Accurate coding and billing are crucial in FQHCs due to the diverse range of services they provide, including medical, dental, behavioral health, and preventive care. FQHCs often face challenges with the unique reimbursement methodologies tied to encounter-based billing and sliding fee scales. AnnexMed’s certified coders and billing specialists stay updated with the latest CMS and state-specific billing codes and regulations for FQHCs, ensuring claims are accurately coded from the start. This reduces the likelihood of claim denials, improves first-pass acceptance rates, and maximizes reimbursements. We also manage prior authorizations to ensure timely insurance approvals, preventing delays in payments.

Moreover, compliance is a critical aspect of FQHC billing, given the stringent requirements from Medicare, Medicaid, and other funding sources. AnnexMed’s team is well-versed in FQHC-specific billing regulations, including PPS rates and UDS reporting, ensuring that all claims and billing processes remain compliant. By partnering with AnnexMed, FQHCs can streamline their revenue cycle while focusing on expanding access to care for underserved communities, knowing that their billing is in expert hands.