FQHC Billing For Behavioral Health And SUD Services
FQHC medical billing is similar to outpatient private practice billing, but certain restrictions apply to ensure the facility remains compliant. FQHCs must collect Medicare coinsurance, provide after-hours access for patients, and offer services on a sliding scale. As reimbursement is based on bundled services, it is critical for FQHCs to adhere to the strict guidelines established by the Centers for Medicare and Medicaid (CMS) to avoid denied claims. Furthermore, the entire billing process, from patient registration to collecting unpaid patient balances, requires constant attention to keep the facility from losing revenue or the ability to treat its patients. Let’s have a look at the guidelines related to FQHC billing for behavioral health and SUD services: FQHC Billing Guidelines for for Behavioral Health and SUD Services Medical billing for FQHCs is more complex than billing for standard private practices. The billing and coding guidelines for a FQHC are strict i...