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Healthcare Business Specialists 
  www.ruralhealthclinic.com
 
Mark Lynn CPA
RHC Consultant
[email protected]
Cell.Text(423) 243-6185

Dani Gilbert, CPA
RHC Consultant
[email protected]
Cell.Text  (423) 650-7250

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Introduction
 
HBS Update
March 21, 2020
 
   

   
 
 
Introduction 
 
First, I want to thank all the healthcare workers that are on the front lines of this war with COVID-19, risking their lives for the health of others while the world stands still and watches their heroic efforts. We have heard from our doctors, nurse practitioners, and physician assistant owners of RHCs and the impact it has on the normal operations of the clinics. Some sectors of healthcare are overwhelmed or planning to be and others have become virtual ghost towns with any elective procedures ceasing and patients staying away for routine visits. These are indeed strange and difficult times.
 
It is our hope that some of the issues that are preventing RHCs from providing distant site services to patients will be resolved favorably this weekend or early next week. There is still time to lobby for your representatives on the behalf of your clinic. We prepared a document on the Republican Senate bill to help you understand why getting the All Inclusive Rate language is so important as well as a link to the bill. There are also links to NARHC documents that will help you lobby for rural health clinics during this very important vote. Getting the distant site provision in the bill is a great start, but a complete victory will be keeping the provision in the bill and getting the payment method changed to the All Inclusive rate.
 
 
Telehealth Update for Rural Health Clinics - Phase 3 of the Emergency COVID-19 Relief Act  
 
Several of our respected and long time members of the RHC community have gotten together to present a webinar on Telehealth. We hope to have great news for you by Tuesday. I know it has been hard to believe that RHCs have been excluded from being a distant site for telehealth and I certainly have not enjoyed telling people no over and over again. In this webinar we are attempting to prepare you to be start billing Medicare as a distant site. I may have been optimistic on Phase 3 of the Emergency stimulus bill being approved as my information was the vote would be this weekend. Let's cross our fingers and hope for a favorable resolution before Tuesday. We may even move the webinar time back to a later date if the bill has not been approved. Our goal was to get the information out as quickly as possible to RHC once the green light was given. Our thoughts are this COVID-19 distance site funding is a sprint and hopefully not a marathon as the provisions will only apply during the State of National Emergency.  
 
In this webinar, we will update Rural Health Clinics on the status of Telehealth and how it can be paid by Medicare based upon the expected approval of the Phase 3 Emergency COVID-19 Response Legislation slated to be voted on this weekend. Ryan Kelly, Executive Director of the Mississippi an Alabama Rural Health Associations will provide a legislative update and an overview of the technologies that can be used to provide Telehealth services to your patients (20 minutes). Patty Harper, Chief Executive Officer, from InQuiseek, LLC and Kate Hill, VP of Clinical Services will discuss the logistics of actually treating patients including Logs, protocols, HIPAA,  Consent, and other logistics issues and Kate will discuss current clinical issues due to COVID-19 (30 minutes). Charles James, Jr. , Chief Executive Officer from North American Healthcare Management Services and Bonnie Britton, President, from Reconnect4health will speak on billing Telehealth services and the codes to use if they are available at the time of the webinar (20 minutes). Mark Lynn from Healthcare Business Specialists will briefly discuss the cost report impact of Telehealth (5 minutes).  Speaker availability is subject to change as we all respond to the global pandemic and some of the pieces of the webinar may be done by our other panelists including Shannon Chambers, Gary Lucas, Dani Gilbert, and others.  
 
Telehealth Update for Rural Health Clinics - Phase 3 of the Emergency COVID-19 Relief Act 

Central Time
 
12:00 to 12:05 Mark Lynn - Administrative
 
12:05 to 12:07 Clark Bishop - Azalea Health - Sponsor's Message
 
12:07 to 12:17 Introduction of Speakers and Panelists
 
12:17 to 12:37 Ryan Kelly - Legislative Update and Technology
 
12:37 to 01:07 Patty Harper  and Kate Hill- Logistics, Protocols, Logs, HIPAA, Clinical Issues
 
01: 07 to 01:27 Charles James and Bonnie Britton - RHC Telehealth Billing
 
01:27 to  01:30 Mark Lynn Cost Reporting and Telehealth

01:30 to 01:45  Question and answer from the audience - Please type your question in the question panel
 
 
Please register for Telehealth Update for Rural Health Clinics - Phase 3 of the Emergency COVID-19 Relief Act  on Mar 24, 2020 12:00 PM CDT at:

After registering, you will receive a confirmation email containing information about joining the webinar.

