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Under our proposal, RHCs and FQHCs would continue to be required to provide primary care services to their patient populations, but CMS would no longer determine or enforce the standard of RHCs being primarily engaged in furnishing primary care services and would no longer consider the total hours of an RHC's operation and whether a majority, that is, more than 50 percent, of those hours involve primary care services through the survey process

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thus, payment processing will differentiate based on unique needs down the line, as well as international tax calculations via QuickBooks integrations [4]