Altruis Blog

When it comes to billing, Medicare reimbursement is a vital revenue stream for most federally qualified health centers (FQHCs). But many centers are missing out on the additional revenue they’re owed for Medicare Advantage patients.

This is a growing concern for FQHCs as an increasing number of patients are choosing Medicare Advantage plans. Over the years, most Medicare beneficiaries opted for traditional Medicare plans, but a growing percentage of patients are enrolling in Medicare Advantage plans instead. In 2022, 45 percent of Medicare beneficiaries were enrolled in Medicare Advantage plans, but this figure is anticipated to surpass 50 percent by 2025—which means federally qualified health centers could be missing out on more potential revenue every year if they don’t submit for these reimbursements.

Many FQHCs have questions about Medicare reimbursement. Here’s what FQHC leaders and billing professionals need to know about these supplemental Medicare payments:

When it comes to medical billing collection rates, the phrase “no margin, no mission” can ring too true. After all, if a care center doesn’t bring in enough revenue to keep things running, any higher purpose they have is meaningless. That’s why you devote so much time to keeping your center or federally qualified health center afloat. But it’s important to remember that the reverse of this well-known phrase is also true: No mission, no margin. If you’re devoting too much time to the billing side of your practice, it’s the patients who suffer.

Learn when to add medical billing and revenue cycle management services to your healthcare organization to maximize profitability.

 Altruis tracks the latest trends in healthcare revenue cycle management to help healthcare organizations maximize profitability.

 Altruis shares 5 key performance indicators your revenue cycle manager should track for optimal healthcare performance.