Primary Services to Seek When Hiring a FQHC Billing Company

Reputable FQHC billing companies offer an extensive range of services and solutions that are highly sought after by Community Health Centers (CHCs) and Federally Qualified Health Centers (FQHCs). Essentially, these companies specialize in helping CHCs and FQHCs improve their billing. They employ experts who are well-versed with all aspects of practice management, including proper billing techniques, coding, and knowledge of current industry practices and regulatory expectations for FQHCsFQHC billing companies

These specialists offer highly-professional FQHC billing services and solutions to expedite insurance claims reimbursement. They work with community health centers to manage and perfect the entire scope of the medical billing process, allowing their clients to enjoy the most advantageous and streamlined billing experience.

By making use of these services, FQHCs can realize a number of benefits, including: increased net revenue, reduced payment turnaround time, predictable monthly cash flow, enhanced patient satisfaction, higher clinician efficiency, cost savings from elimination of the need for continuous staffing and workplace training, and availability of the resources needed to effectively manage revenue cycle.

Top Services Offered By Professional FQHC Billing Companies

FQHC billing companies provide specialized physician billing services relating to all areas of CHC billing, FQHC billing, FQHC Look-Alike Billing and coding. These include billing services for Medicaid and Medicare, as well as those of Commercial Insurance for behavioral health, dental health and medical claims.

Reputable medical billing companies typically have billing experts for all medical specialties, including: pediatrics, family practice, internal medicine, cardiology, OB/GYN, advanced practice nurses, physician assistants, dental health and behavioral health. These professionals usually have extensive knowledge, training and experience in most of the commonly used EMR (Electronic Medical Record) Practice Management Systems, such as eClinicalWorks, GE Centricity, NextGen, Allscripts, and more.

This enables them to handle all FQHC billing requirements, allowing clients to enjoy increased income, improved cash flow, reduced overhead costs, increased patient and provider satisfaction and top-notch coding expertise.

Reporting Solutions

Licensed FQHC billing companies offer both routine/standard and customized reporting solutions for clients. For customized reporting, experts from the company will work with the FQHC or CHC to evaluate and determine the practice’s unique reporting requirements before designing the appropriate reports. This enables the FQHC to enjoy a personalized FQHC billing service.

Consultations For FQHC Billing

Reputable FQHC billing companies, like MaximizedRevenue.com offer on-going consultation for both providers and administrative staff of their billing service clients. The topics of which the company may offer consultation include: front office procedures, financial policies and procedures, software usage, coding and more.

Some of the top FQHC billing companies also provide revenue cycle management for clients. This can include on-going reviews of all or part of the client’s’ current processes, from software installation and configuration to analysis of accounts receivable and account receivable debt recovery.

Credentialing Services

fqhc billing software servicesFQHC billing companies offer credentialing services for their clients’ locations as well as for medical, behavioral health and dental health providers. Proper provider credentialing gives FQHCs and CHCs increased security, peace of mind and more time to concentrate on the care of their patients.

FQHC Billing Software Integration

Leading FQHC billers typically provide services online, performing all billing tasks and providing support to the client remotely. But some companies may provide FQHC billing on-site. In the case of aiding with online scheduling, appointments, and patient eligibility, FQHC billing software as a more convenient service delivery option.

Patient Contact Systems

Experts from a reputable FQHC billing company can customize patient contact systems to suit the needs of their clients. As part of patient services, the company may provide a convenient web-based payment portal, past due letters, patient statements, outbound calls, toll free inquiry and dedicated patient service representatives.

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An Inside Look at Practice Management’s Pediatric Billing Services

Pediatric billing services can be a primary cornerstone to the financial success of a pediatric clinic or private practice. A pediatrician has very unique billing needs and requirements that other practices do not have. To properly and correctly manage a pediatric billing system, a team of well-trained pediatric billing specialists and medical billing coders is highly valuable.

Pediatric Billing Services of Practice Management

Due to the ever changing medical billing industry, there is need to train and consult pediatric clinics extensively and offer continuous services to ensure that they remain at the highest levels of financial health possible. Investing time and resources to learn and abide by the rules, requirements and regulations that are unique to pediatrics billing will clearly be an added advantage.

One of the leading pediatric billing services is Practice Management who are experts in providing this crucial service. In pediatric billing, it is important to ensure that the correct diagnosis codes, CPTS and correct modifiers are utilized for accurate reimbursement from the pediatric billing efforts. Practice Management has the relevant resources, systems and expertise to help your organization to optimize the coding and billing process for seamless and fluid claim fulfillment.

