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Rural Health Clinics Manual

Rural Health Clinics Manual

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Rural Health Clinics Manual

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Rural Health Clinics Manual

Updated 04/25/2017

This manual was updated 04/25/2017

Update Log

Update Log

 


07.27.2016
RHC FQHC Manual, July 2016.
In summary. the Cost share section was updated in the Billing Procedures chapter and the Cover Page was updated to reflect the correct date.

12.31.2015
RHC Manual, January 2016: HELP Plan-Related Updates and Others
 

08.25.2015
RHC Manual
Changes in the Introduction, Covered Services, Prior Authorization, Billing Procedures, Submitting a Claim, and the How Payment Is Calculated chapters.

04.29.2015
RHC Manual

10.29.2013
RHC, Key Contacts, Covered Services, Billing Procedures, Submitting a Claim, RAs and Adjustments

07.05.2013
RHC, Other Programs
These replacement pages also includes a terminology change (client to member). Unless a paragraphs also included content changes, it is not marked as a change but is included in this document.

03.22.2013
Coordination of Benefits

07.20.2011
RHC Services (Entire Manual)

08.24.2007
Key Contacts, Prior Authorization, Coordination of Benefits, and Revised Revenue Codes

Table of Contents

 

Key Contacts and Websites

 

Introduction

 

Covered Services

 

Prior Authorization

 

Coordination of Benefits

 

Billing Procedures

 

Submitting a Claim

 

Remittance Advices and Adjustments

 

How Payment Is Calculated

 

Appendix A: Forms

 

Definitions and Acronyms

 

Index

 

Complete Rural Health Clinics Manual