FQHC Billing For Behavioural Health And SUD Services

2. FQHC Billing For Behavioural 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. https://www.247medicalbillingservices.com https://www.247medicalbillingservices.com info@247medicalbillingservices.com info@247medicalbillingservices.com

3. FQHC Billing Guidelines for for Behavioural Health and SUD Services For FQHCs, the below-mentioned simple but critical guidelines must be followed: • Only designated healthcare professionals may provide services to patients in an FQHC, which must be done in person in an outpatient setting. Encounters are permitted in a skilled nursing facility (SNF) where Medicare Part A applies. • Mental health providers or social workers may consult with family members, but they may only bill for services provided to the patient. • FQHCs bill for preventive services such as annual wellness visits (AWV), physicals, and screenings. Additional services are billable, such as screening electrocardiograms, end-of-life planning, and test-result follow-up counseling. https://www.247medicalbillingservices.com info@247medicalbillingservices.com

4. FQHC Coding Guidelines  FQHC coding differs from typical outpatient or hospital clinic coding in that it requires a higher level of specificity that corresponds with the PPS. The following are specific codes for patient encounters in a FQHC: • G0466 – new patient. • G0467 – established patient • G0468 – initial preventive physical exam (IPPE) or an annual wellness visit (AWV). • G0469 – mental health, new patient • G0470 – established patient, mental health https://www.247medicalbillingservices.com https://www.247medicalbillingservices.com info@247medicalbillingservices.com info@247medicalbillingservices.com

5. Tips for Correct FQHC Billing for Behavioural Health and SUD Services FQHC medical billing and coding can be complicated, but you don’t want denials or collection issues to make that complexity impossible. • Concentrate on capturing accurate eligibility information to ensure that your staff is proficient in gathering correct demographic and insurance information on every patient and that all benefits are verified before rendering services. • Change to automated tools and use electronic health records and billing systems to increase centre efficiency. • Engage patients in open, informative conversations about financial responsibility and encourage them to use their patient portal to inquire about bills. • Concentrate on your processes; ensure that as much of your process as possible is automated to save time and reduce errors when gathering patient information for checking eligibility, registration, and coding for an office visit. https://www.247medicalbillingservices.com https://www.247medicalbillingservices.com info@247medicalbillingservices.com info@247medicalbillingservices.com

6. About 24/7 Medical Billing Services 24/7 Medical Billing Services is the nation’s leading medical billing service providercatering services to more than 43 specialties across the entire 50 states. You can rely on us for end-to-end revenue cycle management. We guarantee up to 10-20% increase in the revenue with cost reduction of your practice for up to 50%. https://www.247medicalbillingservices.com info@247medicalbillingservices.com

7. Call us Today : Media Contact – 24/7 Medical Billing Services, 28405 Osborn Road, Cleveland, OH, 44140 Tel: + 1 -888-502-0537 Email: info@247medicalbillingservices.com Website:https://www.247medicalbillingservices.com/ https://www.247medicalbillingservices.com info@247medicalbillingservices.com