CR 8504 Medicare Benefit Policy Manual – RHC and FQHC Update – Chapter 13
CMS has released updates to the Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) services section of the Medicare Benefit Policy Manual, Publication 100-2. This includes revisions to the Hospice Attending Practitioner and Provision of Services to Hospice Patients in a RHC or FQHC sections.
The revisions clarify the hospice and RHC or FQHC relationship related to attending practitioner services, services related and unrelated to the terminal diagnosis and billing for these services. The sections are copied below for your convenience. Items in italics are the revisions.
The full CR can be accessed here.
200.1 - Hospice Attending Practitioner (Rev. 173, Issued: 11-22-13, Effective: 01-01-14, Implementation: 01-06-14)
Medicare beneficiaries who elect the Medicare hospice benefit may choose either an individual physician or NP to serve as their attending practitioner (Section 1861(dd) of the Act). RHCs and FQHCs are not authorized under the statute to be hospice attending practitioners. However, a physician or NP who works for a RHC or FQHC may provide hospice attending services during a time when he/she is not working for the RHC or FQHC (unless prohibited by their RHC or FQHC contract or employment agreement). These services would not be considered RHC or FQHC services, since they are not being provided by a RHC or FQHC practitioner during RHC or FQHC hours.