FQHC Billing and Coding
Federally Qualified Health Center (FQHC) Billing Services
FQHC billing differs from typical hospital or physician billing because it covers a broader range of services tailored to underserved communities. These centers receive federal funding to provide medical care in areas facing healthcare disparities. Billing for FQHCs requires specialized knowledge of codes for medical, dental, and behavioral health services, as well as expertise in Medicaid and Medicare billing rules, since these services are often limited in scope.
FQHC services can be provided by:
FQHC billing guidelines must be followed while billing with the FQHC revenue codes listed below and a Healthcare Current Procedural Coding System (HCPCS) code describing the encounter:
0521 – Clinic visit by member to FQHC
0522 – Home visit by FQHC practitioner
0524 – Visit by FQHC practitioner to a member in a covered Part A stay at the SNF (Skilled Nursing Facility)
0525 – Visit by FQHC practitioner to a member in a SNF (not in a covered Part A stay) or Nursing Facility (NF) or Intermittent Care Facility (ICF) or other residential facility
0528 – Visit by FQHC practitioner to other non- FQHC site (e.g., scene of accident)
0519 – Clinic, Other Clinic (only for the FQHC supplemental payment)
0900 – Behavioral Health Treatments/Services
Choose the Right Billing and Coding Services for Your FQHC
Billing and Revenue Cycle Management
As an experienced FQHC billing partner, we follow all licensing and certification standards while leveraging the latest technology and best practices to deliver smooth, tailored revenue cycle management solutions for your center.
Denials and Accounts Receivables
Our teams track and analyze denial patterns and accounts receivable challenges closely, reducing preventable denials through modular workflows and process optimization
Provider Credentialing and Enrollment
We stay updated on evolving payer regulations and guidelines that affect your services, providing credentialing support that aligns with industry best practices to keep your FQHC compliant.
Reporting and Quality Audits
We generate detailed reports on key performance indicators and financial metrics, while our quality auditors perform thorough checks to ensure accuracy and prevent discrepancies throughout the billing process.
Why Choose QWay for FQHC Billing and Coding Services?
FQHC Billing and Coding Services
QWay Healthcare brings deep expertise in FQHC billing,
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Technology Platforms
We have the expertise on the below systems and can work on any inhouse software that you use
