Altruis Blog

CMS Regulatory Changes and Potential FQHC Impact

Nov 28, 2018 10:39:28 AM / by Chris Caspar, CEO posted in FQHC, Medicaid, medicare reimbursement, Medicare, Medical Billing Service, Billing Solutions, RHC, CMS, MACRA, HRSA

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Need another resolution for 2019? Probably not, but we have one for you anyway, and it’s important. We’re counseling our safety-net clients to pay closer attention to what’s going on with CMS.

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Update: Medicaid waivers and expanding care by collecting on self-pay balances

Oct 16, 2018 3:06:17 PM / by Chris Caspar, CEO posted in RetroPay, Medicaid, FQHC, Medical Billing Service

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Don’t let the Kentucky case fool you. Medicaid waivers aren’t going anywhere. And they will likely include onerous work requirements and prohibit retroactive enrollment.

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For safety-net providers, Florida proves particularly challenging. It just may get worse.

Jul 27, 2018 4:18:44 PM / by Chris Caspar, CEO posted in Revenue Cycle Management, Medicaid, Medical Billing Service, RetroPay, Billing Solutions, RHC, FQHC

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It’s tough to be sick and poor and in Florida. It’s almost as tough to be a FQHC or CHC that serves the sick and poor in Florida.

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Managing Chronic Conditions Remotely: Telehealth for FQHCs and RHCs

Feb 27, 2018 12:49:43 PM / by Chris Caspar, CEO posted in FQHC, RHC

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Federally Qualified Health Centers (FQHCs) must be on top of many changes coming out of the Centers for Medicare and Medicaid Services or CMS - and many of these relate to specific kinds of care and categories of treatment and evaluation. So often, CMS is updating codes, protocols, or reimbursement details for a given range of medical services, and the individual change becomes a snowflake in a blizzard of transmittals and notices, so that it's difficult for administrators to track everything that they need to optimize revenue.

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FQHC Billing: 5 Things to Know about Supplemental Medicare Reimbursement

Jul 7, 2017 1:28:51 PM / by Altruis posted in FQHC, medicare reimbursement, Medicare

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When it comes to FQHC 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.

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