(Medicare Claims Processing Manual Crosswalk)

Medicare Claims Processing Manual Chapter 9 - Rural Health Clinics / Federally Qualified Health Centers Crosswalk  New Chap New  Sect Int. Pub 13-3 Carrier Pub 14-3 RHC Pub. 27 Program Memo Description 9 10 A3-3642    General Differences Between RHCs and FQHCs  9 10 A3-3643    General Differences Between RHCs and FQHCs  9 10.1 A3-3642B B3-9200   Rural Health Clinics (RHCs) 9 10.2 A3-3643  RHC-400B  Federally Qualified Health Centers  9 10.3 A3-3642 B3-9200.1   Claims Processing Jurisdiction for RHCs and Federally Qualified Health Centers (FQHCs)  9 20 A3-3642  RHC-500  Method of Medicare Payment for RHCs and Federally Qualified Health Center (FQHC) Services 9 20 A3-3643  RHC-504  Method of Medicare Payment for RHCs and Federally Qualified Health Center (FQHC) Services 9 20.1 A3-3642B    Payment Rate for Independent and Provider Based RHCs and FQHCs 9      20.2 RHC-500 A-99-10 Calculation of the Encounter "Per Visit" Rate  9 20.3   RHC-500  Calculation of Payment 9 20.4   RHC-500  Determination of Payment New Chap New  Sect Int. Pub 13-3 Carrier Pub 14-3 RHC Pub. 27 Program Memo Description 9              20.5 RHC-500 Annual Reconciliation9 20.6   RHC-505  Maximum Payment Per Visit 9 20.6.1    A-99-08 Rural Health Clinics 9 20.6.1    A-00-30 Rural Health Clinics 9 20.6.2   RHC-500  Federally Qualified Health Centers  9 20.6.3   RHC-505  Exceptions to Maximum Payment Limit (Cap) in Encounter Payment Rate for Provider-Based RHCs 9 20.7   RHC-505.3  Special Rules for FQHC Networks  9 20.7.1   RHC-505.3A  Separate Payment Limits for Individual Cost Reports 9 20.7.2   RHC-505.3B  Consolidated Payment Limit For Networks Having Mixture of Urban and Rural Sites 9 20.7.3   RHC-505.3C  Consolidated Payment Limit for FQHC Networks With All Urban or All Rural Sites 9 30   RHC-506  Annual Reconciliation with Cost Report 9 30.1   RHC-506  Submission of Cost Report  9 30.2 RHC-506.1 Payment Reconciliation9 30.3   RHC-506.2  Notice of Program Reimbursement 9 30.4   RHC-506.3  Recovery of Overpayments New Chap New  Sect Int. Pub 13-3 Carrier Pub 14-3 RHC Pub. 27 Program Memo Description 9 30.5   RHC-507  Reporting Requirements for Cost Report 9                    30.5.1 RHC-507B Definitions9 30.6   RHC-508  When to Submit Cost Reports 9 30.7   RHC-508C  Penalty for Failure to File Cost Reports Timely 9 30.8   RHC-508D  Consolidated Cost Reports 9 40   RHC-501  Allowable Costs  9 40.1   RHC-501.1  Costs Excluded from Allowable Costs 9 40.2   RHC-502  Allowable Costs Subject to Tests of Reasonableness 9 40.3 RHC-503 Screening Guidelines  of RHC/FQHC Health Care Staff Productivity 9 40.4 A3-3628  RHC-504  All Inclusive Rate of Payment 9 40.5 RHC-504.1A Bad Debts9 40.6   RHC-500B  Calculation of Medicare Program Payment 9 40.7   RHC-500C  Determination of Payments 9 50   RHC-504.1  Deductible and Coinsurance 9 50.1   RHC-500B  Part B Deductible 9 50.2   RHC-500B  Part B Coinsurance  New Chap New  Sect Int. Pub 13-3 Carrier Pub 14-3 RHC Pub. 27 Program Memo Description 9 60 A3-3185  RHC-612  Mental Health Services Limit  9 60.1   RHC-419.2E  Definition of Mental Health Services in RHC/FQHC 9 60.2 A3-3185.1  RHC-613  Application of Limit 9 70   RHC-608  Determining How Much to Charge Patient Before Billing Is Submitted for Part B Payment 9 100   RHC-620  General Billing Requirements 9 110   RHC-621  Reporting of Preventive Services by Independent FQHCs 9 120   RHC-614  Billing Requirements for Pneumococcal Pneumonia, Influenza Virus, and Hepatitis B Vaccines 9 130    A-99-8 Laboratory Services  9 140  B3-9204D   Intermediary/Carrier Coordination  9 140.1  B3-9204D   Intermediary Responsibility for Notifying Carrier 9 140.2  B3-9204   Special Carrier Actions Relating to RHCs/FQHCs  9 200   RHC-310  Agreements Between CMS and RHC/FQHC 9       200.1 RHC-310 General9 200.2   RHC-311  Duration of RHC/FQHC Agreement 9 200.3   RHC-313  Appeals by Entities With Respect to Agreements (Certification) New Chap New  Sect Int. Pub 13-3 Carrier Pub 14-3 RHC Pub. 27 Program Memo Description 9 210   RHC-320  Content and Terms of Agreements 9 210.1   RHC-321  Charges to Beneficiaries 9 210.2   RHC-322  Refunds to Beneficiaries 9 210.3   RHC-323  Treatment of Beneficiaries 9 220   RHC-330  Termination of Agreement 9 220.1   RHC-330  Termination of Agreement by Clinic or Center 9 220.2   RHC-331  Termination by CMS 9 220.3   RHC-332  Effect of Termination 9 220.4   RHC-333  Notice to the Public 9 220.5   RHC-334  Conditions for Reinstatement of Clinic or Center Terminated by CMS