Professional Pediatric Billing & Coding Services

There are some key pediatric billing and coding services that Practice Management provides. These services address all aspects of pediatrics and the level of care that often includes insurance claims and billing challenges, such as:

  • Hearing screening
  • Laboratory
  • Developmental behavioral screening
  • Newborn care
  • Vision screening
  • Preventive Medicine services

You can get more information about Practice Management’s pediatric billing services and consulting programs by visiting MaximizedRevenue.com, or learn more below about some of the cornerstones to this reputable medical billing company.

Claim Follow-up

It is important to follow-up aggressively claims until adjudication. The first step to eliminate the threat of denied claims and at the same time accelerate the payment process is to have keen front-end scrubbers who will thoroughly review all the claims that have been submitted for the first time. When additional information is required, the pediatric billing company will immediately notify the primary practice.

Revenue Cycle Management pediatric billing service

Another key related function of a pediatric billing system is revenue cycle management. Any pediatric practice must be able to internally or independently analyze its RCM operations and daily medical billing process. This analysis will identify all potential weakness within this process and provide practical proposes to improve and increase revenue collection. Practice Management as a leading pediatric billing company will provide the necessary training, resources and experience to accurate plan, implement and submit the right analysis for your practice.

Pediatric Billing Systems

There are also other benefits associated with engaging Practice Management to handle all your pediatric billing needs. Some of these benefits include: efficient billing process, qualified customer service representatives who will handle all your patient billing questions and inquiries, highly trained, experienced and qualified staff with the latest state-of-the-art software and technology, wealth of experience and very friendly rates.

Pediatric Billing Consulting

Practice Management offers a different billing service experience from all other pediatric billing companies. A winning combination of aggressive revenue cycle management and state-of-the-art technology makes this billing company the premier pediatric billing company. This combination of an experienced team of pediatric medical billing consultants, coupled with the right resources will definitely result in improved revenue for your pediatric clinic.

Practice Management specializes in medical billing for pediatricians and is able to work with the Practice Management system of your Electronic Health Record. Experience will deliver faster payments, lower overheads, increase revenue and cash flow, improve patients satisfaction and allow you to have more time to focus on providing quality patient care.

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3 Clinics That Typically Need Help With Medical Billing & Coding

Hospitals and other healthcare organizations are definitely one of the busiest places that you can go to. But aside from attending to their patients’ needs, medical professionals also have to keep their medical records accurate and up to date.health medical clinic

Health and medical clinics also need to ensure that they have good and established medical billing and coding system in place. Between medical records and medical billing, these two elements act as the invisible force that drives the success of every organization involved in healthcare.

So which are the leading clinics that need a more efficient and better coding and medical billing services?

OB/GYN Clinics

Unlike common belief, an OB/GYN clinic not only deals with women’s pregnancy but also other health issues in women such as menopause and using birth control measures. OB/GYNs are also trained to diagnose cervical or ovarian cancer in women, treat infections such as UTI and perform surgery if needed.

Most OB/GYNs might be expert in providing healthcare to women, but they might not be experts in coding patient information or processing medical billing. As healthcare professionals, they are expected to become busy most of the time that they might not have enough time to do the coding and billing of the records themselves.

This is where the value of a medical billing and coding consultant comes in. With their help, an OB/GYN can easily focus on giving their patients proper care while the other end of their task – which is, OB/GYN medical billing and coding – will be handled by a different consultant.

Pediatric Clinics

When it comes to ensuring children’s health, pediatric clinics are the best place to go to. However, pediatricians can become too busy with attending their little patients that they might not have enough time to consider the encoding of medical bills or its correct processing as well as the proper recording of medical records.

Although some pediatricians might not want to have another person to do their medical coding and billing tasks, having one would give them more time in their hands and ensure that all their clinic’s medical information is accurate and up to date. Retrieving records would also be easier for them since some consultants use special software to efficiently retrieve a patient’s information.

Federally Qualified Health Centers (FQHCs)

FQHCs are usually composed of health organizations that provide healthcare to communities that have limited health care access. Health centers like these are usually found on areas where people have no insurance, live on low income, have a limited English proficiency, homeless, migrants, or farm workers.medical office billing

Most of the time, FQHCs do extensive medical services to people. That is, they might provide diagnoses, X-rays, dental services, medical procedures, and treatments. Given that there are many people who might use a health center, a professional medical biller and coder can ensure the accuracy of medical records of patients as well as the proper processing of their bills. In short, medical billing services for FQHCs are one of the most commonly sought among health and medical clinics around the U.S.

All in all, medical billing and coding is not something that clinics can separate with one another. That is, they go hand in hand to ensure that healthcare professionals do not just provide efficient patient care but also accurate medical records and proper medical billing processes.

