Find FQHC BIlling Solutions with Practice Management

Practice Management ( is a professional medical billing company that offers a wide range of medical billing services and consulting solutions for various healthcare providers. From simple services like health center billing programs to complicated solutions for plastic surgeons and Federally Qualified Health Centers (FQHC) billing, Practice Management offers almost all billing services needed by physicians.practice management

Since mid 1990s, Practice Management has been helping physicians run their healthcare businesses more efficiently and effectively. The company aims to help the medical services providers obtain the highest returns in the most timely manner. Using a state-of-the-art technology, an aggressive revenue cycle management system and experienced medical billing specialists, the company ensures their customers enjoy lower overheads, faster payments, enhanced cash flow and improved patient satisfaction.

The Complexities of FQHC Billing

Practice Management is reputable for its FQHC billing services. In fact, these are some of the services that make the company the most sough-after in the US. This form of medical billing is a complicated one, but the company uses a highly-professional approach to develop specialized and reliable solutions for it.medical billing for FQHCs

The company also touches on the related medical billing services like CHC billing, FQHC-Look-Alike billing and coding, including medicare and commercial medical insurance, medicaid, dental claims and behavioral health.

The health center billing services are facilitated by experts who have specialized in almost all medical fields, including family practice, pediatrics, internal medicine, OB/GYN, dental, behavioral health and cardiology. In order to maintain the quality of the services, the company works with EMR Practice Management Systems like Nextgen, eClinicalWorks, GE Centricity and Allscripts.

Practice Management’s FQHC Billing Solutions

The company employs routine standard & customized reporting to facilitate this form of healthcare billing. It works with the physicians to determine the right reporting requirements for their businesses. This enables the company to design reports that meet the needs of the physicians, giving them a personalized billing experience.

The company carries out FQHC billing solutions as an on-going consultation task. Some areas that require consultation include: coding, front office procedures, software usage and financial policies & procedures. The revenue cycle management service is also performed in a consultation way, especially in software file setup, configuration & maintenance, analysis of accounts receivable and actual accounts receivable recovery.

In order to ensure their customers get paid, Practice Management performs effective credentialing for all medical services offered. This also saves time for physicians and increases security for their health centers.

The FQHC billing services are characterized by a high degree of legal compliance. The company conforms and adheres to all federal, state & local laws as well as statutes and regulations. This ensures they manage their customers’ billing processes in an ethical and legal way.

The company also uses software integration to facilitate the billing process. It performs the process via remote control to the physician software. For customers who are easily accessible, the company does appointment scheduling for their convenience.

Finally, Practice Management has a patient contact service system that greatly boosts the FQHC billing solutions. The system can be customized to meet customer needs. It comes with services such as patient statements, outbound calls, past due letters, toll free inquiry, web-based payment portal and the company’s patient service representatives.

Overcoming the Financial Challenges Faced by FQHCs

A federally qualified health center (or FQHC) is also commonly referred to as a community health center (or CHC). FQHCs are community-based, patient-directed providers of primary health care that receives grants under the Public Health Service Act, Section 330. An FQHC traditionally serves under-served areas, offering the residents a sliding fee scale while still providing comprehensive health services.FQHC

Maintaining healthy revenue streams for FQHCs is often complicated and challenging. It is imperative to implement effective policies and billing procedures when offering health services to disadvantaged people. This is because many such people may still be unable to pay for the health services even at the heavily discounted fees if they are not covered by insurance.

There may also be some delays when getting the grants and reimbursements from the federal authorities.Therefore various departments in FQHCs need to collaborate efficiently and effectively in order to maximize revenues. This means streamlining patient billing processes which will help lower costs without compromising the quality of patient care or reducing their satisfaction. Here are some strategies that can help FQHCs to optimize their revenue streams and overcome financial challenges.

1. Invest in a reputable medical billing software

Installing a well-designed health center billing software will make operations smoother and more professional. It will facilitate better doctor to patent communication using modern channels such as the internet. billing software

It should also allow for better collection and storage of all relevant patient information by the health staff. The information should include such details like insurance and even demographics immediately the patient visits the health center.

The modern practice requires such software to have ICD-10 so as to enable an expedited claim process and also cloud support.

Accuracy in recording information translates into a smooth and fast billing process. Examples of the best billing software for health centers include Office Practicum, NueMD, Benchmark Systems, Kareo and PrognoCIS.

2. Improve the patient records system

The FQHC staff should collect accurate information about the patients in digital form. This allows for easier access and effective billing. It is also essential to store such information in a data redundant center or even use secure cloud services to safeguard it.

In addition, all patient records need to be updated regularly even when the patients return to the health center. To ensure a streamlined billing process, all pertinent patient information should be available, including insurance, home address, telephone numbers and dates of birth.

3. Hire an FQHC medical billing consultant

Even after installing a high quality medical billing software, there is a need to hire a reputable medical billing professional who is experienced and knowledgeable about the entire billing cycle. FQHC medical billing consultants can help determine the best methods of sealing any billing loopholes after thoroughly researching and analyzing the unique challenges facing the health center. The consultant will also document and recommend the proper billing procedures that need to be followed. patient referrals

It is important to use a medical billing consultant with the relevant expertise in a particular practice. For example, medical billing for a surgery is quite different from that of a health center.

4. Reduce revenue leakages

Many FQHCs will often adopt aggressive practices when hiring physicians. This extra expense can put a heavy burden on their income statements. It is advisable to exercise control when hiring extra physicians. This should only be done after taking the necessary measures to prevent revenue leakages such as out-of-network referrals. This is where such physicians refer patients to a competing health provider. The health center must efficiently and thoroughly optimize and automate referral practices.

5. Formulate clear patient communication strategies

For optimal revenue collection, an FQHC needs to communicate clearly to patients on the subject of its billing and financial policies. The patient needs to sign a document that they have read and understood such policies. The document will comprehensively explain issues such as terms of payment, authorization procedures and insurance information.