Choosing Fqhc Medical Billing Services

By Author: e-care India
Total Articles: 76
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3 Areas FQHCs Should Focus on to Improve Billing Accuracy

Preparing for the 2026 Telehealth Billing Update

Telehealth billing is an important area for FQHCs to review in 2026. According to the Centers for Medicare & Medicaid Services (CMS), for dates of service on or after October 1, 2026, FQHCs must report the individual CPT or HCPCS code describing the distant-site telehealth service instead of using HCPCS code G2025. Claims must include the appropriate revenue code and one of the applicable telehealth modifiers:

Modifier 93: Synchronous telehealth delivered through audio-only technology.

Modifier 95: Synchronous telehealth delivered through real-time audio-video technology.

Managing Denials and Outstanding Accounts Receivable

Claim denials and payment delays can affect an FQHC's cash flow and increase administrative work. Common issues may involve missing information, eligibility discrepancies, coding errors, or payer-specific requirements. A structured denial management process should identify the reason for each denial, determine the necessary correction, and track the claim ...
... through resolution. Regular accounts receivable (AR) reviews are equally important. Aging reports help billing teams prioritize outstanding claims, follow up with payers, and identify recurring payment issues.

Monitoring Billing Performance

FQHCs can use regular reports to evaluate their revenue cycle and identify areas for improvement. Useful indicators include:

Claim rejection and denial trendsFirst-pass claim acceptanceAR agingPayment posting accuracyOutstanding claim statusCollection performance

Reviewing these metrics helps management understand where delays occur and whether billing workflows require additional attention.

e-care india offers FQHC medical billing solutions including coding, claims submission, payment posting, denials management, and accounts receivables assistance. This is done to assist healthcare organizations to effectively manage their FQHC billing process flows.