HHS Administrative Manuals Department policies and updates are written by various organizations within HHS. Copies of the issuances and updates are sent to Reprographics for electronic storage and on-demand distribution.
Payment Policy/Billing. CY 2019 Payment Rate Update to the FQHC PPS. See. Medicare Benefit Policy Internet Only Manual:. – Information on preventive services in FQHCs including HCPCS coding, same day billing, and waivers of co-insurance.
(Updated 12/7/2017). Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Billing Guide ( ).
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Medicare Claims Processing Manual:. MLN Matters® Article SE1606 – Policy/Regulations. 2016 Physician Fee Schedule Final Rule with Comment Information on CCM, ACP, and Grandfathered Tribal FQHCs. 2015 Physician Fee Schedule Final Rule with Comment Final policies on specific aspects of the FQHC PPS.
The CY 2015 PFS Final Rule is available at:. FQHC PPS Final Rule with Comment Period Final methodology and payment rates for the new FQHC PPS. FQHC PPS Proposed Rule The FQHC PPS proposed rule with comment period was published in the Federal Register on September 23, 2013.
This rule proposed a methodology and payment rates for the new FQHC PPS. And. Supporting Files Available for the Final Rule with Comment Period: This file contains data summarized by the CMS Certification Number (CCN) assigned to the FQHC.
The data can be used to model the final methodology and calculate projected payments and impacts under the final FQHC PPS. Supporting Files Available for the Proposed Rule: This file contains data summarized by the CMS Certification Number (CCN) assigned to the FQHC. The data can be used to model the proposed methodology and calculate projected payments and impacts under the proposed PPS. PPS Structure Design Document: A report prepared by Arbor Research Collaborative for Health that describes analyses performed and options modeled to support the development and implementation of the PPS.
Change Request 8743: Implementation of a Prospective Payment System for FQHCs. FQHC PPS Training and Information.
June 25, 2014, National Provider Call - Operational requirements for the new Medicare PPS for FQHCs. May 21, 2014, National Provider Call- Final policies for the new Medicare PPS for FQHCs. November 4, 2013 - Special Open Door Forum - Medicare Prospective Payment System for Federally Qualified Health Centers. Medicare FQHC PPS Frequently Asked Questions (FAQs) - See. Enrollment/Certification. CfC and CoP:.
Legislation.