Service List

Handling FQHC medical billing requires thorough knowledge of how the payers Medicare and Medicaid process the claims for FQHC. The Health Maintenance Organizations (HMO) and Managed Care Organizations (MCO) also hold a greater percentage of the payer mix in FQHC billing. ZX Healthcare Solutions billing staff, who have more than 23 years, understand the billing and processing rules to submit claims in UB-04, ADA, and CMS 1500 forms to payers depending on the type of services offered. FQHC provides Medical, Dental, Behavioural health, Chronic care management and also offers counseling services. Though there are different types of FQHCs, ZX Healthcare Solutions majors in servicing clients in Community health centers.

In FQHC medical billing, the appropriate Medicare G code for E & M services and Medicaid’s T1015 usage is critical for obtaining revenue from these payers. The G codes are never billed to the secondary. Medicare is never a secondary payer for patients who receive care from FQHC. The Payers will pay the claim based on PPS rates (Prospective Payment System) that came into effect from Oct 2016. It is also good to note the reimbursement rates for Chronic care management and General behavioral health integration have increased from the year 2018. FQHCs need to submit cost reports to Medicare annually to ensure uninterrupted payments from them.

Are you seeking reliable and efficient medical billing solutions for your Federally Qualified Health Center (FQHC)? Look no further. Our FQHC Medical Billing Services are designed to meet the unique needs of FQHCs, ensuring smooth and accurate billing processes.

We understand the complexities of FQHC billing and the importance of maximizing reimbursements while maintaining compliance with regulations. Our dedicated team of billing experts specializes in FQHC billing practices, staying up-to-date with industry standards and regulations to ensure the highest level of accuracy and efficiency.

With our FQHC Medical Billing Services, you can expect:

1. Accurate Coding: Our team meticulously assigns the appropriate codes for services rendered, ensuring accurate billing submissions and minimizing the risk of claim denials.

2. Timely Submission: We prioritize timely submission of claims to expedite reimbursement processes, helping you maintain a healthy cash flow for your FQHC.

3. Compliance Assurance: We adhere to all regulatory requirements and guidelines governing FQHC billing, providing you with peace of mind and minimizing compliance risks.

4. Revenue Maximization: By optimizing billing processes and ensuring accurate reimbursement, we help you maximize revenue potential for your FQHC.

5. Personalized Support: Our team offers personalized support and guidance, addressing any questions or concerns you may have and providing tailored solutions to meet your specific needs.