Organizations that care for Medicaid patients and the underserved often end up with substantial self-pay write-offs. After all, federally qualified health centers FQHCs and other safety-net organizations don’t turn anyone away. Their mission is to provide high-quality care to all, regardless of insurance status or ability to pay.
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.
For the past month, we've been publishing a weekly blog on industry news that has caught our attention specific to revenue cycle and