Managing the revenue cycle is a fundamental process for Federally Qualified Health Centers (FQHCs), particularly when it comes to billing Medicare. High rates of claims denials can lead to significant revenue losses, disrupt cash flow, and ultimately hinder the ability of FQHCs to provide essential services to their communities. Here we share effective strategies to mitigate these challenges and improve the overall billing process for FQHC revenue cycle management (RCM).
Medical billing is complex and there’s always the potential for mistakes to happen. Any problem can be costly for a federally qualified health center (FQHC) as it uses its scarce resources to serve medically underserved populations.
Staffing is one of the healthcare industry’s most frustrating challenges. The National Association of Community Health Centers (NACHC) reports that 68% of U.S. health centers have lost between 5% and 25% of their workers within the past 6 months. Another 15% have lost 25% to 50% of their workers during the same period.