RGH clinics moving closer to rural status

PNT staff

The Roosevelt General Hospital Board learned Tuesday the Portales clinic is 90 days away from being able to bill as a designated rural health clinic, once Medicare and Medicaid send a billing code.

The new billing number will allow the clinic to bill under the rural health clinic designation so in time they will be reimbursed by the state for the service the clinics provides in a rural area.

“We can’t start billing that until once we get those numbers, that could take up to 90 days,” Chief Financial Officer Eva Stevens said. “So, we’re going to get a big wind fall one of these days. It is going to be hard on us for a couple of months until that comes through.”

The Portales clinic inspection on Aug. 26 had no problems. The Clovis clinic had no problems on Aug. 27, but inspectors want to look at the architectural plans for the building so the billing code might take a little longer to be finalized.

The board is going to look over a “red flag rule” dealing with procedures to prevent identity theft, with an aim to take action in September’s meeting.

The red flag rule is a new federally mandated regulation dealing with procedures. Hospital Administrator James D’Agostino said it basically aims to detect, prevent and locate identity theft.

“The big complication with the rule is to request medical records; two forms of identification are needed,” D’Agostino said. “It’s going to be a little cumbersome. People are going to get a little ticked when we start asking them for a primary ID and a secondary ID (to get) their own medical information.”

If the board approves the red flag rule, it will become policy for the hospital. The policy isn’t due until Nov. 1.

In other business:

• The board approved the credentials of some doctors.

• The board approved of policies and procedures manuals for the business office, cardiac rehabilitation, environmental services and rehabilitation services.