Wiki FQHC Rules

[RICHELLEDEB]

I am trying to help out a friend with some audits. However, I have never audited for a FQHC. Where is the best place to see all the rules for what they can and cannot charge?

Thank you

 

[hperry10]

You should take a look at CMS guidelines for FQHCs and the Medicaid guidelines in your state for FQHCS.

https://www.cms.gov/Center/Provider-Type/Federally-Qualified-Health-Centers-FQHC-Center

I worked as a coder at an FQHC until recently. We referred to this CMS page frequently.

 

[meghanduggan]

You want to check out HRSA rules also. https://www.hrsa.gov/opa/eligibility-and-registration/health-centers/fqhc/index.html