Certified Revenue Cycle Representative (CRCR) Practice Exam

Which service is not billable as an RHC service to a Medicare beneficiary?

1. Preventive care

2. Outpatient consultations

3. Inpatient care

4. Follow-up visits

The correct answer is: Inpatient care

In the context of Rural Health Clinics (RHC) and Medicare billing, inpatient care is not billable as an RHC service. RHCs are designed to provide outpatient services to Medicare beneficiaries, primarily in rural areas where access to primary care may be limited. The services typically covered under RHC billing include preventive care, outpatient consultations, and follow-up visits, which focus on outpatient needs. Inpatient care, on the other hand, refers to services that are provided when a patient is admitted to a hospital or other healthcare facility, which falls outside the scope of RHC services. This distinction is crucial for billing purposes, as RHCs are established to enhance outpatient care access and cannot bill for services that require hospitalization or technical support typical of inpatient settings.