fqhc

  1. M

    Question TRIBAL FQHC

    I work for a Tribal FQHC and have some questions regarding procedures not associated with a G code under FQHC guidelines. It has been our directive to split out the procedure codes (for example I&D, wart removal, etc) and submit those to Medicare B. However, when I am researching FQHC...
  2. K

    Question Pharmacist Options - CHC

    I work for an FQHC/CHC and they are trying to catch missed revenue. I know a Pharmacist only encounter is 99211 (nonbillable in our setting). However, if they implement a process where the Pharmacist initiates the visit like a RN would and then leaves the MDM to the provider for completion...
  3. F

    Annual Wellness visits at FQHC and RNs

    Can RN's perform a majority or part of the AWV as long as the provider approves of the screening and education pieces, and also sees the patient? Any advice on how to implement Annual Wellness Visits in our practice without requiring an hour of the provider's time?
  4. J

    billing for delivery DR didn't attend?

    I am at an FQHC Indian Health Facility for general family practice. One of my new providers who will be providing OB care is wanting me to bill for a delivery that she was not present for. I have never done OB coding or billing before but it seems wrong to me. Apparently she is part of a group...
  5. J

    Medicare Annual Wellness Visit and additional Well Woman Exam

    Hello, fellow coders: One of my providers performed an AWV and a separate well woman exam on two different dates of service. Since both were preventive, triggering use of G0468 (we're an FQHC), Medicare paid the first well woman visit, but denied the AWV. My billing manager wants the...
  6. E

    FQHC Seminar

    I am new to FQHC billing and am looking for a basic seminar/training that will walk me through the process and set up for billing purposes. Links would be helpful... Thanks!!
  7. Y

    FQHC Dual encounters, what constitutes "significant additional work"

    When working pediatric notes, as an FQHC we are allowed to bill for a dual visit "whenever a problem or abnormality (i.e., exercise-induced asthma, migraine headaches, otitis media, prescription management) is addressed and requires significant additional work to perform the required key...
  8. L

    help with coverage for 11055/11056/11057 for straight Medicare

    Hello all, I'm still new to Podiatry billing. I work at a FQHC. For pts without a systemic disease, will the M codes for pain in foot/toes, or difficulty walking (R26.2) assist with straight Medicare coverage if these dx are appropriate? Laura
  9. D

    FQHC Billing and Clia waived testing.

    Can anyone tell me if they are billing CLIA waived tests at their health centers? I know they are included in the "encounter rate" for Medicare and will go on the cost report to recoup our costs. However for all other insurances are you/can you bill the limited CLIA waived tests using the QW...
  10. W

    FQHC billing/services question

    Hello- I am writing from a clinic that is about to merge with a FQHC look alike. We will begin billing under the FQHC look alike's status and will receive the PPS rate for eligibile visits. Probably not necessary to say, but I have questions around what this looks like from a billing &...
  11. F

    * CNM Prolonged Services *

    I work at a FQHC organization and we have a CNM who spends prolonged hours with a patient. She is in attendance at all times, but does not deliver, only monitoring. My question is as an FQHC, are we allowed to charge for prolonged services because she does not get reimbursement for the delivery...
  12. T

    Billing 96152

    We are an FQHC in Arizona. We have an LCSW. We need to bill 9615x codes but keep getting denied saying a modifier is missing. Example: T1015 FQHC Visit 96152 Health and Behavioral intervention, each 15 minutes, face-to-face, individual Anyone know what modifier we would use? Thanks, Theresa...
  13. M

    FQHC Billing

    Can anyone provide me with an overview of billing for a FQHC.
  14. T

    FQHC - Anitcoagulation Management 99363-99364

    Is an FQHC facility allowed to bill the anticoagulation management codes 99363 and 99364? If yes do you bill Medicare B?
  15. C

    Medicare case/care management

    Hello! We have case/care managers at our office that use the G9001 and G9002 for Coordinated care fee, initial rate, and coordinated care fee maintenance rate. With Medicare, they do not accept these codes, and do not pay anything on them. I am wondering if there is a different way to bill these...
  16. C

    Medicare case/care management

    Hello! We have case/care managers at our office that use the G9001 and G9002 for Coordinated care fee, initial rate, and coordinated care fee maintenance rate. With Medicare, they do not accept these codes, and do not pay anything on them. I am wondering if there is a different way to bill these...
  17. L

    Experienced Medical Biller Position in Spokane Area!

    Community Link Consulting is hiring an experienced Medical biller, certified professional coder (CPC) a plus! CLC specializes in providing quality, professional services to address the complex needs of Federally Qualified Health Centers (FQHC). CLC is seeking reliable, professional individuals...
  18. R

    FQHC BILLER NEEDED IN Pennsylvania

    Fisher Consulting Group/MEDCLAIM is seeking a BILLER with Coding knowledge to work an average of 30+ hours FROM HOME. VERY few hours will be required for onsite. We are seeking someone with Pennsylvania Medicaid and Medicare Billing knowledge. SuccessEHS and/or FQHC billing knowledge a huge...
  19. R

    Remote BILLER needed in Philadelphia, PA Area

    Fisher Consulting Group/MEDCLAIM is seeking a BILLER with Coding knowledge to work an average of 30+ hours FROM HOME. VERY few hours will be required for onsite. We are seeking someone with Pennsylvania Medicaid and Medicare Billing knowledge. SuccessEHS and/or FQHC billing knowledge a huge...
  20. D

    Coding for Hospice patient when provider is not the Hospice provider

    We had a patient come in to our office that is a Hospice patient in another location. He was seen for several problems unrelated to his hospice diagnosis. The provider also mentioned his terminal diagnosis in the progress note. Can I bill this with a condition code 07? For treatment of...
  21. C

    FQHC new billing rules

    Has anyone billed 2011 services with a clinic rate and gotten paid? Am curious on your take on the new rules.
Top