Medicare Benefit Policy Manual (Pub. 100-02), Ch. 13 § 60

Non RHC/FQHC Services

Last amended: 2018Year: 2018Length: 136 wordsOfficial source
60 - Non RHC/FQHC Services (Rev.239, Issued: 01-09-18, Effective: 1-22-18, Implementation: 1-22-18) RHCs and FQHCs must be primarily engaged in furnishing primary care services, but may also furnish certain services that are beyond the scope of the RHC or FQHC benefit, such as laboratory services or the technical component of an RHC or FQHC service. If these services are authorized to be furnished by the RHC or FQHC and are covered under a separate Medicare benefit category, the services must be billed separately (not by the RHC or FQHC) to the appropriate A/B MAC under the payment rules that apply to the service. RHCs and FQHCs must identify and remove from allowable costs on the Medicare cost report all costs associated with the provision of non-RHC/FQHC services such as space, equipment, supplies, facility overhead, and personnel.
Medicare Benefit Policy Manual (Pub. 100-02), Ch. 13 § 60: Non RHC/FQHC Services | Justis AI