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CMS Rural Health Changes – HCPCS codes G0101 and Q0091

Payment for G0101 and Q0091 in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) that Bill Under the All-Inclusive Rate (AIR) System

CMS has determined that HCPCS codes G0101 and Q0091 are billable visits when furnished by a RHC or FQHC practitioner to a RHC or FQHC patient.

*Effective for dates of service on or after January 1, 2014

CMS has indicated that Provider Action is Needed. CMS will not search for claims that have been denied but will adjust any claims brought to their attention.

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