Maximize Your FQHC Revenue with Fast, Accurate, and Efficient Billing

Federally qualified health centers (FQHCs) work hard to provide affordable healthcare care services to people in historically underserved areas. The way these services are provided and the involvement of different healthcare professionals make medical FQHC billing of these facilities especially complex.

Their billing processes, therefore, should be handled by qualified professionals who have extensive knowledge and expertise in how the payers Medicare and Medicaid process the claims to facilitate optimum reimbursement.

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FQHC Billing and Coding Service

Therefore, it is important that the revenue cycle of your nephrology practice is handled by qualified and experienced professionals who are well versed in nephrology-specific terminologies, coding, and billing processes.

We at Wise Medical Billing have a proven track record of helping nephrology practices maximize revenue, reduce denials, and expedite billing processes.

No matter you are a solo nephrologist or a multi physician facility, we are the partner you can trust to take care of the business side of your practice.

Our certified coders and billers have in-depth knowledge of the unique coding guidelines and regulations and go above and beyond to ensure that all your FQHC billing and Coding operations are handled with utmost integrity and professionalism.

Committed to Increasing Collection & Reducing Denials in FQHC

We work in tandem with you to help you achieve optimized workflows and get the highest reimbursements in the shortest time possible. Our methodologies have been tried, tested, and proven, and our team is readily available to make a positive impact on your facility.

FQHC Billing Front Desk Management

The front desk is the gateway to a positive patient experience and efficient revenue capture in FQHCs. Our front desk management services are designed to streamline patient interactions, optimize scheduling, and facilitate seamless FQHC billing processes.
From patient registration to appointment scheduling and co-pay collection to referral coordination and follow-up, we expertly take care of all the front desk operations.

A/R Management Services

Accounts receivable (A/Rs) play an influential role in the financial health and sustainability of an FQHC. We offer A/R management services to help facilities optimize revenue recovery, minimize outstanding balances, and streamline the FQHC billing and collections process to achieve financial goals and long-term stability.

Payer & FQHC Coding Guidelines

We help FQHCs navigate the complex landscape of payer regulations and coding requirements to maximize reimbursement and minimize compliance risks. 
Our billing professionals establish incentive billing and reimbursement systems and integrate Medicaid and Medicaid MCO and state coding guidelines thatexpedite the FQHC billing process.

Claim Denials Management Services

Our claim denial management services are focused on helping FQHCs navigate the complexities of the billing process with confidence.
We identify, address, and prevent claim denials that enable billing providers to recover lost revenues and maximize collections.

FQHC Reporting

We keep track of revenue collections, and KPIs, and closely monitor the performance of staff to develop comprehensive review reports that allow them to take key decisions to maximize future revenues.
We also empower FQHCs with actionable insights, data-driven analysis, and compliance reporting tools that drive performance improvement, enhance patient care, and ensure regulatory compliance.

Why Choose WMB as the Billing Partner of Your FQHC

Choosing the right partner for your FQHC medical billing needs is crucial for ensuring seamless operations and optimal revenue management. Here is why we are the most preferred choice of facilities like you in the U.S.
Compliance & Security
Compliance is of the utmost essence when it comes to FQHC billing, with stringent regulations governing reimbursement and documentation requirements. We ensure compliance with all applicable regulations and provide ongoing support to ensure that your facility always remains in good standing with regulatory authorities.
Trust is built on transparency, and we take this principle very seriously. We work in the software recommended by our clients so everything we do is readily available for them to explore. From receivables to denial rates, you have all the information you need right at your fingertips.
We understand the importance of being accessible to FQHC facilities in their hour of need. That’s why our dedicated account representatives remain available through email or phone call. You do not need to open a support ticket and wait for days for someone to get back to you. Our response time to client queries is in minutes and not in hours or days.
Effective communication is vital in the complex world of medical FQHC billing. We hold mandatory weekly/monthly meetings with our clients to share reports, answer questions, and address their concerns. We ensure that you are always in the loop and have the information you need to make informed decisions.
A True Extension of Your FQHC
While you focus on providing exceptional care to your patients, let us streamline your operations and maximize your reimbursements together. Reach out to us today to discover how we can tailor our solutions to meet the unique needs of your facility.
What Can Happen if You Don't Get Necessary Preauthorization?

When services are provided without expected preauthorization, what happens next depends on the insurer and the specific policy under which the patient is covered. Some insurance plans state that if a patient seeks services requiring preauthorization, but doesn’t obtain preauthorization, the patient is liable for covering the payment. If a provider neglects to obtain preauthorization and payment is denied by the insurer, it may come down to absorbing the cost of the treatment or trying to collect it directly from the patient, neither of which are good options.

The burden of obtaining pre-authorizations is on the provider because patients don’t know CPT codes and may not know when preauthorization is (or might be) required. Double-checking up front whether preauthorization is required may take some extra time on the front end, but with WMB teams of experts, it can save significant time trying to chase down claims and payments and prevent having to absorb costs for procedures that weren’t preauthorized.

Benefits of using WMB Prior-Authorization Services:

Pre-approval processing can typically take several days, but a proactive team like WMB can help reduce the time it takes to obtain and process pre-approval.

With WMB (Wise Medical Billing) Team,

Please do not hesitate to contact us today for a quick call consultation or a demonstration of our FQHC billing and coding services

1-(888) 816-6676

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