telehealth model can help patients overcome them.
Date: 02/2021
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Crises Collide: The COVID-19 Pandemic and the Stability of the Rural Health Safety Net
Examines the vulnerability of rural hospitals based on financial and operational metrics, and the impact of COVID-19 on these hospitals. Discusses declining access to obstetrics and chemotherapy services at rural hospitals. Includes a chart highlighting financial indicators and information on the availability of intensive care beds at rural hospitals by state.
Date: 02/2021
Sponsoring organization: Chartis Center for Rural Health
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2020 Snapshot: State of the Oncology Workforce in America
Infographic providing statistics and data on oncology workforce characteristics and geography in 2020. Highlights rural-urban differences in oncology access, and includes a color-coded map showing oncologist distribution on the county level.
Citation: JCO Oncology Practice, 17(1), 30
Date: 01/2021
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Physician Density by Specialty Type in Urban and Rural Counties in the US, 2010 to 2017
Examines trends in physician density in rural and urban counties among primary care physicians, medical specialists, surgical specialists, or other specialists. Features statistics with breakdowns by large metropolitan, medium or small metropolitan, or rural counties.
Author(s): Sara R. Machado, Sahan Jayawardana, Elias Mossialos, Muthiah Vaduganathan
Citation: JAMA Network Open, 4(1)
Date: 01/2021
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The State of the Nurse Practitioner Profession, 2020: Results from the National Nurse Practitioner Sample Survey
Analyzes data from the 2020 National Sample Survey of Nurse Practitioners to describe the nurse practitioner (NP) workforce in the U.S. Covers education, certification, practice patterns, and compensation, including statistics on NPs who practice in Rural Health Clinics.
Date: 2021
Sponsoring organization: American Association of Nurse Practitioners
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Developing a Survivorship Care Plan (SCP) Delivery Process for Patients and Primary Care Providers Serving Poor, Rural, and Minority Patients with Cancer
Describes the results of a study to develop, implement, and evaluate an electronic medical record (EMR) process to create and deliver survivorship care plans (SCPs) to patients and their primary care providers. Focuses on a diverse patient population served by the University of New Mexico Comprehensive Cancer Center with low socioeconomic status, living in rural areas, and who are racial and ethnic minorities.
Author(s): Bernard Tawfik, Shoshana Adler Jaffe, Lisa Mohler, et al.
Citation: Supportive Care in Cancer, 29(9), 5021-5028
Date: 2021
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Project ECHO - Indiana University (IU) Richard M. Fairbanks School of Public Health
Offers CMEs and continuing education via live teleclinics for physicians and non-physicians, pharmacists, nurses, social workers, and certified health education specialists. Programs include didactic and case-based learning on hepatitis C, HIV, cancer, and more.
Date: 2021
Sponsoring organizations: Indiana University - Purdue University Indiana (IUPUI), Richard M. Fairbanks School of Public Health
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Benefits and Barriers to Pediatric Tele-Urology During the COVID-19 Pandemic
Study of remote video visits by a pediatric urology provider serving rural Virginia that examines the rapid integration of video visits into a practice that previously treated patients exclusively in-person. Discusses patient demographics, diagnosis and clinical outcomes, and success rates of video visits for 116 patients.
Author(s): Andrew J. Winkelman, Haerin L. Beller, Kathryn E. Morgan, et al.
Citation: Journal of Pediatric Urology, 16(6), P840.E1-840.E6
Date: 12/2020
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Rural Disparities in Surgical Care from Gynecologic Oncologists Among Midwestern Ovarian Cancer Patients
Compares the surgeries of 1,003 rural and urban women between 18 and 89 with ovarian cancer between 2010 and 2012 in Kansas, Missouri, and Iowa with particular focus on access to gynecologic oncologist specialists. Discusses referral practices, distances to specialists, and outcomes of surgeries with specialists compared to non-specialists.
Author(s): Kristin Weeks, Charles F. Lynch, Michele West, et al.
Citation: Gynecologic Oncology, 160(2), 477-484
Date: 11/2020
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