Federally Qualified Health Centers (FQHCs) provide a wide range of services including behavioral health care, psychiatric consultation, and qualified visits at the site of an accident. There are special rules designated by the Centers for Medicare & Medicaid Services (CMS) for facilities designated as FQHCs. All of this makes the coding required for FQHCs an intricate and tedious process because they offer so many different kinds of services.
Qualified FQHC visits happen not only at approved facilities but also at the patient's home, a certified nursing facility, or the scene of an accident. The coding for any of these situations must carefully document the medical necessity and site. Medical coders and billers must be conversant in these additional specializations and the CMS expectations for every sort of visit.
That's where our medical billing company becomes handy. Our billers and coders are highly adept in all the skills required to perform medical billing for FQHCs. Our innovative approach ensures maximum revenue by picking up the billing cycle when the patient first makes a claim and streamlining the whole process until the claim is paid.
Salient Features of Our FQHC Billing Services
Experienced Billers and Coders
We have certified billers experienced in FQHC billing, and our services are customizable so you benefit from what you need and nothing more.
Insurance Verification
We perform a patient eligibility check to verify insurance validity and ensure compliance with the insurer's prerequisites.
Credential Evaluation
Our credentialing services keep track of the paper trail and a detailed record of all digital documents, so there is no loss of critical information.
Management of Aging Claims
We handle current claims efficiently and reopen denied and aging claims up to a year old. We keep records and send regular statements for each claim.
Denial Management
Our professionals find the reason behind claim denials, make appropriate changes, and resubmit for acceptance.
Why Choose Our Services
Affordable Pricing
We provide flexible pricing so clients pay only for the services they opt for.
Data Security
We employ extreme measures to keep all patient and client data completely safe.
High Compliance Standards
All our services are compliant with HIPAA international standards.
Dedicated Project Manager
We assign a single point of contact for all your queries so you never face confusion.