Expert Billing Solutions for Safety-Net Providers At Mark Med Center, we understand the complexities of billing for Federally Qualified Health Centers (FQHCs). With diverse patient populations, complex billing codes, and strict regulations to navigate, billing for FQHCs can be overwhelming. Our FQHC billing services ensure accurate claims, reduce denials, and can boost your revenue by up to 30%. Let us take care of the billing challenges so you can focus on providing essential care to your community.
Why Should You Outsource FQHC Billing?
Efficient Solutions for Complex Billing Needs FQHCs provide a wide range of services, often involving multiple types of healthcare professionals, making billing especially complex. Coding must follow the specific rules set by the Centers for Medicare & Medicaid Services (CMS) for FQHCs. Outsourcing your coding and billing to professionals who specialize in medical billing and revenue cycle management (RCM) is a proven solution to ensure accuracy and compliance. At Mark Med Center, our system has been perfected over a decade of practice. We guarantee our services will increase your revenue. We “scrub” claims for errors before submission, submit them per each payer’s requirements, and track claims until payment is received. We follow up on denials at no additional cost, ensuring no claim is overlooked.
Experienced and HIPAA Compliant
Certified Billers You Can Trust FQHCs offer a wide variety of services, making it difficult for in-house medical staff to stay updated on the latest coding requirements. Medicare codes, in particular, can be complicated. At Mark Med Center, we provide certified and experienced coders and billers who specialize in FQHC billing services. Every staff member is also trained in HIPAA best practices to ensure patient data is handled securely and your organization remains compliant with privacy regulations.
The Challenges of Medical Billing for FQHCs
Why FQHC Billing Is So Complex The complexity of billing for FQHCs stems from the wide range of services provided to a diverse patient population. Here are a few reasons why FQHC billing is particularly challenging:
Per-Diem Payments When a patient visits an FQHC practitioner more than once on the same day, only one visit should be billed unless it involves a separate diagnosis or a qualified mental health visit. Our billers are trained to ensure that they follow these specific requirements, preventing errors and denied claims.
Off-Site Visits FQHC visits can take place outside the facility, such as at a patient’s residence or a Skilled Nursing Facility. These visits must be properly documented, and the billing must reflect the medical necessity and location. Mark Med Center’s software and training system ensure that our billers stay updated on these specific rules, which may vary from state to state.
Mental Health and Substance Abuse Coverage In addition to medical care, FQHCs often provide behavioral health and psychiatric services. Billing for these services requires familiarity with CMS’s specific expectations for each type of visit. Our expert coders and billers ensure that all visits are accurately documented and billed according to CMS guidelines.
Mark Med Center Increases Payer Reimbursement and Assures Smooth RCM
Maximizing Your Revenue Cycle Our proprietary software ensures that all FQHC coding is up-to-date and accurate, reducing the risk of denials. The software streamlines the entire process from patient scheduling to payment collection. In addition to expert billing services, Mark Med Center offers a full suite of revenue cycle management (RCM) services. We handle payer credentialing, compliance reviews, coverage verification, and annual payer adjustments to keep your practice running smoothly and efficiently.
Revenue Cycle Management from Start to Finish
Comprehensive Support for Your FQHC Our comprehensive approach to FQHC billing and RCM means we are with you at every step. From claim submission to payer follow-up and patient collections, we manage the full revenue cycle. Our services increase revenue while reducing stress for your team. With Mark Med Center handling your billing, you can focus on delivering exceptional care to your patients without worrying about administrative burdens.
Contact Us for a Free Demo
See How We Can Help Your FQHC Succeed At Mark Med Center, we specialize in billing for FQHCs and are dedicated to increasing your revenue and reducing your stress. Contact us today to get a free demo and discover how our services can streamline your billing process and boost your financial performance.
