Effective FQHC Billing Solutions for Optimal Results
< 30
Days in AR
10-15%
Revenue Increase
97%
First Pass Ratio
96%
Collection Ratios
98%
Clean Claims Rate
Overview of
FQHC
Billing Services
Communities with limited resources can receive comprehensive primary healthcare via Federally Qualified Health Centers (FQHC). The centers provide a range of services and employ many medical professionals. The centers need specialized billing services to navigate the reimbursement challenges. Accurate billing keeps the FQHC financially viable by ensuring paybacks from Medicare, Medicaid, and other payers.
FQHC billing systems that prioritize accurate documentation and adherence to protocols are essential in helping these healthcare providers fulfill their objective of offering treatments to underserved communities. Our team of experts uses its knowledge and the latest technology to provide the best FQHC billing services. Billing professionals also ensure that the submission of claims is error-free. This, in turn, will increase profit and decrease accounts receivable (A/R).
Challenges Faced in FQHC Billing Solutions MD
Management of the revenue cycle in FQHC comes with a unique set of challenges. Some of the challenges faced during FQHC billing are:
Limited financial and manpower resources at FQHCs may lead to challenges in billing processes, affecting reimbursements.
FQHCs provide various services that have complex coding. The complexity and inaccurate coding may lead to rejected claims.
Staying up-to-date with evolving healthcare regulations can be a challenge affecting paybacks.
FQHCs serve the population that has limited access to healthcare and varying eligibility for insurance coverage. Verification of such patients and managing a sliding fee scale can be challenging and time-consuming.
Effective management of denials and claims submissions is essential for proper revenue cycle management.
FQHCs should keep a record of the services provided to patients. The records ensure that your center is getting proper reimbursements.
Outsource FQHC Billing Services
Outsourcing FQHC billing services comes with its pros. FQHC centers provide several services and also employ many workers. Hence, there is a chance that
the billing process might face hurdles. Third-party billing services come with the following benefits:
- Reduced Costs
- Proper Knowledge of Patient Eligibility
- Lesser Errors
- Improved Cash Flow
- Focus on Patient Care
- Compliance with Changing Guidelines
- Timely Claims Submission
- Data Accuracy
Get In Touch With Our
FQHC Billing Experts
FAQs
MediBill MD 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 MediBill MD’s specialized FQHC billing solutions for only a fraction of your total monthly reimbursements. We charge between 2% and 5% of your monthly collections for our FQHC billing services.
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.
