How do I find my Fqhc?

If you would like to locate a Federally Qualified Health Center (FQHC), HRSA (the Health Resources and Service Administration) has a health center locator tool where you can search for a health center by address, state, or county. FQHCs are in most cities and many rural areas.

What is a CMS report?

Most Medicare-certified providers are required to submit an annual cost report to CMS. The cost report contains provider information such as facility characteristics, utilization data, cost and charges by cost center (in total and for Medicare), Medicare settlement data, and financial statement data.

What is the difference between a rural health center and Fqhc?

A federally qualified health center (FQHC) and rural health center (RHC) both provide healthcare services. RHCs are in rural areas, while FQHCs may be in either rural or urban areas. Both types of clinics provide primary care services. FQHCs may provide more community and social services than RHCs.

Are hospital cost reports public?

The Hospital Cost Report Public Use File (Hospital Cost Report PUF) presents select measures provided by hospitals through their annual cost report, and is organized at the hospital level. The Hospital Cost Report PUF is available in a downloadable, user-friendly Excel format.

How are Fqhc reimbursed?

In California, FQHCs are reimbursed directly by the state for beneficiaries in the fee-for-service program or by the health plan for visits by their members. The state will make a PMPM clinic-specific payment to the health plan for members assigned to the participating health center.

What is a FQHC payment code?

G0470 – FQHC visit, mental health, established patient If an established patient is receiving both a medical and mental health visit on the same day, the FQHC can bill for 2 visits and should use G0467 to bill for the medical visit and G0470 to bill for the mental health visit.

What is CMS payment?

Cash Management Services (CMS)

What is a cost report settlement?

The facility administered vaccines to Medicare patients and is claiming their cost on the cost report. The settlement is usually the amount that the vaccines administered to Medicare patients cost the facility per the cost report calculations.

What is the purpose of a cost report?

The cost report contains provider information such as facility characteristics, utilization data, cost and charges by cost center (in total and for Medicare), Medicare settlement data, and financial statement data.

How do I know if I live in a rural area?

A Metro area contains a core urban area of 50,000 or more population, and a Micro area contains an urban core of at least 10,000 (but less than 50,000) population. All counties that are not part of a Metropolitan Statistical Area (MSA) are considered rural.

How can rural areas improve healthcare?

2. Accessibility

1. Establishing partnerships with transportation services such as taxis.
2. Contracting with bus services.
3. Hiring drivers.
4. Working with community partners such as nursing homes when conducting community needs assessments.
5. Leveraging paramedics and other community health workers.

What is difference between BHU and RHC?

A BHU serves up to 25,000 people with basic medical and surgical care, preventive services, maternal and child healthcare services. An RHC, with an additional facility of 10-20 inpatient beds, dental and ambulance services, serves a catchment population of up to 100,000 people (Punjab Health Department, 2012).

What is included in a cost report?

A cost report will generally include all the costs incurred by the date of the report, where they are known, a forecast of the costs likely to be incurred during the rest of the project, in so far as these can be foreseen and estimated, and risk allowances for the possibility of unforeseeable costs.

What is the cost to charge ratio?

The cost-to-charge ratio is the ratio between a hospital’s expenses and what they charge. The closer the cost-to-charge ratio is to 1, the less difference there is between the actual costs incurred and the hospital’s charges.

What is Medpar dataset?

The Medicare Provider Analysis and Review (MEDPAR) file contains records for 100% of Medicare beneficiaries who use hospital inpatient services. The records are stripped of most data elements that will permit identification of beneficiaries.