Change 1

Updated for the CY 2027 Medicare Physician Fee Schedule Final Rule (CMS-1848-F), released Nov 4, 2026. Effective Jan 1, 2027. Last verified: November 5, 2026

Help center · Supervision

Can rural health clinics or FQHCs bill coaching as a visit?

Answered by Angel Reyes, MCHES®Last verified: November 5, 2026

Short answer

No. CMS states that coaching furnished under the general supervision of an RHC or FQHC practitioner does not constitute a billable RHC or FQHC visit (rule p. 387).

RHCs and FQHCs should ask their MAC and billing advisors how, or whether, coaching fits their payment model.

Didn't find your answer? Browse the help center or contact us. Educational only; not legal, billing, coding or clinical advice. Your supervising practitioner's and organization's policies come first.