Welcome to the RCMG Provider Portal!

To register for the portal, please follow these steps: 

1. Click on "New User Registration" 

2. Enter your user information     

    a. Email address (should be a work-related email address) 

    b. User names (your email address will auto-populate. Please ensure your Username is your first initial and last              name 

    c. Password and Confirm Password (password should contain at least one uppercase and one lowercase letter, one number, one special character 

    d. First Name and Last Name 

    e. Phone Number  

    f.  User Type                                                             

          i.   Provider: most commonly used. Please register for all NPI's affiliated with the providers and office     

          ii.   Vendor: May be used for Primary Care Practices only with multiple providers                                               

3. Select Company 

    a.  River City Medical Group 

4. Enter the Vendor (Group) ID or Name 

    a.  Search by the Vendor (Group) Tax ID (TIN), Vendor (Group) NPI and individual provider NPI's 

    b.  Select the Vendor (Group) /Provider

    c.  Click the right single arrow to move your selection to the "Selected Provider(s)"  

5. Enter the given Captcha code and click "Submit Request"  

    a.  If successful, a message will appear indicating an email has been sent for confirmation  

6. A request for registration confirmation will be sent to the email address provided 

    a.  Click the link to confirm that you registered for the Provider Portal  

7. Validated access must be granted prior to using the Provider Portal 

    a.  A RCMG administrator will validate the account and inform you of access once reviewed.


 
 
 
RCMG News






Please visit the River City Medical Group website for information regarding CO-VID 19, Medicare, and more.
http://rcmg.com/
   


River City Medical Group makes utilization management decisionsbased on careful review of cases by medical professionals.  All medical decisions are made using evidence based guidelines. These guidelines are available upon request by calling 916-228-4300.

Each case is reviewed for appropriateness of care, verification of coverage and the allowable levels of benefits in the plan. River City Medical Group does not specifically reward practitioners or other individuals for issuing denials of coverage.  Furthermore, River City Medical Group does not offer financial incentives to utilization management decision makers to encourage decisions that would result in under-utilization of care.

RCMG Announcements - Telehealth
Dear RCMG Valued Provider and Partner:

Providers may offer telehealth services to patients if your office meets the DHCS requirements (see https://www.dhcs.ca.gov/provgovpart/Pages/TelehealthFAQ.aspx). If you provide telehealth services you will qualify to receive payment if the claim is properly coded. Telehealth includes virtual visits as well as visits conducted by telephone. You should submit the claim using the customary codes you typically use (e.g. 99214), and include the modifier and POS sections of the claim to indicate telehealth. Please be sure to include the correct modifier (e.g. 95 or GT) and POS (e.g. 02). This applies to telephonic telehealth visits as well until we work to determine a separate code for telephonic telehealth. This reimbursement is applicable to FFS providers, telehealth/telephone visits conducted by capitated providers would be considered part of cap (as an office visit). Please use for encounter purposes.

All existing prior authorization requirements and guidelines remain in place for services rendered via telehealth with the exception of treatment of COVID-19. No authorization is required for treatment of COVID-19. Please use the following codes when billing for treatment of COVID-19: 

DX - U07.1

HCPCS - U0001, U0002 

Thank you as always for your dedication and work in slowing down the spread of this virus. If you should have any questions please reach out to your provider relations representative or email providerservices@rcmg.com.



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