For close to fifty years now, Federally Qualified Health Centers (FQHCs) have been providing health care services in the United States. In 2012 alone, FQHCs, formerly known as Neighborhood Health Centers, treated close to twenty-two million patients. An average FQHC has an independent board of directors and is a non-profit making organization. Here is a review of the top three FQHC billing consultants in the U.S.
1. Practice Management
With a proven track record in revenue maximization, there is no doubt that Practice Management is a reputable FQHC billing company. The organization provides the much-needed resources and experience to ameliorate FQHC billing systems. They provide a wide range of services, but their specialty is in FQHC billing consulting services.
Practice Management has a team of talented individuals with great billing software capabilities, and they are readily available to be consulted on various topics. The typical topics that these individuals can offer advice on include software usage, coding, financial procedures and policies, and front office procedures.
Being one of the renowned medical companies, Practice Management promotes both ethical and legal business practices within the organization. A decision to work with this company will see you lower overheads, make payments faster, receive higher revenues, and above all, derive satisfaction.
Just as their name implies, this medical billing consulting company exists to provide solutions. Visualizations is a well-established company with a sole aim of assisting health centers train and prepare for billing collections. Provided they have some few details of the interested parties, the FQHC billing consultants of visualizations can assist in coordinating training to the system. Here are some of the services that this company offers:
Gone are the days when one had to log on to multiple systems so as to gain access to the required information. Thanks to VisAnalytics, an application developed by Visualutions. This application makes it possible for you to benefit from the functionality that your native application has to offer.
Revenue Cycle Management
For those who would like to outsource the entire cycle management, Visualutions has you covered. Their staff is experienced in a wide range of billing areas such as dental, provider-based billing, behavioral health, medical, managed care, and much more.
Community Health Care Solutions
Visualutions provides services to over 35,000 users and 7000 providers across two U.S territories and forty-six states. From basic consulting services to optimize FQHC billing practices to more extensive service programs, the company offers a wealth of solutions.
Cloud & IT Services
Visualutions has been providing cloud hosted services for more than thirteen years. They have narrowed down on providing applications that empower medical offices and businesses to succeed.
3. Synergy Billing
Synergy Billing is an FQHC billing company with good track record of collection rates and helping FQHCs overcome financial challenges. At times, FQHC billing process gets complicated, making it hard for community health centers to prosper. This is where Synergy Billing comes in handy. They believe that there are efficient ways to collect dollars for a health center. Therefore, this FQHC billing company offers their experience to help community health centers increase their billing revenue. Here are some of the perks and programs that this company provides:
- Retirement plan
- Employee council
- Incentive program
- Synergy leadership academy
For many years, FQHCs have been the linchpin of health care provider system. The above are the top billing consultants that you should consider hiring their services.
As a homeowner or a potential homeowner, choosing the right mortgage loan is perhaps one of the most (if not the most important) things that you can do for your financial well being. There are many banks and financial institutions that offer mortgage loans, but as a homeowner, you should always look for mortgages that offer the best terms and the lowest rates.
Finding and choosing a home mortgage loan lender that can offer you a low interest home loan might seem easy thing to do. But if you do not know how to go about it, then things can be very challenging for you. However, with the following five tips in mind you should be able to find low-interest mortgage loans.
1. Compare Mortgage Loan Rates
Before settling on any mortgage plan, you should shop around and see what different companies have to offer. Talk to different lenders and see which of their mortgage loans you can qualify for. When comparing rates, you should look at all the fees that the lender will charge on the mortgage so that you can have a clear picture of the rate that you will pay if you settle for them. Rate comparison helps you to decide the institution that offers you the cheapest mortgage plan that you qualify for.
2. Assess & Perfect Your Credit Score
A mortgage loan is similar to a conventional loan in many aspects, and so your credit score will have a great impact on the interest rate that you get on your mortgage. If you have a good credit score, then you are more likely to get a low-interest rate. Before going out to shop for a mortgage loan, you should first polish your credit score. There are many ways to polish your credit score but if you do not know how to go about it would be a good idea to consult an expert.
3. Use Local Mortgage Loan Lenders/Banks
Most financial experts will always advise you to stick with a local bank and other local financial services to get the best rates. Lending to local customers is less risky than lending to non-locals because they are easier to monitor. Due to this reduced risk banks will often give local borrowers a lower interest and in some cases there are special offers for locals. Besides from the low-interest rate, it is also very convenient and easy for you to work with a local bank in Peoria, IL.
4. Pay a High Down Payment On Your Mortgage
If you beef up your down payment, you will be able to get a lower interest rate on your mortgage. It is very challenging and painful to save enough for a big down payment but if you persevere and do it then you will enjoy the advantages of reduced interest rates. A big down payment will also save you the cost of mortgage insurance as many lenders will require insurance if you pay a subtle down payment.
