Q&A: Rural health clinic preventive services

Q: We are updating our charges in our RHC and we want to make sure we are capturing all of the preventive services that we can perform in our clinic. Along with that, we want to audit the documentation. Where can we find a list of RHC preventive services?

A: Start by going to the list of preventive services on CMS’ RHC website. This list may not be complete and may not be updated in the future; therefore, it should be considered only a partial list. You can also use MLN publications. MLN publishes an interactive document that lists preventive services. The document displays the HCPCS code, coinsurance and deductible amounts, frequencies, and other information.

Chapter 18 of the Medicare Claims Processing Manual lists the HCPCS codes of preventive services. It also lists the specific frequency and diagnosis code information.

For more information on RHC billing and compliance, join Debbie Mackaman, RHIA, CPCO, CCDS, at 12 p.m. (Eastern) Thursday, March 29, for the three-hour RHC virtual workshop or see The Essential Rural Health Clinic Billing and Management Guide.

Need expert advice? Email your questions for consideration in the Revenue Cycle Daily Advisor. Note: We do not guarantee that all questions will be answered.