FQHC Billing Services
Protouch Medical Billing provides specialized billing and coding services tailored for Federally Qualified Health Centers (FQHCs). We ensure compliance with complex federal regulations and help maximize reimbursement, allowing your center to focus on delivering comprehensive care to underserved communities.
Get in TouchExpertise in FQHC Billing and Compliance
FQHCs must adhere to strict federal regulations, including complex billing requirements related to Medicaid, Medicare, and sliding fee schedules. Protouch Medical Billing understands these complexities and ensures that your billing and coding are fully compliant with federal guidelines. Our services are designed to reduce administrative burdens, increase efficiency, and maximize reimbursements for all services provided at your center.
From managing encounter-based claims to handling the specifics of wraparound payments, we ensure that FQHCs capture all available reimbursement opportunities while maintaining compliance with federal and state regulations.
Tailored Billing Solutions for FQHCs
Compliance with Federal and State Guidelines
We ensure your FQHC remains compliant with federal regulations, including Medicare and Medicaid billing guidelines, ensuring proper coding for encounter-based claims and maximizing revenue.
Sliding Fee Schedule Management
Our billing team is experienced in managing sliding fee schedules, ensuring that patient charges align with federal guidelines and payer requirements, minimizing errors and denials.
Pre-Authorization and Claims Submission
We handle pre-authorizations for all covered services, ensuring that claims are submitted promptly and meet all payer requirements for faster reimbursement.
Denial Management and Appeals
Our proactive denial management system helps reduce claim denials, and we handle appeals efficiently to recover any lost revenue.
Automated Claims Submission
Our automated billing system ensures that claims are processed quickly and accurately, helping your center maintain a healthy cash flow.
Real-Time Financial Reporting
Get a clear view of your FQHC’s financial performance with real-time reports on claims, collections, and denial trends, enabling data-driven decision-making for continued growth.
Why Choose Protouch Medical Billing for FQHCs?
- In-Depth Knowledge of FQHC Billing Requirements
We understand the unique billing needs of FQHCs, ensuring compliance with federal guidelines and capturing all available reimbursements to support your mission of providing care to underserved populations. - Faster Reimbursements for Essential Services
We submit claims within one business day, ensuring that your FQHC receives timely payments and maintains financial stability. - Proactive Denial Prevention and Appeals
Our proactive approach ensures that common denial reasons are addressed before claims are submitted, reducing the chances of rejection and improving overall reimbursement rates. - Comprehensive Federal Compliance
We ensure that your center complies with all federal regulations, protecting your FQHC from audits and penalties while maximizing reimbursement opportunities.