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Specialized FQHC Medical Billing Solutions
< 30
Days in AR
10-15%
Revenue Increase
97%
First Pass Ratio
96%
Collection Ratios
98%
Clean Claims Rate
FQHC Billing Services We Offer
While you bridge health disparities, we address the gap in your billing practices! Federally Qualified Health Centers (FQHCs) are critical in the healthcare system, serving the underserved. Unfortunately, due to their distinct scope and operations, they are also plagued by unique billing complexities.
If you are associated with an FQHC and looking for someone to take over your billing operations, look no further! At MediBillMD, we understand that your billing challenges are of a different caliber. Therefore, we customize our FQHC billing services to reduce your accounts receivable (AR) days to less than 30. With a proven track record and years of experience, our team effectively reviews coding processes, files accurate claims, monitors collections and manages your denials. Besides end-to-end FQHC RCM services, we also specialize in medical credentialing.
Common FQHC Billing & RCM Challenges
Are you making more billing mistakes due to high patient volumes? Or are you failing to meet patients’ demands due to delays in provider credentialing? Every healthcare organization faces billing problems. However, the billing botches are at a whole new level for people running an FQHC or a Rural Health Clinic (RHC).
From a complex payer mix to managing sliding fee scales, you have to satisfy each insurer while maintaining affordability for all patients. Credentialing issues create further disruptions in your FQHC medical billing process. While one-time issues are not problematic, recurring billing issues can affect your reputation. Understand common billing complications to prevent disruptions in your cash flow.
Multiple Payers Management
Due to high patient volumes, FQHCs deal with multiple insurance payers, including Medicare, Medicaid, and private insurers. As a result, they spend more money on hiring experienced billing staff who can differentiate and follow varying guidelines and reimbursement rates.
Sliding Fee Scale Adjustments
A sliding fee scale creates more complications. FQHCs are required to adjust the cost of their services based on their patients’ financial condition. Hence, they have to apply varying discounts according to different levels of individual income. This includes income verification and manual adjustments, which lead to basic mistakes.
Credentialing Delays & Challenges
Credentialing is a time-consuming and frustrating process for many FQHC leaders. It takes several months for new providers to get credentialed. These credentialing or re-credentialing delays affect the FQHC RCM and billing workflow, disrupting reimbursements and resulting in claim denials.
Limited Resources
FQHCs and RHCs primarily depend on funding and donations to maintain their operations. They operate with limited resources most of the time, which means they lack competent staff to file accurate claims. This leads to an increased risk of billing errors, delayed claim submissions, and high claim denials.
Benefits of Outsourcing FQHC Billing
Are billing complications taking too much of your time? Provide equitable care by outsourcing your FQHC RCM and billing to MediBillMD! Satisfying every payer, including Medicare and Medicaid, and managing sliding fee scales along with high patient volumes can be quite overwhelming with limited resources. That’s why outsourcing is the best option!
At MediBillMD, we manage complex billing regulations and ensure compliance with diverse insurance plans. Our team has the specialized FQHC billing and coding knowledge to maximize your reimbursements. With MediBillMD, you can secure the financial stability you need to focus on your primary mission—providing quality care in underserved rural and urban communities.
Serve the underserved without worrying about billing complications! At MediBillMD, we share your goal of equitable healthcare. Our seasoned team of professionals combines the latest technology with their experience to tackle your issues. We minimize coding and billing errors and facilitate quicker claim processing and collections.
Adhere to data security, fair billing, and other regulations to avoid legal audits! At MediBillMD, we help you remain compliant with federal and state laws, including HIPAA and the Uniform Data System (UDS). Our team, with its in-depth knowledge of FQHC billing requirements, stays ahead of all the changes.
Maintain financial stability while providing quality care to low-income patients! At MediBillMD, we help you stay within your limited budget. Our billing solutions are significantly cheaper than your in-house billing team's monthly salaries. We reduce your administrative costs so you can provide better care to underserved communities.
Receive tailored assistance anytime, any day! At MediBillMD, we offer personalized solutions, including medical credentialing, to address your unique challenges. Our dedicated team works round-the-clock to address staffing shortages in your practice and handles every billing task efficiently so you can focus on other critical operations.
Focus on improving quality care access instead of billing! At MediBillMD, we eliminate barriers between healthcare providers and insurance payers across all 50 states. From rural clinics in Missouri to underserved community health centers in California, we use our nationwide FQHC billing and coding expertise to reduce claim denials. Contact us for personalized FQHC billing solutions.
Overcome FQHC Billing & Coding Challenges with MediBillMD
How much revenue have you lost due to credentialing or reimbursement delays? FQHC billing challenges can be a nightmare, but you can overcome anything with MediBillMD. From sliding fee scales and complex payer requirements to federal regulations and high denial rates, our tailored FQHC billing and coding services efficiently address all the issues. Here is how we improve your center’s overall financial and operational performance.
| Common FQHC Billing Challenges | MediBillMD Solution | |
|---|---|---|
| Managing Diverse Insurance Plans and Requirements (e.g., difficulty in complying with different rules of Medicare, Medicaid, and private insurance companies) |
We keep an eye on every insurer’s requirements. Our team reduces claim denials by filing accurate claims according to payer-specific guidelines. | |
| Credentialing Issues (e.g., incomplete or outdated provider information causing credentialing delays and stalling reimbursements) |
We efficiently manage provider credentialing to help you avoid potential delays. | |
| Delayed Claim Submissions Due to High Patient Volume | We handle high patient volumes through automation. Our team streamlines repetitive tasks like data entry, claim scrubbing, and payment posting to speed up your claims filing. | |
| Limited Resources (e.g., lack of skilled billing staff due to limited budget resulting in common billing mistakes) |
We offer cost-effective, end-to-end billing solutions. Our team handles all aspects of your billing process, from coding to denial management. | |
Lowest Prices Guaranteed
Tired of low-quality billing services due to budget constraints? At MediBillMD, we guarantee the highest level of billing efficiency at some of the lowest industry rates. Contact us for our premium FQHC billing services
Get in Touch with Our
FQHC Billing Expert
Are time-consuming credentialing processes and complicated federal regulations keeping you from receiving timely reimbursements? Let us find a solution together! Contact our FQHC billing specialist to book a free consultation and discuss your problems.
FAQs
MediBillMD employs a team of certified professional coders and skilled billers with years of experience in FQHC medical billing. They work round the clock to offer tailored solutions based on each client’s unique needs. End-to-end FQHC billing services ensure that every step of the revenue cycle is considered and streamlined to accelerate financial success.
You can take full advantage of MediBillMD’s specialized FQHC billing and coding services for only a fraction of your total monthly reimbursements. Also, our suite of FQHC RCM services is contract-free.
Coding and charge capture are the most challenging aspects of FQHC medical billing. From routine care to complex surgeries and behavioral healthcare, a range of medical services are rendered at federally qualified health centers. This makes it increasingly difficult to report accurate codes for claims creation and charge entry, especially when the coding systems are revised on an annual or quarterly basis.
