Series
Let's Get Rural
Twice each year, PYA’s Center for Rural Health Advancement presents a deep dive into the most challenging regulatory and reimbursement issues facing rural health providers and the communities they serve.
PYA’s Let’s Get Rural webinar series continues with a timely briefing on rural healthcare policy, reimbursement, and compliance developments. The rural healthcare environment continues to evolve quickly, creating new opportunities and challenges for providers working to protect financial performance, maintain compliance, and preserve access to care in their communities.
Presented by PYA’s Jane Jerzak, Tracy Purcell, and Kathy Reep, this session covered the latest updates on the Rural Health Transformation Program, provider-based and billing regulations, telehealth reimbursement, and federal legislative activity. Attendees gained a clearer understanding of what is changing, what to watch, and how rural healthcare organizations can prepare for potential policy, operational, compliance, and reimbursement impacts.
Key Takeaways:
- RHTP implementation is state-specific. States may use direct, aggregator, or hybrid funding models, and application structure, eligible participants, timelines, and allowable costs can vary significantly.
- Organizations pursuing RHTP funding should understand their state’s model, read each RFA or NOFO carefully, align proposed outcomes with state objectives, and build documentation and audit-ready processes before implementation begins.
- RHTP recipients and subrecipients should document costs in real time, confirm allowability and grant-period timing, and understand whether Single Audit or other pass-through compliance requirements may apply.
- Hospitals should monitor provider-based department requirements, including existing public-awareness and patient-notice rules and the proposed attestation and NPI changes discussed during the webinar.
- The presenters reviewed the proposed CJR-X model, including a 90-day episode and quality and efficiency measures that may require hospitals to understand performance beyond the initial hospital encounter.
- The webinar also addressed proposed 340B payment changes, 2027 obstetrical billing changes, Rural Health Clinic telehealth coding changes, and pending federal legislation affecting transparency and rural healthcare funding.
This webinar is part of PYA’s Let’s Get Rural series, which reflects PYA’s commitment to helping rural health providers navigate regulatory, reimbursement, and operational challenges while preserving access to care for the communities they serve.
PYA experts are committed to assisting with the unique needs of rural healthcare organizations, including regulatory compliance, reimbursement strategy, funding opportunities, operational planning, and policy impact assessment.