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The Specialized Medical Billing Services of MaximizedRevenue.com

The medical billing specialists of MaximizedRevenue.com provide their clients with the finest physician billing service in the profession. Since its nationwide medical billing services was established in 1995, MaximizedRevenue.com has stood by its obligation to all legal and ethical regulations while helping clients optimize thier patient billing systems.  medical billing

MaximizedRevenue.com offers a wide range of medical practices custom-tailored solutions to their billing process so that each can become more competent and profitable. The company’s specialized medical billing services provide many types of doctors and medical practices alike with top medical billing services that include a number of services.

Known for it’s customer service, MaximizedRevenue.com staffs the best trained representatives to help both parties, physicians and patients, with available telephone and video conferencing (along with a bilingual staff.) While MaximizedRevenue.com offers many medical billing solutions, some of their areas of specialty include:

FQHC Billing Services, (including Medicaid, Medicare and Commercial Insurance (dental and behavioral health). With MaximizedRevenue.com and its Federal Qualified Health Center Billing Services, the goal is to make the most of your returns while improving your billing service experience in specialties ranging from family practices, internal medicine, pediatrics, OB/GYN to cardiology.

The FQHC billing company’s staff will not only increase your income it will also reduce costs and deliver reports that are adjusted to your individual needs while providing patient and provider satisfaction and consultation. Learn more about the FQHC billing services of this medical billing company at: MaximizedRevenue.com/start/fqhc_billing/.

Cardiology Billing Services. MaximizedRevenue.com seeks to offer you peace of mind so we take care of everything you need for you cardiology billing service practice including but not limited to angiography, angioplasty, echocardiography, nuclear studies, cardiac catheterization, and related medical billing coding. You will be able to access all the data (which is back-upped and stored daily) with the firm’s user friendly portal plus all the credentialing solutions you need. medical billing services

Health Center Billing Services. The company is committed to your satisfaction in medical billing as a health center. Like FQHC billing, MaximizedRevenue.com offers premium coding and service to increase your cash flow and minimize your costs. They promote business practices to their clients and community and individualized reports for all clients plus the security you need to focus on your patients.

OB/GYN Billing Services. MaximizedRevenue.com offers everything you need for your delicate practice: up to date coding and analysis, credentialing: applications and updates to track progress, billing service for many procedures, follow ups and consultations to ensure faster payments and claim submissions plus recommendations for your unique needs.

Surgery Billing Services. The team will sepcifically optimize your revenue and RCM operations as a surgery professional. With an advanced, highly detailed coding systems, the surgery billing services of MaximizedRevenue.com include of colon, rectal, general, neurological, OB/GYN, orthopedic, otolaryngology, pediatric, urology, plastic, and vascular surgeries. MaximizedRevenue.com’s easy to use portal guarantees your specialized billing efficiency.

Pediatric Billing Services The staff at MaximizedRevenue.com is not only experienced and helpful but they stay that way with constant updating and education to ensure all the specific need this billing service offers including lab, newborn care, preventive medicine, hearing/vision and developmental behavioral screening. The medical billers of the company follow claims until settlement and make a thorough investigation of your revenue cycling to weed out weaknesses and improve.

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Surgery Billing: Resources, News, & Insights on Best Practices

If you thought surgery was complicated, surgery billing can sometimes be a bigger pain. The processes can be tedious and elaborate. Every year, hospitals and surgeons perform a number of surgical procedures and file a claim for each surgery.

One of the foremost actions that can improve your familiarity with the surgery billing process is acquaintance with the physician’s manual. Usually, surgery medical billing rules are specified in the “Preamble” section of the manual. These rules include explanatory codes, health service codes and fees, in some cases details of specific cases (for instance if another surgeon assists with the surgery), as well as general information about the claims submission process.

surgery medical billing

Surgery Billing Claims Submissions: Timing Is Everything

One of the most integral aspects of the claims submission process is the timing. These are often different for different departments, medical consortiums, districts, provinces and countries. However, the surgeon or biller should have clear records of surgery and be mindful of the timing of the claims. Usually, there is a period of 90 days to submit claims, from the date of the surgery.

surgery billing claimsExceptions beyond that are allowed but only in extraordinary circumstances. Reversals of claims in case of accident or other circumstances can also be submitted, as long as original claims are still available. It is imperative that a surgeon’s office maintain proper surgery billing records of all surgeries and file them appropriately.

In terms of methodology in this area of surgery billing, most submissions can now be made electronically for Fee for Service (FFS) and Shadow claims. However, to expedite the process and avoid conflicts with the department designated for approval, it is important that these comply with the guidance of the physician’s manual. There are many benefits of timely and accurate billing:

  • Reduces the possibility of the claim being rejected
  • Reduces the possibility of poor audit results
  • Helps to maximize surgery billing
  • Helps to capture benefit of services eligible for incentives.

