Altruis Blog

As a Federally Qualified Healthcare Center (FQHC) that wants to maximize reimbursement rates, it's essential to understand the difference between a claim denial and a rejection of claim. Understanding the nuances of denials and rejections dictates the best response and the likelihood of receiving reimbursement after resubmitting the claim.

Have you ever wondered how medical professionals in different practices accurately bill for complex behavioral health services? Behavioral health modifiers were created to do just that. In this article, we will explore what they are, their purpose, and how to use them to receive accurate reimbursement. 

Any busy federally qualified health center (FQHC) will frequently encounter the most common denial codes in medical billing. Denial codes show precisely why the payment source rejected reimbursement. 

How does your organization handle denials? Each denial is an opportunity to follow up and secure approval. Addressing them promptly ensures you have the best odds of claiming maximum revenue.

Accounts receivable (AR) recovery services improve cash flow by helping companies collect aging payments before they become uncollectible. A strong AR recovery plan helps a regional hospital or health center stimulate revenue flow.

This article explains how AR recovery services work and why they are essential for organizational and community health.

Successful medical practices must stay ahead of constant changes in the U.S. healthcare system. This includes new cuts to Medicare reimbursement rates putting your revenue at risk. Typically, these cuts are made through the physician fee schedule (PFS) and the hospital outpatient prospective payment system (OPPS).