FQHC (Federally Qualified Healthcare Centers) serves as a backbone for many underserved populations. These centers receive the funds and serve the underserved communities. FQHC billing services are different from other medical billing services. FQHC provides a comprehensive suite of services from managing mental disorders to behavioral problems. However, managing the FQHC billing process can be challenging when delayed claims and reimbursements happen. Here A Medi Solution comes as your savior and offers FQHC billing services to stream the operations and optimize your revenue management cycle. Let’s go through some challenges and how we can provide you with the best solution in the town.
Challenges in the Coding Mechanisms
Coding rules for the FQHC differ from the traditional regulations set for the other billing services and healthcare centers. It includes the services because of the series of services from general medical care to treating complex mental disorders. It is important to understand why coding issues arise as patients receive bundles of services in just one visit, how is it possible for the FQHC to manage the coding process? At A Medi Solution, our experts have extensive knowledge about bundled services (to process them under a single code) and which services need to be coded separately (like mental health issues).
Similarly, FQHC has to deal with multiple providers for delivering different services. Complexity of different coding for different providers?? Our team will handle your complexities and worries of the coding process from bundled services to multiple providers (social health workers, doctors, lab consultants, and mental health experts). With each complexity, we have the best solution for you; FQHC billing services. Your Financial Healing Starts Right Here!
Handling Multiple Payers
Commercial Payers
Medicare and Medicaid Payers
HIPAA Compliance in the FQHC Billing Process
Our services are designed in a way to follow HIPAA standards under the supervision of an experienced team. It includes strict rules for protecting the information of the patient (under privacy and security rules). Our team knows how to handle unauthorized access, cyber threats and provide secure encryption to the patients but to healthcare centers as well. Following HIPAA compliance allows many healthcare centers to remain safe from any legal penalties which builds the trust of patients and develop a secure environment. In FHQC billing services, we ensure that every step of the process follows HIPAA compliance because the safety of your patient is our top priority!!
Challenges in Sliding Fee Process
Under a specific fee scale, continuing the billing process for the FQHC is a task that comes with immediate actions and quick handling which is not possible every time. A Medi Solution provides you hectic free solution with an accurate assessment of the patient’s financial situation and implementing the sliding fee discount correctly in the billing process. We adjust the patient’s income information using automated software. Our team ensures that the sliding fee is applied correctly for maximum reimbursement without any loss and delays. Turning Underpayment into Maximum Reimbursements with our Balanced Billing Approach!
On- Location Appointments
FQHC provides off-site visits services to the patients as well not limiting the medical care access within the healthcare center only. They are authorized to deliver services in the patient’s place or at the place of the accident. Every case and facility come with different types of coding mechanisms. We ensure accurate documentation (with coding for exact location, medical emergency, and services provided). Coding and billing requirements change with every location and state. Our FQH billing services meet state-specific rules uncovering another coat of complexity to streamline your billing process
