TO SERVE
                   RURAL COMMUNITIES


Our Mission: Promoting Access to Health Care.

Health Services Associates, Inc., was started in 1980 and incorporated in 1987 specifically for the purpose of promoting access to health care through delivering consulting services to communities, hospitals and practices in rural and underserved communities throughout the United States. Our firm consists of professionals who have over forty years of individual experience in direct health care delivery and management. 

We understand the needs of a rural health clinic to its fullest, from initial enrollment and certification to rate setting and billing. We follow the most current CMS and State specific changes and regulations and work closely with the National Association of Rural Health Clinics (NARHC), Rural Health Information Hub (RHIhub), various State Offices of Rural Health, and the like to provide education and support to clinics located in rural areas. 

Our practice management consulting team is ready to serve you! Contact us today for more information on how we can help your organization understand the latest changes and implement effective strategies for your success.


  • On September 8, 2016 the Federal Register posted the final rule Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers. The regulation goes into effect on November 16, 2016 for all 17 types of medical practices.

    An Emergency Operations Plan must be fully developed, activated and annually reviewed and monitored.   The Plan includes key elements:  (1)All Hazard Risk Assessment, (2) Communication Plan, (3) Required Policies, (4) Fully Written Plan, and (5) Documentation of Table Top and Community Based Training involvement. We also provide tabletop training.


    Health Services Associates, Inc., is providing a expertise in all elements to assist you in compliance with this new regulation. Call us if you need assistance in development and implementation of your Emergency Preparedness plan. Email us for more information at info@hsagroup.net. 

NEED AN EHR for your RHC? HSA Has It’s Own EHR, iPatientCare

This EHR and Practice management system is specifically designed for the RHC and FQHC in mind. Click here for demo.

  1.        Automatically splits claims
  2.        User-friendly
  3.        Customizable to any State 




CMS Announces Payment Rate Increase for Rural Health Clinics for Calendar Year 2018. 
The RHC upper payment limit per visit for CY 2017 is $83.45, effective January 1, 2018, through December 13, 2018. The CY 2018 RHC rate reflects a 1.4 percent increase above the CY 2017 payment limit of $82.30. Click here for more info

CMS has announced a $569.00 calendar year (CY) 2018 application fee for institutional providers that are initially enrolling in the Medicare or Medicaid program or the Children’s Health Insurance Program (CHIP); revalidating their Medicare, Medicaid, or CHIP enrollment; or adding a new Medicare practice location. This fee is required with any enrollment application submitted on or after January 1, 2018 and on or before December 31, 2018. Click here the Federal Register NoticeClick here for application fee requirements for Instutitional Providers

  All Medicare Providers and Suppliers enrolled prior to March 25, 2011 must revalidate their information only after the revalidation request letter is received. Medicare requires providers/suppliers to revalidate every 5 years. You may revalidate via internet based PECOS at https://pecos.cms.hhs.gov or via paper CMS855 form. If your request letter is for your part A  Rural Health Clinic, you are required to pay the Medicare application fee. HSA will complete your revalidation requests. If you would like assistance with your revalidation, contact Michelle Kruzel at mkruzel@hsagroup.net or 231-250-7374.