Are you looking to certify your practice as a Rural Health Clinic?

We have the ability to establish and certify your clinic as a RHC with the industry experience to provide comprehensive services for optimal operation and success.

Initial Rural Health Clinic Certification and Application

During the certification phase, Health Services Associates will facilitate the process of applying and preparing for rural health clinic status. The following steps will be taken on behalf of the client:

• Complete Medicare 855 and Rural Health Clinic Program applications
• Facilitate information gathering 855 application requirements
• Prepare and submit applications to the appropriate State agencies
• Prepare and submit applications to the appropriate Fiscal Intermediaries
• Monitor application processing with appropriate agencies
• Conduct a mock Rural Health Clinic inspection of clinic facility to assure readiness for State inspection
• Submit a written report, based on mock Rural Health Clinic inspection, with recommendations for Rural Health Clinic compliance
• Prepare Rural Health Clinic Policy and Procedure Manual integrating any existing clinic policies
• Submit request for inspection to the State when clinic is prepared for inspection
• Coordinate a plan of correction and forward to the state for approval
• Coordinate the appropriate response to any Rural Health Clinic deficiencies
• Create Medicare Provider File for each clinic or entity
• Prepare consolidated Rural Health Clinic cost-report for appropriate entities
• Complete and submit a finalized year-end consolidated cost report to the third party administrator
• Coordinate possible requests for additional supporting documentation from Fiscal Intermediary
• Make recommendations where appropriate to maximize the rural health clinic benefit
• Maintain compliance with all cost-reporting requirements, regulations, and interpretations.

RHC Certification and Compliance Assistance

These services are designed to assist with completion of all annual requirements for ongoing program compliance. These include:

• Provide annual Rural Health Clinic mock inspection
• Provide annual review of Rural Health Clinic Policy and Procedure Manual
• Provide required Annual Evaluation and Program Review documentation
• Provide annual recommendations to improve Rural Health Clinic Program Compliance
• Periodic assessment of clinic expenses and to determine any areas where adjustments are needed to maintain the current rate
• Create Medicare Provider File for each clinic or entity
• Provide written cost-report documentation requirements
• Prepare consolidated Rural Health Clinic cost-report for appropriate entities
• Complete and submit a finalized year-end consolidated cost report to the third party administrator
• Coordinate possible requests for additional supporting documentation from Fiscal Intermediary
• Follow –up to ensure that annual reconciliation amounts are paid
• Make recommendations where appropriate to maximize the financial impact of the rural health clinic benefit
• Maintain compliance with all cost-reporting requirements, regulations, and interpretations
• Monitor the quality assurance program
• Facilitate communication between the rural health clinic and the Fiscal Intermediary
• Ongoing assistance from North American staff by means of telephone, facsimile or e-mail regarding questions pertaining to rural health billing configuration collections, revised policies, etc
• Provide information regarding legislative or reimbursement updates affecting the Rural Health Clinic Program

Resources:

• RHC CHOW Flow Chart (pdf)
• American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF)
• RHC Fact Sheet