15 September, 2023 11:57

September 15, 2023

Dear RHC Community, If you don’t use PECOS, use the revised CMS-855I (Medicare Enrollment Application – Physicians and Nonphysician Practitioners) to enroll or update your information. Medicare Administrative Contractors will accept current and revised versions of the form through 10/31/2023. Starting 11/1/2023, you must use the revised form.

Form updates:

  • Combines the CMS-855I and CMS-855R paper applications and discontinues the CMS-855R
  • Moves physician assistant employer arrangements to the reassignment section
  • Recognizes physicians and nonphysicians who provide acupuncture services
  • Identifies compact licenses
  • Adds new physician specialties
  • Expands practice location types to include telehealth

Visit Medicare Enrollment for Providers & Suppliers for more information, including an CMS-855I instructional guide. To enroll and update your information more quickly and easily, use PECOS.

Visit our Events page for upcoming webinars.

Medicare Extends Medical Telehealth Billing

Medicare has extended medical telehealth billing for RHCs using CPT code G2025 through December 31, 2026.  Effective January 1, 2026, Medicare has updated the virtual communication codes for RHCs, terming G0071 and replacing it with 3 codes: 98016, G2010 and...

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Provider enrollment application fee: CY 2026

December 18, 2025 Effective January 1, the application fee is $750 for institutional providers who are: Initially enrolling in the Medicare or Medicaid programs or the Children's Health Insurance Program (CHIP) Revalidating their Medicare, Medicaid, or CHIP enrollment...

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A Note From NARHC:

NARHC is thrilled to announce the introduction of three new bills to strengthen and modernize the Rural Health Clinic (RHC) program: the Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act (H.R.5199), Rural Health Clinic Location Modernization...

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Attention Texas Medicaid Providers!

It is critical to know when your revalidation with TMHP is due. Let us take care of this and all your credentialing needs - contact us today! The Texas Health and Human Services Commission (HHSC) is requiring assistance from MCOs to enhance provider outreach efforts...

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25 November, 2024 15:50

Dear NARHC Members, Please join us on December 10 at 4 PM Eastern Time for our 2024 Annual Membership meeting. In this virtual meeting, our NARHC Executive Committee (President Mandy Shelast, Vice President Shannon Chambers, and Secretary/Treasurer Denise Schentrup)...

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7 November, 2024 21:16

NARHC has been engaging with CMS over the last year in an attempt to resolve the CPT Category II code issue for RHCs, including through a letter to the CMS Administrator. We are very pleased to report that CMS recently issued a CMS Change Request to allow Category II...

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