Palmetto to Replace Cahaba as MAC for RHCs

In our last issue of HBS Update on September 11, 2017 we announced that Palmetto GBA has won the contract award for processing of Medicare Part A and Part B claims for Jurisdiction J (Alabama, Georgia, Tennessee) which includes the out of jurisdiction RHCs still processed by Cahaba. Guidance has not yet been forthcoming on the timing of the changeover or what will happen to out of jurisdiction RHCs that have processed by Cahaba since 2009 out of their appropriate jurisdiction. While it seems logical to move these RHCs to their assigned jurisdiction with this changeover, we are not aware of any plans to do so at this time. The timing of the changeover from Cahaba to Palmetto may be delayed for some time if one of the MACs protests the award which is a relatively common event. According to the Fact Sheet on the changeover (see below) questions about the contract award should be directed to Phillip Smith in CMS’ Office of Acquisition and Grants Management.  Telephone (410)786-9492 or email at


On September 7, 2017, the Centers for Medicare & Medicaid Services (CMS) awarded Palmetto GBA (Palmetto) a new contract for the administration of Medicare Part A and Part B Fee-for-Service (FFS) claims in the states of Alabama, Georgia, and Tennessee (A/B MAC Jurisdiction J). CMS will oversee the transfer of A/B MAC work from the incumbent contractor, Cahaba Government Benefit Administrators, LLC, to Palmetto over the next several months. CMS anticipates that implementation of the new contract will go smoothly, with few, if any, service issues for Medicare beneficiaries and providers. Learn more about this at A/B MAC Jurisdiction J Award Fact Sheet.


Source: Contract Award for A/B MAC Jurisdiction J (posted 9/8/2017)

Free Webinars - July, 2017

Please register for Tenncare Quarterly Wrap Around Payment Preparation on Jul 25, 2017 1:00 PM EDT at:

The purpose of this webinar is to provide information to Tennessee rural health clinics on how to prepare the quarterly Tenncare Wrap Around Payment Reconciliation Report accurately and how to avoid overpayments or underpayments by accurately counting visits and payments.

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

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Please register for Emergency Preparedness Update for RHCs on Jul 27, 2017 1:00 PM EDT at:

Emergency Preparedness Update for RHCs

The purpose of this teleconference is to provide information on recent regulatory changes for rural health clinics including some detailed information on the new condition of participation for RHCs related to emergency preparedness. This webinar will review the recent interpretive guidelines, provide an action plan to comply with the November 15, 2017 deadline, policies and procedures for RHCs, and resources for RHCs. 

If you have questions before the webinar, email them to and we will include them in the content of the Webinar if appropriate. 

The seating for this webinar is very limited.

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

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Emergency PreparedNess Webinar on May 4th, 2017

Our latest newsletter including a several new webinars including one on Thursday, February 18, 2016 on the HCPCS coding changes for RHCs: 

February 14, 2016 Newsletter:

February 4, 2016 Newsletter:

January 14, 2016 Newsletter:

Emergency Preparedness Webinar on May 4th

April 27, 2017

To:       RHC Community and friends

From:   Bill Finerfrock

Re:       May 4th RHC Technical Assistance call – Emergency Preparedness and Foreign Language Nondiscrimination Rules

In late 2016, the Centers for Medicare and Medicaid Services (CMS) announced finalization of new “Emergency Preparedness” rules for federally certified facilities, including Rural Health Clinics.  Enforcement of these rules was delayed until November, 2017.

ALL RHCs will be subject to these news rules and must be able to demonstrate that they have put an “Emergency Preparedness” plan in place and engaged in a variety of activities as part of these new requirements.

Additionally, as of November of 2016, RHCs are required to take additional steps to ensure nondiscrimination practices are fair for foreign language patients. These new rules will be reviewed to ensure that all RHCs are in compliance.

On May 4th at 2:00pm Eastern, Nathan Baugh, NARHC Director of Government Affairs, will be conducting a webinar outlining these new rules for RHCs. In some instances, CMS has not yet provided all of the guidance necessary to determine specific actions the RHC must take in order to be in compliance. 

There is no cost to participate in this webinar and you do not need to sign-up in advance.  The link for the webinar is:

The call-in number for this session is: 

Phone: 1-888-790-3056 

Code: 6905570

If you have a question you would like to submit in advance of this call, please send those via email to: Please put RHC TA Question in the subject line. 

There will also be time at the end of the presentation for participants to ask questions.

We look forward to your participation in this important event

Good Riddance to IACS, Hello EIDM

We received a message from our Cost Report software vendor ( on Friday. CMS posted the following to their website regarding a switch from IACS to EIDM (Enterprise Identity Management System) which is to take effect February 7, 2015.  The important thing to know is that no new registrations or profile changes can take place in IACS after 5:00 PM on January 30, 2015.  

PLEASE READ and take appropriate action...

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2015 PQRS Update

Last week I wrote an email to CMS regarding their position on rural health clinics expressed at the Rural Open Door Session and they were gracious enough to respond with some valuable explanations regarding PQRS and rural health clinics. While I am sure I was not the only one inquiring, it is certainly nice and I so appreciate the prompt response by the officials at CMS regarding this matter.  Here are the links to the information provided in re 2015 PQRS Payment Adjustment and Providers Who Render Services at RHCs/FQHCs:

Issue Briefing



Welcome to the new Healthcare Business Specialists website! We've recently made a few changes to make our site more user-friendly. We hope you are able to find everything you need. Please don't be afraid to Contact Us if you have any questions or would like to request our RHC consulting services. We hope to hear from you soon!