Billing solutions for federally qualified health centers

One size doesn’t fit all medical billing solutions for many Federally Qualified Health Centers (FQHCs), and FQHCs frequently oscillate between different billing models in search for the most effective medical billing solution for their organization.

Many reasons often precipitated the reassessments, including:

• Complexity of reimbursement requirements
• Technology changes
• Financial limitations
• Increasing consumer expectations about transparent billing

Learn about options for insourcing or outsourcing the revenue cycle management (RCM) process for your FQHC organization, and why the complexity of reimbursement requirements needs close attention.

Common billing scenarios

Common medical billing scenarios include:

• In-house billing through a practice management system with the support of an electronic medical record system.
• Outsourcing to a medical billing company. Outsourced billing services typically take a percentage of a practice's collections and many recurring monthly fees as payment for managing many aspects of the revenue cycle.
• A hybrid of both. An organization may go from in-house billing to outsourcing and return to backsourced billing to perform some of the previously outsourced activities themselves. This differs from internalizing an outsourced activity that hasn’t been executed within the organization previously, more commonly known as insourcing.

Not only does revenue cycle management (RCM) performance improve, patient satisfaction and quality scores are also boosted to create the optimal patient billing and healthcare experience.