Key Rural Hospital and Clinic Finance Tools and Resources

Small Rural Hospital and Clinic Finance 101

Updated June 2020, this manual was developed for use by state Medicare Rural Hospital Flexibility (Flex) Program personnel as well as small rural hospital and clinic staff/boards. The content is designed to be non-technical, and provide answers to frequently asked questions regarding critical access hospital, small rural hospital, and rural health clinic finance and financial performance. Example topics include:

  • Government Health Care Reimbursement
  • CAH Finances
  • Improving CAH Financial Performance
  • Prospective Payment System (PPS) Finances
  • RHC Finances

340B Drug Pricing Guide

This guide was designed to provide rural hospital leadership with information regarding the 340B Drug Pricing Program. It is also designed to assist State Office of Rural Health directors and Flex Program coordinators to better understand the process hospitals must follow to participate in the 340B Program.

Best Practice Concepts in Revenue Cycle Management Guide

Updated in 2019, this guide provides rural hospital executive and management teams with generally accepted best practice concepts in revenue cycle management so that they may consider opportunities for performance improvement within their hospitals and individual departments. It is also designed to assist State Office of Rural Health directors and Flex Program coordinators in gaining a better understanding of revenue cycle best practices so that they may develop educational trainings to further assist rural hospitals with performance improvement.

Sliding Fee Scale Discount Guide for CAHs and RHCs

This guide provides critical access hospital and rural health clinic executive and management teams with concepts and guidance in developing a Sliding Fee Scale Discount Program. It provides an understanding of how sliding fee scale discount programs relate to Internal Revenue Code Section 501(r) compliance, and participation in the National Health Service Corps (NHSC). Additional content includes:

  • Reasons to implement a sliding fee scale discount program
  • Setting policies
  • Creating a sliding fee scale discount structure
  • Using a sliding fee scale discount in your organization
  • Sliding fee schedule