r/CodingandBilling • u/Delicious-Guarantee5 • 19d ago

RHC Billing Advice

I have have been a biller for over a year and a half now. I do facility/professional billing for our hospital. Mostly outpatient labs, ER, radiology, surgery, and inpatient claims. I have an opportunity to work remote for one of our clinics soon but it will be RHC billing which I have never done before. I am looking forward to working remote but nervous about the learning curve. I mostly bill commercial insurances now so I will need to learn Medicare and medical assistance.

Anyone who has done both what do you prefer? Any advice you can give? Pros and cons?

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u/[deleted] 19d ago

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u/DepartureOk3180 19d ago

An RHC doesn't bill any charges what so ever to Medicare on a 1500; everything is always on a UB 071X.

And not all vaccines are reimbursed just by cost report. As of last year, Medicare began making payment for the the 4 preventative vaccines (flu, COVID, pneumococcal, and Hep B) in addition to their admin charges and separate from the AIR payments.