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FQHC Billing Services

Tailored Billing and RCM Solutions for Federally Qualified Health Centers to Address Their Distinctive Requirements.

Top Reasons to Choose Outsourced Billing for FQHCs

Federally Qualified Health Centers (FQHCs) juggle a multitude of services with a diverse team of medical professionals, making medical billing complex. Entrusting coding and billing to seasoned experts with a decade of experience in medical billing and revenue cycle management (RCM) proves to be invaluable. Our track record ensures revenue growth through error checks, payer-specific submissions, and meticulous claim tracking. With denial follow-ups included at no extra cost, our billing services aim to optimize your center’s income and streamline the entire revenue cycle.

Professionally Skilled and HIPAA Certified

As FQHCs offer a multitude of services, keeping track of complex MedExpress codes and ensuring coding accuracy can be challenging for in-house medical staff. MedExpress provides certified and experienced coders and billers specializing in FQHC billing services. Each team member undergoes comprehensive HIPAA training to maintain patient information security and ensure your organization’s compliance.

Navigating FQHC Medical Billing Challenges

Billing for FQHCs is intricate due to the diverse medical codes needed to cover the wide array of services they offer, including primary care, dental care, and behavioral health. Accurate coding is essential for proper reimbursement.

Daily Rate Reimbursements

When patients see FQHC practitioners on the same day, their visits are typically billed as a single encounter, except in specific cases like mental health and medical visits or when there are distinct diagnoses (e.g., illness and injury). Our billing experts stay updated and well-versed in the unique demands of each specialty and organization, ensuring precise billing.

Unlocking FQHC Billing Challenges

FQHC visits are authorized at various locations, such as patients’ homes or MedExpress-covered skilled nursing facilities. Accurate coding to denote medical necessity and location is crucial. At MedExpress, our billing software and training keep our billers updated on these diverse needs, adapting to state-specific variations.

Coverage for Mental Health and Substance Abuse

Apart from standard medical appointments, FQHCs also offer services in behavioral health care and psychiatric consultations. Coders and billers need to be well-versed in these specialties and adhere to CMS guidelines for each visit type.

MedExpress Boosts Payer Reimbursement and Ensures Seamless Revenue Cycle Management (RCM)

MedExpress improves payer reimbursements and streamlines revenue cycle management.

Cutting-Edge Software for Up-to-Date Coding Compliance

At MedExpress, our progressive FQHC billing services begin with our exclusive software, ensuring precise coding with the latest updates. We manage your billing from appointment to claim payment.

Full-Cycle RCM: Managing from Initiation to Conclusion

Beyond Our Expert Billers, Embrace a Full Spectrum of RCM Solutions: From Payer Credentialing to Compliance Assessments, Coverage Validation, and Yearly Payer Adjustments. Elevate Operational Efficiency for Unmatched Patient Care.


What specific billing services do you provide for Federally Qualified Health Centers (FQHCs)?
How does your FQHC billing service ensure compliance with the unique billing regulations for federally qualified health centers?
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Can your FQHC billing services assist in maximizing reimbursement for our health center?
Yes, our FQHC billing services are designed to optimize reimbursement for Federally Qualified Health Centers. We leverage our expertise in encounter rate billing, sliding fee scale management, and accurate coding to ensure that your health center receives the maximum reimbursement for the services provided to the underserved populations.
How do your FQHC billing services handle the complexities of encounter rate billing?
Our FQHC billing services are equipped to handle the complexities of encounter rate billing. We meticulously capture and document encounters, ensuring that billing reflects the unique FQHC encounter rate structure. This attention to detail minimizes errors and facilitates accurate reimbursement for the diverse range of services provided by FQHCs.
Can your FQHC billing services integrate with our electronic health record (EHR) system?
Yes, our FQHC billing services are designed to seamlessly integrate with various electronic health record systems. We understand the importance of continuity in your workflow. Our team collaborates with your health center to ensure a smooth integration process, allowing for efficient billing while maintaining the integrity of your patient records.