We Will Take Care of the Complexity of Ever-Changing Codes
Federally Qualified Health Centers take on more responsibilities in serving underprivileged people. This distinct medical specialization necessitates more attention to collect reimbursements, as well as an all-inclusive strategy to optimize the payment system. asmedicalbilling focuses on revenue cycle management harmony and abides by the requirements that are necessary to maintain your business functioning properly.
asmedicalbilling Provides FQHC Billing Services
Because Federally Qualified Health Centers (FQHCs) offer a wide range of services and employ a large range of medical experts, medical billing can be particularly complex. Coding must be done exactly as stipulated by the Centers for Medicare & Medicaid Services (CMS) particular rules for hospitals designated as FQHCs, so outsourcing coding and billing to specialists that specialize in revenue cycle management has proven advantageous (RCM).
Trained on HIPAA Best Practices
Medicare codes can be highly intricate, and because FQHCs provide so many various types of treatments, it can be tough for medical staff to know all of the relevant codes. asmedicalbilling employs coders and billers who are not only qualified but have also provided FQHC billing services in the past. Every employee receives HIPAA best practices training to make sure that patient information is handled safely.
Medical Billing Challenges for FQHCs
Because an FQHC treats a variety of patients with varying requirements, coders and billers must be well-versed in a wide range of codes. These are just a lot of small reasons why billing for this type of medical practice can be so difficult:
Each Day Payments
If a patient has multiple visits with an FQHC practitioner on the same day, they must be billed as one visit, unless the visits are a qualified mental health visit and a medical visit on the same day, or if the second visit needs a different diagnosis. Billers must pay close attention to the purpose of each visit and avoid submitting several bills if neither exception applies.
Off-Site Visits
Qualified FQHC visits may take place not just at licensed facilities, but also at the patient's home, a Skilled Nursing Facility (if covered by Medicare Part A), or even the scene of an accident. The medical necessity and location must be thoroughly documented in the coding for any of these circumstances.
Coverage for Mental Health and Substance Abuse
FQHCs may also include behavioral health care management and psychiatric consultation in addition to medical appointments. Medical coders and billers must be aware of this extra expertise, as well as the CMS standards for each type of visit.
asmedicalbilling Boosts Payer Reimbursement and Ensures Smooth RCM
Our Software Ensures That Coders Have the Correct Codes
Our revolutionary approach to medical billing begins with our proprietary software, which ensures coders have the correct codes, as well as all the most recent updates. It begins the billing cycle when the patient schedules an appointment and continues to streamline the process until the claim is paid.
Submit Claims and Handle Rejections
We provide payer credentialing, compliance reviews, and annual payer adjustments and payback in addition to having a skilled staff of medical billers scrub and submit claims, then manage any rejections or denials.
Ready to Streamline Your FQHC Billing?
Get a free demo today and learn how asmedicalbilling keeps your FQHC's revenue cycle running smoothly and compliantly.