Effective 4/1/16 the Centers for Medicare & Medicaid Services (CMS) will require RHC's including those exempt from electronic reporting Section 424.32(d)(3), are required to report the appropriate HCPCS code for each service line along with the revenue code, and other required billing codes.  Payment for RHC services will continue to made under the All-Inclusive Rate (AIR) system when all of the program requiremsnts are met.  There is no change to the AIR system and payment methodology, including the "carve out" methodology for coinsurance calculation, due to this reporting requirement.  PacificSource follows CMS billing requirements, so continue to bill as you would original Medicare.

Please read the entire Medicare Learning Network at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM9269.pdf