Per Visit Payment and Exceptions under the AIR

20.1 - Per Visit Payment and Exceptions under the AIR (Rev. 13264, Issued:06-09-25; Effective: 06-02-25; Implementation: 06-02-25) RHCs are paid an AIR payment per visit. For RHCs billing under the AIR, more than one medically necessary face-to-face visit with a RHC practitioner on the same day is payable as one visit, except for the following circumstances: • The patient, subsequent to the first visit, suffers an illness or injury that requires additional diagnosis or treatment on the same day, (for example, a patient sees their practitioner in the morning for a medical condition and later in the day has a fall and returns to the RHC). • The patient has a medical visit and a mental health visit on the same day. • The patient has an Initial Preventive Physical Examination (IPPE) and a separate qualified medical and/or mental health visit on the same day. • The patient has an IOP service and medical visit on the same day. • The patient has a dental visit and a medical visit on the same day.