The term “visit” is defined as a face-to-face encounter
between the patient and a physician, physician
assistant, nurse practitioner, certified nurse midwife,
visiting nurse, clinical psychologist, or clinical social
worker during which an RHC service is rendered.
Encounters with (1) more than one health professional;
and (2) multiple encounters with the same health
professional which takes place on the same day and at
the same location, constitutes a single visit. Exceptions
will be addressed later in presentation.
RHC ENCOUNTERS ARE NOT
Non covered services
Non medical necessity services
Administration of injection only
Dressing change
Refill of prescriptions
Lab tests/results only
Completion of claim forms
Care plan oversight
99211 is NOT an RHC encounter. If the provider is
billing this level they are most likely undercoding
RHC LOCATIONS
The clinic (office)
Home visit (the home of the patient)
Nursing Home
Scene of an accident