Common Surgery Billing Errors

Some of the more common surgery billing errors include a lack of documentation, citing a visit when the encounter between surgeon and patient was in fact the procedure, and citing a full visit for a non-complex problem. It is imperative that surgeons try to avoid these since it needlessly tarnishes the reputation of the surgeon and the institution sometimes.

It makes sense for surgeons and physicians to hire or request extra help for these purposes of complex surgery billing. A proper filing system should be put in place and this can often be achieve by working with an experienced medical billing firm adept in surgery billing procedures. Additionally surgeons should establish clear channels of communication and review the claims before they are filed. Since there are different billing rates and percentages for single procedures, multiple procedures and bilateral procedures, there is always room for confusion.

Surgery Billing Software

There are different software available for surgery medical billing. These can serve as good alternates to manually filling out claims, and reduce the risk of error. As a final note, here are some tips and strategies for better surgery billing:

1. Organize your paperwork: A simple but essential step.

2. Document visits and procedures scrupulously.

3. Understand insurance coverage: if you don’t know what insurance covers or does not cover, your job will be more difficult.

4. Don’t let denials get to you: often it is a frustrating and complex process, but there are appeals and coverage in place to protect your claims as long as they are valid.

5. Use all available resources, be it software or an external agency.

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Leading Medical Billing Companies for FQHC Billing Services

medical fqhc billersThe FQHC billing process is not distinct from other forms of medical billing, but also very complicated and difficult for many federally qualified health centers (FQHCs) and community health center (CHCs) to grasp. In short, FQHC billing includes a wide range of additional complications from other medical billing types, like sliding fees schedules, minimum payments, and getting qualified coders and billers.

There’s no doubt that FQHC billing is both challenging and complex for office staff to handle successfully and seamlessly. For this reason, it requires a high level of experience and expertise to handle fluidly. Consequently, nearly all FQHCs outsource their needs to expert FQHC billing companies, or employ FQHC billers, to improve the patient billing processes. If you’re prospective parties like these, below are three leading medical billing companies that specialize in providing comprehensive FQHC billing services.

1. Practice Management Practice Management

Practice Management is one of the medical billing companies with enough experience to improve your FQHC billing. The company is well-versed in offering professional Federally Qualified Health Center billing services. They struggle to provide you with the most streamlined and advantageous FQHC billing experience. The company has a confirmed track record in reducing payment turn-around time as well as maximizing revenue.

Their experienced staff offers physician billing service(s) for all aspects of CHC billing, coding, and FQHC billing. These include Medicare, Medicaid and commercial insurance for dental, behavioral health, and medical claims. Besides, the company has bilingual care representatives for the expediency of their customers. The company provides FQHC Billing, CHC Billing, and FQHC Look-Alike Billing.

As an FQHC billing company, Practice Management employs specialists in billing for all medical specialties that usually offer services for FQHCs and CHCs include. These include Cardiology, Dental, Advanced Practice Nurses, OB/GYN, Family Practice, Internal Medicine, Physician Assistants, Behavioral Health, and Pediatrics.

The company is one of the leading FQHC Billing service providers. The company is fully committed to satisfying their clients while complying with all the applicable and published Federal, local and state statutes, laws, and regulations.

As a premier medical billing company, they promote ethical and legal business practice throughout their organization, within the community and with their customers. Work with this company and rest assured that you will get ethical and reliable services, and maximize the benefits of your FQHC Billing experience.

2. Synergy Billing Synergy Billing

Synergy Billing is one of the premier FQHC billing companies in the industry. The company has the finest collection rates for Community Health Center (CHC) and Federally Qualified Health Center (FQHC) billing.

The company has the most efficient methods of collecting all the dollars for their customers` FQHC. Their staff is skillfully trained, and their down to business approach to getting FQHC billing claims paid from the first submission has actually helped them to achieve a confirmed track record of victory.

The Synergy Billing philosophy is to offer quality services at the most affordable prices. They have a shared interest in making the most of revenue; therefore, they provide other value added services that work towards their goal of making the most out of their customers` FQHC billing revenue.

3. Precise Medical Billing Inc. Precise Medical Billing

Precise Medical Billing Inc. is a practice management organization that offers FQHC billing services. The company has more than 30 years of experience. The company provides services & solutions to expedite insurance claims reimbursement.

The mission behind Precise Medical Billing Inc. is to help their customers in perfecting their whole scope of medical billing process through amplified awareness of correct billing coding, techniques, compliance & knowledge of present industry guidelines. Their main focus is to maximize the income of their customers for all services offered.

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