In Coding
Feb 5th, 2019
Compare coding and billing for FQHCs to that of provider- and facility-based organizations. Federally qualified health centers (FQHCs) account for less than 10 percent of designated organizations, but as coding professionals we should understand the differences between FQHCs and physician- or facility-based organizations. Note: Medicare, Medicaid, and commercial carriers do not all process FQHC cla...
Overcome billing challenges with processes that pave the way to a healthy revenue cycle. Federally qualified healthcare centers (FQHCs) are taking on a more prominent role in our healthcare system, providing primary care, as well as multi-specialty services including obstetrics/gynecology (OB-GYN), mental health, vision, and dental services. Because of the wide array of services provided ...
In Billing
Dec 3rd, 2014
HCPCS Level II codes G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination and Q0091 Screening Papanicolaou smear have been added to the list of preventive services paid by the Centers for Medicare & Medicaid Services (CMS), based on the All-Inclusive Rate (AIR) system for rural health clinics (RHCs) and federally qualified health ...
In Billing
May 2nd, 2014
A final rule that could increase payments for Federally Qualitfied Health Centers (FQHC) by as much as 32 percent was released April 29, 2014 by the Centers for Medicare & Medicaid Services (CMS). The rule establishes a Medicare Prospective Payment System (MPPS) for FQHCs. FQHCs provide access to medical services to millions of patients in ...
In CMS
Sep 30th, 2013
In a proposed rule released Sept. 18, the Centers for Medicare & Medicaid Services (CMS) recommends a new prospective payment system (PPS) for federally-qualified health centers (FQHCs). CMS estimates FQHCs will see an approximate 30 percent pay increase for Medicare Part B services paid under the new PPS, which the Affordable Care Act directs CMS to ...