"CPT Copyright 2017 American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association.""

2012 - Payment Rate Increases for Medicare Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC)
Rural Health Clinic (RHC)
The RHC upper payment limit per visit is increased from $78.07 to $78.54 effective January 1, 2012, through December 31, 2012 (i.e., CY 2012). The 2012 rate reflects a 0.6 percent increase over the 2011 payment limit in accordance with the rate of increase in the Medicare Economic Index (MEI) as authorized by §1833(f) of the Social Security Act.
Federally Qualified Health Center (FQHC)
The FQHC upper payment limit per visit for urban FQHCs is increased from $126.22 to $126.98 effective January 1, 2012, through December 31, 2012 (i.e., CY 2012), and the maximum Medicare payment limit per visit for rural FQHCs is increased from $109.24 to $109.90 effective January 1, 2012, through December 31, 2012 (i.e. CY 2012). The 2012 FQHC rates reflect a 0.6 percent increase over the 2011 rates in accordance with the rate of increase in the MEI.
Reference: http://www.cms.gov/Transmittals/downloads/R2406CP.pdf
Popular Posts
-
Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...
-
An OPPS payment status indicator is assigned to every HCPCS code. The status indicator identifies whether the service described by the H...
-
This procedure is medically necessary only when it requires the professional skills of a therapist, is designed to address specific ne...
-
Claim Adjustment Reason Codes (CARC) CO-22 or PR-22 This care may be covered by another payer per coordination of benefits. CO-19 This is...
-
Mohs surgery, also known as chemosurgery, created by a general surgeon, Dr. Frederic E. Mohs, is performed to remove complex or ill-defi...
-
Definition: The “-59” modifier is used to indicate a distinct procedural service. The physician may need to indicate that a procedure or...
-
Ambulance transportation is a covered service when the patient’s condition is such that the use of any other method of transportation would...
-
This procedure may be medically necessary for training patients whose walking abilities have been impaired by neurological, muscular, o...
-
Sentinel lymph node identification and biopsy typically involves a multidisciplinary approach. A nuclear medicine procedure called lymph...
-
AAPC’s Certified Professional Coder (CPC) credential is the gold standard for medical coding in physician office settings and held by more ...