5. Be Honest & Tell The Truth
Mortgage loan lenders do not want you to default because they have much to lose, and so they will only qualify you for a loan that you can afford to pay comfortably. Tell the truth about your earnings so that you only get mortgage payments that you can afford. If you falsify information about your earnings to qualify for bigger mortgage loans, you will also end up paying high-interest rates that are beyond your financial capabilities.
Federally Qualified Health Centers (FQHCs) provide health care for under-privileged individuals within a specific community. For this reason, FQHCs often struggle with patient billing processes and getting timely payments for their health and medical services.
Below we share some information, resources, and FAQs to help these unique health centers optimized FQHC billing and coding practices for maximized revenue.
First, what defines an FQHC?
A Federally Qualified Health Center (FQHC) is a health facility which is defined by any of the following elements.
- FQHCs receive grants under Title 42, Chapter 6A, Subchapter II, Part D, subpart i, section 254b of the U.S. Code (Formerly known as Section 330 of the Public Health Services).
- A tribe or tribal organization operating outpatient health programs or facilities under the Indian Self-Determination Act that elects to be designated as an FQHC (Please see the program overview in the Tribal Health Program Provider Guide for more information.)
- FQHCs receive grants referenced above based on the recommendation of the Health Resources and Service Administration within the Public Health Service, as determined by the secretary, to meet the requirements for receiving such a grant.
What special rules are there for FQHC billing?
Unlike other forms of medical billing, FQHC billing often includes special rules, including some of the following.
- All related services performed on the same day by the same clinician or by the same provider specialty must be billed on the same claim. This includes any services performed during an encounter-eligible visit that are not encounter-eligible. For example, lab services performed at the same visit as evaluation and management.
- An encounter-eligible service must be billed with the T1015 procedure code.
- If reprocessing a denied service or a service that was not correctly included when the original claim was billed, the paid claim must be adjusted. If the original claim is not adjusted to add these services, the additional claim may be denied.
- If a non-encounter-eligible service is billed and paid prior to an encounter-eligible claim submission for the same date of service, adjust the paid claim and submit the services together to receive payment.
When billing the encounter code, bill $0.00. For services eligible for encounter payments, the system will automatically pay the difference between the FQHC encounter rate and the fee-for-service amount paid. For clients in programs eligible for encounter payments, the agency denies Evaluation and Management (E & M) codes when billed without a T1015. When billing for services that do not qualify for encounter payments, do not use an encounter code on the claim form.
How do I bill for orthodontic services performed in an FQHC?
When billing for orthodontic services, FQHCs are required to follow the same guidelines as non-FQHC providers. However, orthodontic codes that are considered “global” and therefore cover a specific length of time are billed at the end of the time indicated – except for the initial placement of the device, which is billed on the date of service.
Because FQHCs are reimbursed by an encounter payment, they are allowed to bill up to the maximum number of encounters. An FQHC may bill on the date of the appliance placement for 1 unit and up to a total of 4 units during the first 3 months of the appliance placement.
If a clinic chooses to bill in this manner instead of waiting the full 3 months, the latest paid claim must be adjusted each time, and another unit added to the line containing the T1015 code. If the claim is not adjusted, the claim will be denied as a duplicate billing.
How do I bill for more than one encounter per day?
This is common question that many FQHCs ask time and time again. Such ambiguities can be best avoided when working with experienced FQHC billers. Each individual provider is limited to one type of encounter per day for each patient, regardless of the services provided except in the following circumstances:
- The patient needs to be seen by different practitioners with different specialties.
- The patient needs to be seen multiple times due to unrelated diagnoses.
Each encounter must be billed on a separate claim form. This is a common mistake made during the FQHC billing process. On each claim, to indicate that it is a separate encounter, enter “unrelated diagnosis” and the time of both visits in field 19 on the CMS-1500 claim form, or in the Comments field when billing electronically. Documentation for all encounters must be kept in the client’s file.
How do I handle crossover claims in an FQHC setting?
FQHCs do not receive an encounter payment when billing a crossover claim. The payment methodology for these claims is spelled out in the ProviderOne Billing and Resource Guide. Note that FQHC crossover claims will not exceed the co-insurance amount. They do not follow the same methodology as other claims.
FQHCs are required to bill crossover claims in the UB04/837I claims format. If Managed Medicare or Medicare Part C require services to be billed on a CMS1500/837P and they are paid or the money is applied to the deductible, FQHCs must switch the claim information to the UB04/837I format or the claim will not process correctly. These crossover claims must be billed to the agency using the Type of Bill 77X and the FQHC taxonomy for the billing provider.