Rural Health Clinics
Employer Health Insurance Notification   
Deadline: October 1st, 2013

A little noticed provision in the Patient Protection and Affordable Care Act (ACA) requires ALL employers to notify their employees of the health insurance options they have available to them as a result of enactment of the ACA.  According to the Department of Labor, all employers covered by the Fair Labor Standards Act (FLSA) are obligated to make the health insurance notification by OCTOBER 1, 2013.  An FLSA covered employer is one with at least one employee and $500,000 in revenue. read more

ICD-9 is Dying Next Year

by Patty Harper

The diagnosis has been made! ICD-9 codes have barely over a year to live! Then, on October 1, 2014, there will be a total code set replacement. CMS and HHS have both made formal announcements in recent months that no further delays or push-backs will be issued. So, where does that put us as RHCs with ICD-10 Implementation? It probably puts us behind along with the majority of small and medium-sized practices. At least, we are in good company! read more

CMS Proposes Regulatory Relief for RHCs
By Bill Finerfrock

The Centers for Medicare & Medicaid Services (CMS) has issued a new proposed rule recommending a change in the RHC regulations governing employment of PAs & NPs working in the RHC setting.  The proposed change was published in the September 23rd Federal Register.


CMS has for some time taken the position that ALL PAs and NPs working in RHCs must be employees of the RHC as evidenced by the issuance of a W-2.  NARHC has long argued that this was an overly narrow reading of the RHC statute and has, instead, recommended that RHCs have greater flexibility in their employment relationships.  More specifically, we have urged CMS to allow PAs and NPs to be "independent contractors" to the RHC rather than exclusively "employees."

read more

New HIPAA Requirements:

Omnibus Regulatory Changes 1.25.2013

By Charles James, Jr.

HIPAA has been with us for many years now.  We all know that HIPAA was born in the interest of administrative simplification, of which little has happened!  We will leave the

regulatory history of HIPAA for another time and focus on the changes that are going into effect on September 23, 2013.  There are several components. 


For Covered Entities, there are several revisions to notices of privacy practice that need to be distributed to patients.  These revisions to be included are specific statements regarding the use or disclosure of psychotherapy notes, PHI for marketing, sale of PHI, fundraising, genetic information, among others which must be communicated to patients.  Therefore, HIPAA notices of privacy practices will need to be updated and distributed to patients. 

read more

NARHC 2013 Fall Institute
OCT. 23-25, 2013

The National Association of Rural Health Clinics' 2013 NARHC Fall Institute is less than a month away. Located in the Crowne Plaza at Historic Union Station, Indianapolis, IN, Oct. 23-25, 2013.


Agenda: Legislative Update, Preparing Facilities for Accreditation, Billing incl. Behavioral Health & Tele-health, Cost Reports, Converting an Independent RHC to Provider-Based, Benchmarking, Non-RHC hours, Carve-Outs, Benefits of Being an RHC/Should I Remain One?, HIPAA Omnibus Rule: The Rules Have Changed, HSPA Status Renewal, Behavioral Health, Meaningful Use Stage 2, ICD-10 for Top Family Medical Diagnoses, Finding Grant Opportunities, Managing Staff and Providers, and more!!! 


The last day to register online is Oct. 9. Hurry! We'd love to have you!  read more

Candidates Wanted:

Still time to apply!  Four openings on the NARHC Board of Directors will be voted upon by the members at the Annual Meeting, held during the 2013 Fall Institute, Thursday, Oct. 23, in Indianapolis. Candidate attendance is desired but not mandatory. Four candidates with the most votes will serve out a 3-year term: Jan. 1, 2014-Dec. 31, 2017


QUALIFICATIONS: NARHC Membership, leadership ability, and extensive Rural Health Clinic knowledge. The ideal candidate will assist in growing the NARHC Association Membership by being an advocate and it is hoped that he/she will cultivate a relationship with their particular State Association.


Potential candidates should submit their brief biography (1 paragraph), a picture, & their contact info (name, address, phone, email) to Deadline: Oct. 5th, 2013. Click here to see applicants to date.

NARHC Membership Sale

If your RHC has never been a NARHC member, this is a great opportunity. Join now and receive the rest of 2013 FREE, plus all of 2014, for the 1-yr price! If not sure about your RHC's member status, call 866-306-1961 for a quick lookup. read more


To those who are current 2013 members or have been members in the past, we'll be sending out invoices on Dec. 1st.  If you'd like to add or subtract an affiliate clinic, please email so we can revise your invoice prior to mailing. Thank you!

20% OFF Disaster Recovery

September is National Preparedness Month - is your organization prepared for a disaster?  You can be with the National Association of Rural Health Clinic's new endorsed partner, Agility Recovery. For over 24 years, Agility Recovery has been the premier provider of disaster recovery solutions across the United States and Canada.  Formerly a division of General Electric, Agility has had a long and successful history serving the healthcare industry. read more

20% OFF Employment Screening

Castle Branch is pleased to offer NARHC member organizations a 20% (or greater) discount on background screening, drug testing, and employment verification. Castle Branch works with a wide range of employers, more than half of the nation's colleges and universities, various not for profit organizations, healthcare institutions, law firms and others read more                                   

Medicare Shared Savings Program
(M-SSP) ACO's - Part III of a Series on ACOs

The Centers for Medicare & Medicaid Services (CMS) has established the Medicare Shared Savings Program (M-SSP) to facilitate coordination and cooperation among providers that seek to improve the quality of care for Medicare Fee-For-Service (FFS) beneficiaries and, at the same time, reduce costs. Eligible providers, hospitals, and suppliers may participate in the M-SSP by creating or participating in an Accountable Care Organization (ACO). read more

In This Issue
Quick Links
Upcoming Events
NARHC Fall Institute
October 23-25, 2013
Crowne Plaza
Indianapolis, Indiana
Click here for more info.
NARHC, 2 E. Main St., Fremont, MI 49412  |   Ph. (866) 306-1961  |  FAX 866-311-9606
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