Prior Authorizations

RHC Webinar Series: RHC Eligibility What is the RHC Certification Process? Navigating the RHC Certification Journey Becoming a certified Rural Health Clinic (RHC) is no walk in the park; it’s a rigorous and time-consuming process. Let’s break it down step by step: Eligibility Check: First things first, you need to evaluate if your clinic meets […]

RHC Webinar Series: The Pros of becoming an RHC Advantages of Embracing RHC Status Let’s explore the substantial benefits in terms of patient care. Patient Care Benefits: Comprehensive Care: RHCs place a strong emphasis on community care coordination, fostering collaboration among various healthcare providers, such as physicians, nurses, home health agencies, and nursing homes. This

RHC Webinar Series: RHC Eligibility Who is eligible to become an RHC? Qualifying as an RHC: What You Need to Know Not every healthcare clinic gets the green light to become a Rural Health Clinic (RHC). There are specific checkboxes that need to be ticked off: 1. Location Matters: The clinic’s address should be far

RHC Webinar Series: The Financial Benefits of becoming an RHC Financial Benefits Let’s explore the financial benefits after achieving the rural health clinic designation.  Financial benefits of becoming an RHC: Revenue Boost: One of the primary incentives for clinics to attain RHC status is the Prospective Payment System (PPS). Under this system, RHCs receive payments

RHC Webinar Series: What does an EHR for RHCs need? Optimizing EHR Systems for Rural Health Clinics (RHCs) In today’s digital landscape, Electronic Health Records (EHRs) are indispensable tools for Rural Health Clinics (RHCs). These systems go beyond simple data storage; they serve as comprehensive solutions that empower RHCs to manage finances, track patient information,

RHC Webinar Series: What is the revenue increase when becoming an RHC? Understanding Revenue Growth with RHC Status It’s important to note that the revenue increase when transitioning to an RHC can vary significantly depending on unique circumstances and a host of contributing factors. While there’s no one-size-fits-all answer, clinics often experience a revenue boost

Should you become an RHC? Making the Decision: Should Your Clinic Transition to an RHC? Now that we’ve explored the requisites, the process, and the advantages of becoming an RHC, it’s time to address the crucial question: “Should my clinic pursue Rural Health Clinic status?” To guide your decision-making, consider the following questions: Is my

RHC Webinar Series: Obstacles to RHC Success Navigating the Challenges of RHCs While the decision to embrace RHC status comes with a host of benefits, it’s equally important to recognize and address the challenges and considerations that accompany it: Specialized Billing: RHCs demand specific billing procedures, including split claims, utilization of UB-04 forms for facility

RHC Webinar Series: Types of RHCs What is an RHC? What Are the Different Types of RHCs? Well, RHCs, or Rural Health Clinics, come in two main flavors: Independent Rural Health Clinics and Provider-Based Rural Health Clinics. Independent Rural Health Clinics (RHCs) are like the lone wolves of the healthcare world. They’re often run by