Rural Health Clinics (RHCs) – Resources
Selected recent or important resources focusing on Rural Health Clinics (RHCs).
Medicare Advantage Reimbursement Remains Top Challenge for RHCs
Summarizes results of a 2025 national survey of over 1,200 Rural Health Clinics. Presents data on the average payer mix, Medicare Advantage (MA) reimbursement relative to traditional Medicare reimbursement, MA contract structures, use and attitude toward telehealth services, and more.
Additional links: NARHC 2025 Policy Survey Results
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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Summarizes results of a 2025 national survey of over 1,200 Rural Health Clinics. Presents data on the average payer mix, Medicare Advantage (MA) reimbursement relative to traditional Medicare reimbursement, MA contract structures, use and attitude toward telehealth services, and more.
Additional links: NARHC 2025 Policy Survey Results
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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Back to the Basics - RHC Billing
Recording of a March 13, 2025, webinar the basic Rural Health Clinic (RHC) billing requirements. Covers RHC and non-RHC services, revenue codes and bill types, billing examples, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a March 13, 2025, webinar the basic Rural Health Clinic (RHC) billing requirements. Covers RHC and non-RHC services, revenue codes and bill types, billing examples, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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Back to the Basics - RHC Compliance
Recording of a March 12, 2025, webinar providing an overview of federal Rural Health Clinic (RHC) regulations and requirements, and highlights the most common RHC deficiencies. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a March 12, 2025, webinar providing an overview of federal Rural Health Clinic (RHC) regulations and requirements, and highlights the most common RHC deficiencies. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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RHC Cost Reporting Webinar Recording
Recording of a March 11, 2025, webinar providing an overview of Rural Health Clinic (RHC) cost reporting. Covers key cost report concepts, allowable and non-allowable costs, RHC visits, the cost report approval process, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a March 11, 2025, webinar providing an overview of Rural Health Clinic (RHC) cost reporting. Covers key cost report concepts, allowable and non-allowable costs, RHC visits, the cost report approval process, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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Medicare Benefit Policy Manual: Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services
Current regulations, as of March 2025, regarding Medicare payment policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 03/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Current regulations, as of March 2025, regarding Medicare payment policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 03/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Latest HIPAA Requirements - A Check-In on Your RHC's Compliance
Recording of a January 14, 2025, webinar on HIPAA compliance for Rural Health Clinics (RHCs). Covers HIPAA related legislation, HIPAA-related complaints and investigations by the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR), and new regulations and proposed rules related to patient privacy. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 01/2025
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a January 14, 2025, webinar on HIPAA compliance for Rural Health Clinics (RHCs). Covers HIPAA related legislation, HIPAA-related complaints and investigations by the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR), and new regulations and proposed rules related to patient privacy. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 01/2025
Sponsoring organization: National Association of Rural Health Clinics
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Telehealth FAQ Calendar Year 2025
Provides information on Medicare telehealth regulations and payment policy for calendar year 2025. Includes information on audio-only services, behavioral health services, direct supervision, and more.
Date: 2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on Medicare telehealth regulations and payment policy for calendar year 2025. Includes information on audio-only services, behavioral health services, direct supervision, and more.
Date: 2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Federally Qualified Health Centers and Performance of Medicare Accountable Care Organizations
Explores the association between participation of Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Medicare Shared Savings Program Accountable Care Organizations (ACOs) with ACOs' beneficiary characteristics, utilization, expenditure, and quality. Features statistics including estimated changes in Medicare Shared Savings Program ACO-assigned beneficiaries, utilization, and expenditure, with breakdowns by FQHC and RHC visits and other types of visits.
Author(s): Kun Li, Yucheng Hou, Frank McStay, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: JAMA Network Open, 7(11), e2445536
Date: 11/2024
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Explores the association between participation of Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Medicare Shared Savings Program Accountable Care Organizations (ACOs) with ACOs' beneficiary characteristics, utilization, expenditure, and quality. Features statistics including estimated changes in Medicare Shared Savings Program ACO-assigned beneficiaries, utilization, and expenditure, with breakdowns by FQHC and RHC visits and other types of visits.
Author(s): Kun Li, Yucheng Hou, Frank McStay, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: JAMA Network Open, 7(11), e2445536
Date: 11/2024
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RHC Regulatory Changes in 2025 - Medicare Physician Fee Schedule Updates You Need to Know!
Recording of a November 18, 2024, webinar providing an overview of telehealth payment rates for Rural Health Clinics (RHCs) and other regulatory updates and potential changes for 2025. Covers Medicare vaccine reimbursement changes, the elimination of productivity standards, lab requirement changes, intensive outpatient program (IOP) services, telehealth regulations, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 11/2024
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a November 18, 2024, webinar providing an overview of telehealth payment rates for Rural Health Clinics (RHCs) and other regulatory updates and potential changes for 2025. Covers Medicare vaccine reimbursement changes, the elimination of productivity standards, lab requirement changes, intensive outpatient program (IOP) services, telehealth regulations, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 11/2024
Sponsoring organization: National Association of Rural Health Clinics
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Calendar Year (CY) 2025 Medicare Physician Fee Schedule Final Rule
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2025. Summarizes provisions related to telehealth services; advanced primary care management services; behavioral health services; opioid treatment programs; dental and oral health services; Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) care coordination services, telecommunication services, intensive outpatient program (IOP) services, and payment for vaccine costs; and more.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2025. Summarizes provisions related to telehealth services; advanced primary care management services; behavioral health services; opioid treatment programs; dental and oral health services; Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) care coordination services, telecommunication services, intensive outpatient program (IOP) services, and payment for vaccine costs; and more.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Last Updated: 3/26/2025