RHC guidelines are much like FQHC guidelines. By definition an encounter is a "face to face" visit between the physician and the patient. Any service that the physican performs can be considered an "encounter" and should be billed to Medicare Part A. CPT's 99201-99215, Wellness codes: 99384-99397, In office procedures [excluding the G0101], and Nursing home charges fall under the face to face encounter. By billing these codes to Part A your company will recieve their RHC enhancement payment. What you will need to bill to Part B are: Injections, xrays, Hospital services and other ancillary services, as these are not considered an encounter and sholuld be billed to Part B.
I hope this helps,
Caryn Smith, CPC
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