Fqhc Billing Services

Federally Qualified Health Centers (FQHCs) provide a wide range of services and employ a variety of medical professionals, which means medical billing can be especially complex. Coding must be done exactly as specified by the Centers for Medicare & Medicaid Services (CMS) special rules for facilities designated as FQHCs, so it has proven beneficial to outsource coding and billing to professionals who specialize in revenue cycle management (RCM).

Medicare codes can be very complicated, and because FQHCs offer so many different kinds of services, it is difficult for medical staff to be aware of all the correct codes. The sure ways solutions provides coders and billers who are not only certified, but also have experience providing FQHC billing services. Every employee is also trained on HIPAA best practices to ensure that patient information is handled securely.

If a patient has more than one visit with an FQHC practitioner in the same day, they must be billed as one visit, with the exception of the visits being a qualified mental health visit and a medical visit on the same day or if the second visit requires a separate diagnosis, such as being seen once for an illness and returning later that day with an injury. Billers must be attentive to what each visit was for and make sure not to submit separate bills if neither exception applies.

Qualified FQHC visits not only take place at approved facilities, but may be at the patient’s residence, a Skilled Nursing Facility (if covered by Medicare Part A) or even the scene of an accident. The coding for any of these situations must carefully document the medical necessity and location.

The sure ways solutions is an industry leader and trusted name in medical accounts receivable collections because we know how to get results. Our mastery of complex medical coding and AR management services sets us apart. But it’s our breadth of knowledge that allows us to shine. Our medical billing company successfully serves healthcare facilities of all types and sizes, and we specialize in medical billing for physicians, laboratories, radiology & imaging centers, and hospitals. We know it’s difficult to remain entirely focused on patient care when you’re worried about your bottom line. If you’re spending valuable time and energy trying to diagnose finances, then perhaps it’s time to enlist the aid of a professional medical billing company like The sure ways solutions.