Thursday, December 11, 2014

Failure to update HPSA and MUA Designations
Threatens Rural Health Clinics

For Medicare certification as a rural health clinic (“RHC”), the clinic must be located in a rural area that is designated as a shortage area.[1] Specifically, the Centers for Medicare & Medicaid Services (“CMS”) require that applicants requesting entrance into the Medicare program as a rural health clinic be located in a current shortage area for which a designation is made or updated within the current year or within the previous three years.[2] In other words, to be a current designation, the designation cannot be more than four years old. And, of course, state licensure regulations also require that the RHC be located in a health professional shortage area or a medically underserved area and must be operated in compliance with federal, state and local law.[3]

Thursday, December 4, 2014

Telehealth/Telemedicine: Opportunity for
Physicians & Providers to Add New Service

The cost effectiveness of providing health care via telemedicine or telehealth promises to be an effective tool to increase coverage and reimbursement of healthcare provided remotely or through telehealth. Towers Watson, a national consulting company, recently published a study that suggests that telemedicine could save the health care industry $6 billion annually. “Achieving this savings requires a shift in patient and physician mindsets, health plan willingness to integrate and reimburse such services, and regulatory support in all states,” according to Dr. Allan Khoury, a senior consultant at Towers Watson.[1]