2026 Medicare Final Rule Part 3: Rapid-Fire Q&A on FQHC and RHC Bundled Code Unbundling
Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) face mandatory billing changes in the 2026 Medicare Physician Fee Schedule (MPFS) Final Rule. In Part 3 of our series, Stephanie Barnes and Sam Pinson break down the crucial compliance and billing updates that will affect virtual care and care management services in these settings.
Key Questions Answered:
Which two bundled G codes (G0071 and G0512) are no longer billable by RHCs/FQHCs starting January 1, 2026, and what replaces them?
What are the three new APCM add-on codes (G0568, G0569, G0570) CMS finalized to formally integrate Behavioral Health into Advanced Primary Care Management (APCM) for RHCs/FQHCs?
What category of services is now automatically paid separately from the visit for RHCs/FQHCs, improving transparency for care coordination?
If your business supports or operates an FQHC or RHC, you need to understand these mandatory code transitions and new APCM opportunities now.
Disclaimer: This video is for informational purposes only and does not constitute legal advice. Please consult with your legal counsel.