Altruis Blog

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

This is a growing concern for FQHC billing as an increasing number of patients are choosing Medicare Advantage plans. Over the years, most beneficiaries opted for traditional Medicare plans, but a growing percentage of patients are enrolling in Medicare Advantage plans instead.

Is your healthcare organization striving to become more financially stable this year? Are you concerned that your current staff can’t manage revenue-related tasks while keeping the focus on patient care? If so, it’s time to evaluate two main revenue cycle solutions: staff augmentation or hiring an all-in-one revenue management partner. Either could be the right solution, but it’s important to review the qualities of each before moving forward.

Are your associates fully up to date on the latest FQHC requirements? In the fast-paced world of healthcare, knowledge quickly goes stale and it’s a constant challenge to stay current.

The Health Resources and Services Administration (HRSA) has a long list of medical billing guidelines for FQHCs and other federally funded health centers. There are also strict FQHC requirements for Medicare, Medicaid, and other government payment sources.

Revenue recovery is a hot topic at federally qualified health centers (FQHCs). As denials in medical billing increase across the United States, FQHCs are facing a drop in reimbursements for their valuable services. 

Here’s the good news: Some forward-thinking FQHCs are bucking the trend through effective revenue cycle management (RCM).

This article examines why denials are on the rise and how you can take proactive steps to protect your FQHC. Learn how to decrease denials, accomplish more successful appeals, and boost revenue through innovative denial management strategies.

Did you know that the reinstatement of Medicaid requirements and medical redetermination could lead to a 10% revenue loss? The reason is complex but critical to understand when overseeing Medicaid costs at a federally qualified health center (FQHC).

This article explains how medical redetermination could impact your revenue and what you can do to minimize the disruption and protect your financial stability.