Service List

FQHCs can participate in the WRAP Supplemental Payment Program which is approved by CMS. Wrap billing will involve an MCO as primary and Medicaid will be secondary. ZX Healthcare Solutions billing staff handling FQHC billing have experience in submitting claims to secondary Medicaid electronically using Practice Management systems that have the “Wrap plug-in” or can also submit claims online on Medicaid’s website. Wrap payments are faster and can help increase the collections for the Practice.

The most commonly used Modifiers in FQHC Billing are FP, AJ & EP. EP modifier is for the FQHC billing services provided for the Medicaid EPSDT Program (Early and Periodic Screening, Diagnostic, and Treatment Program), AJ is used for the Clinical Social workers who rendered the services and FP is used for the Family Planning services.

Clients who partner with ZX Healthcare Solutions for FQHC billing services enjoy a reduced operational cost of over 45%. ZX Healthcare Solutions has developed an internal workflow management tool to handle FQHC billing services which aids in getting the unpaid claims touched duly and thus facilitating incremental revenue.

ZX Healthcare Solutions also presents a business review deck to its customers monthly on FQHC billing which highlights the varied trends that happen with the payers. Our business analytics will also showcase the roadblocks that impact the revenue flow and thus with the support we receive from our clients we provide a seamless delivery and our clients enjoy the cost efficiency.

Key Features of Our FQHC Billing Services:

1. Expertise in FQHC Billing: With years of experience in the healthcare billing industry, our team specializes in FQHC billing processes, including handling secondary Medicaid billing efficiently.

2. Comprehensive Solutions: Our FQHC billing services cover a wide range of tasks, from initial claim submission to follow-up on unpaid claims, including secondary Medicaid claims, ensuring thorough and effective billing processes.

3. Regulatory Compliance: We stay up-to-date with the latest regulations and guidelines governing FQHC billing and Medicaid billing, ensuring compliance and minimizing the risk of claim denials.

4. Maximizing Reimbursements: By efficiently handling secondary Medicaid billing within our FQHC billing solutions, we help our clients maximize reimbursements and optimize their revenue streams.

5. Personalized Support: Our dedicated team provides personalized support to each client, offering tailored solutions and guidance to address their specific needs and challenges.