RHC Productivity Standard Exceptions

Published 07/21/2020

Per CMS Publication 100-02, Chapter 13 (PDF, 400 KB), Section 80.4, productivity standards require 4,200 visits per physician and 2,100 visits per practitioner.

If you are having difficulty meeting productivity standards as a result of COVID-19 PHE, you may request an exception to the productivity standards. The following information is required.

  • Visit count that you are requesting as an exception to the standard of 4,200 for physicians and 2,100 for mid-level practitioners
  • Documentation to justify an exception to the standard

A separate request is required for each facility/clinic, and we may ask for additional information after receipt of the request.

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