fqhc billing

  1. J

    Wiki Needle Clinic Documentation

    Hi, I am working at an FQHC and we have been providing services for needle clinic but a part of that is we have patients he being seen inside an office for 15 min inside our Medical building. To which we are not coding or documenting, not even NC modifier codes. To my understanding, we MUST...
  2. M

    Wiki FQHC Billing Several Scenarios - Medicare Primary and Medicaid Secondary

    Hello everyone. I am hoping that some of our experienced FQHC Billing folks can help me wrap my mind around some questions I have with FQHC Billing. I understand all the guidelines from Medicare and Medicaid independently. However, we have all heard that we shouldn't change coding between...
  3. HGILHAM

    Wiki G2211 FQHC Medicare

    Hello, any FQHC billers/coders getting paid on G2211 from Medicare? I am getting denials stating missing/incomplete/invalid revenue code, do you know what the correct revenue code would be? Would this be included in the PPS rate? I am looking for concrete resources, your help is greatly...
  4. R

    Wiki Iowa FQHC Midwives Billing

    Hello is there anyone who bills/codes for midwives in the hospital setting for an FQHC? I understand the global billing its when the patient has Medicaid, MCO, or is self-pay that I am unsure what all we can bill for. I know being an FQHC also changes things. If anyone does this type of billing...
  5. D

    Wiki FQHC - Depo Provera and E&M

    I am looking for clarification on billing for an Office Visit and Depo Provera injection on the same day. I know that you can bill the OV, drug and injection for a New Patient when all elements of the E&M are met or even for an Existing Patient when they are being seen for Birth Control...
  6. C

    Wiki Billing for Acupuncture Services rendered in an FQHC

    Can you bill Medicare Part A under the facility for acupuncture services rendered in an FQHC? If so, can you please provide me with your source? If not, do you have a different solution? See below for the question from my biller. I’m trying to get more information on billing acupuncture...
  7. M

    Wiki New to FQHC billing

    Our outpatient medical clinic recently became a FQHC. I have been tasked with figuring out what this means for our billing practices, but I have no idea where to begin because this is something I know nothing about. We have been using the CMS 1500 forms for years, but is there a specific form...
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