R.T. Welter and Associates has extensive knowledge in the areas of Rural Health billing and coding, credentialing and other reimbursement related issues for Rural Health Providers, Rural Health Clinics, Critical Access Hospitals and Federally Qualified Health Centers.

Rural health providers, clinics and hospitals continually face a complex and changing environment.  Fluctuating patient volumes, outdated systems, and complex reimbursement guidelines are just a few of the obstacles rural health communities deal with on a constant basis. R.T. Welter’s rural health services include:

  • Assistance with billing, coding and reimbursement issues
  • Development of in-house billing and coding processes, systems development, etc.
  • Credentialing assistance – initial credentialing/contracting with commercial payers, Medicare, Medicaid and other government payers and ongoing credentialing management services (click here for a complete list of services)
  • Physician and hospital managed care contracting and negotiations
  • Provider/staff coding and documentation training
  • Financial feasibility studies
  • Business plan development
  • Operations assessment

Through AMRS, our sister company billing service, we also offer customized billing services for rural health providers, clinics and hospitals.  AMRS understands the intricacies of billing for rural health providers and hospitals including split billing, revenue codes and other submission requirements.  This expertise allows for increased collections and revenue, and accuracies in annual cost reporting.

Colorado’s Primary Care Fund

Colorado’s Primary Care Fund provides grants to healthcare providers who care for under-served populations and meet specific qualifications. The funds are generated from the collection of tobacco taxes in accordance with Section 21 of Article X (Tobacco Taxes for Health Related Purposes) of the State Constitution.

The Primary Care Fund application process requires that providers must use a formula to submit the percent of unduplicated users/patients served by the applicant agency who are enrolled in Medicaid and CHP+ or medically indigent. This data must be certified (or verified) by an outside entity prior to the submission of the application.

RT Welter & Associates is qualified as an outside entity to complete the certification of the numbers of unduplicated user/patient counts for the Primary Care Fund application. If you need assistance with your Primary Care Fund application, contact RT Welter & Associates immediately at 303-534-0388. For more information visit www.colorado.gov.