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COVID-19 Resources at ruralhealthclinic.com  
 
We continue to update our website with the latest information and resources for RHCs on COVID-19.  Thanks to all that contribute and providing free information to the RHC community and provide propriety information at extremely reasonable prices. We appreciate what your doing for the RHC community.
 
Here are links to information provided to us from March 17th to March 21, 2020 on COVID-19
Here is a list of resources and companies that we have worked with during the week ending March 21, 2020. Thanks to all that are working so hard during this difficult time. We appreciate you.
   
We have included a number of links that will help you as you try to implement TeleMedicine in your Rural Health Clinic. Most of you will have no choice, but to develop some type of telehealth program as we try to bend the curve of the spread of the pandemic by assessing our patients from their cars or their homes. We have a website dedicated to COVID-19 resources.  
 
 

 
 
 
 COVID-19 Infection Control Webinar 
 
 If you missed last week's COVID-19 Infection Control Webinar with Taylor Cottano and Patty Harper, we have included those resources here as well. Thank you to the over 350 people who attended the webinar and a big thank you to Taylor and Patty for doing a great job. 
 
 
 
 
 
 Join our Facebook Group - Rural Health Clinic Information Exchange 
   
   
During the COVID-19 crisis with the speed of information and the rapid changes, this Facebook Group has been able to respond extremely quickly with the effort of a lot of dedicated professionals. We appreciate all of them that know their stuff and are willing to share with a broad base of RHCs invaluable information in real time. I look forward to time when we can post updated information once ever couple weeks versus every other hour it seems.  We are adding about 70 members every week and are now at 1,200 so please sign up to have access to this information at the following link: 
 
  
https://www.facebook.com/groups/1503414633296362/
 
 
One of the things we have started doing is listing the webinars in the Events section so you can easily find the ones that  interest you. For example on Tuesday Kate Hill and The Compliance Team will be conducting a webinar on RHCs. Here is the registration link as they have opened up 1,000 seats for the expected viewers.
 
 
 
 
 
 
 
 
 
 
Cost Report Reminder
 
It is that time of year again. Cost Report time!!! We are scheduled to prepare more cost reports this year than ever, so it is important to get your information into us as soon as possible. If you do not have a Cost Report Checklist from us, please let us know and we will email it to you. Of course you can find it on our website as well along with our recent recording of our Cost Report webinar. There are other resources for preparing the cost report as well on the website as well.  
 
 
Here is a link to the recording of the webinar on Cost Reporting 
 
   
   
   
 
 

      
    

 
     

 
 


 


  RHC Update Seminar - November 12, 2020 
     
This free RHC Update Seminar sponsored by Azalea Health and Chartspan will cover updates and basic information on Rural Health Clinic reimbursement, Billing, Legislation, Cost Reporting, Emergency Preparedness, and Program Evaluation. Lunch will be provided. As we get closer, we will provide an Agenda and schedule for the meeting.  
   
To register go to:  


 
RHC Startup Guide
 
We developed an RHC Startup Guide for our RHCs which includes a lot of information on the conversion process and preparing for the RHC inspections. If you want to use this Google Doc, please go to the link below: 
 
 
CMS updated the State Operations Manual Effective January 17, 2020
 
The following links will take you to the updated Operations Manual 

 

 
        
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 RHC Resources 
 
Healthcare Business Specialists has a number of free resources for rural health clinics on our website. The following links will take you to a vast amount information, webinars, tools, and templates to use to run your rural health clinic.

 
 





 




Thank You/ Closing
Thank you for reviewing this information and your confidence in us to assist you with your cost report preparation, annual evaluations, RHC startups, and RHC education. Best regards.

Sincerely,

Mark R. Lynn, CRHCP, CPA (Inactive)
Healthcare Business Specialists, LLC
Suite 214, 502 Shadow Parkway
Chattanooga, Tennessee 37421
Telephone: (423) 243-6185
Website:  www.ruralhealthclinic.com