According to the Health Resources & Services Administration (HRSA), Federally Qualified Health Centers (FQHCs) are, “community-based health care providers that receive funds from the HRSA Health Center Program to provide primary care services in underserved areas. FQHCs must meet a stringent set of requirements, including providing care on a sliding fee scale based on ability to pay and operating under a governing board that includes patients.” As an FQHC organization that needs to comply with HRSA rules, our Billing company can help you to get the maximum reimbursement of all you patients claims so you only need to take the best care of your patients and we will get your reimbursement fast following States and Federal rules.

FQHC billing and reimbursement continue to be a challenge, especially as reimbursement models for these vital entities have changed in recent years. This makes finding the right company to do your FQHC billing services all the more important. In the FQHC world, services are rarely fully compensated—and efforts to strengthen revenue can instead just end up driving increased costs.

FQHC billing is unique because Federally Qualified Health Centers (FQHCs) are unique. These entities operate under a different model and mission, providing high-quality care to the nation’s economically disadvantaged and uninsured populations. Stepping up to serve those in need—opening their doors to those with nowhere else to turn.

Our Medical billing/ revenue cycle services focus on FQHCs to be sure you are not leaving money on the table, money your FQHC deserves. We have many years of experience, we know FQHC medical billing and coding. We are well versed in sliding scale, cost-based Medicaid reimbursement, school-based health centers, dental claims, substance abuse/detox billing, UGS/NGS Medicare and other FQHC-centric specialties. Our medical billing/ revenue cycle services are designed with only FQHCs in mind. Our goal is to remove the burden of medical billing so our FQHC clients can enjoy a healthy bottom line that leads to growth and expansion of patient services.

Our team of experts looks to improve every part of your revenue cycle. We look for the root of denied claims and work to improve all departments including the front desk/ eligibility, provider medical coding, and medical billing software optimization. By going beyond the medical billing department, we are able to identify the source of cash leaks at your FQHC and then work with your team to stop them at the source.

With the rise of value-based care and quality payment models, medical coding is becoming an even more important part of the FQHC billing guidelines. While providers must enter the medical billing codes themselves, our revenue cycle/ medical billing, our team stays up to date on medical coding rules and guidelines so that you don’t have to. We continually monitor claims for denials and compliance issues stemming from medical coding issues. If your providers and/ or staff needs guidance, our Billing company enjoy unlimited custom medical coding training for your providers to get them up to speed. The training can be presented face-to-face, or we can create an online FQHC medical coding webinar for your team via WebEx or other online platform. Continually watching for medical coding errors allows us to stop medical coding related denials and help you increase your revenue.