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Encounter-based billing for FQHCs and RHCs
Medicare and Medicaid encounter billing, wraparound payments and sliding fee scale support for health centers and rural clinics.
How we support FQHCs and rural health clinics
FQHCs and RHCs are paid per encounter under special Medicare and Medicaid rules.
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Billing correctly means knowing which visits qualify, how to pair services with payment codes and how to claim Medicaid wraparound payments.
What you get
- Medicare FQHC and RHC claims
- Medicaid PPS and wraparound
- Sliding fee scale support
- Credentialing for all practitioners
Problems we solve
- Visits billed that do not qualify as encounters
- Missing wraparound payments
- Mental health encounters coded wrong
- Credentialing for many practitioner types
FAQ
Questions from FQHCs and rural health clinics
Do you understand wraparound billing?
Yes. We reconcile managed care payments and file wraparound claims where required.
Free billing audit
See where your revenue is going.
Send a few details and we will set up a short call to review your claims, denials and A/R. No cost and no commitment.
We sign a Business Associate Agreement before we handle any patient data.