If you are operating a Federally Qualified Health Center you know that billing can be a real headache. With the increase of patients following the passage of new health care laws it have become even more important that we are getting paid for all the services rendered. For most practices there are only two choices.
Invest in a FQHC billing consulting program that guide your staff or outsource the billing to a medical billing company who specializes in FQHC billing. Getting paid for services is critical to the survival of your practice so this is an important choice. There are advantages and disadvantages to both choices and what may work for one practice may not work for another.
Seek Expertise in Claim Fulfillment
With all the changes in health care laws it may be difficult for FQHC clinics to know just what is covered and what is not. Separating charges between an insurance company and the government can be difficult unless you are an expert.
Sending a claim to the wrong entity will result in either a lost charge or a serious delay in payment when rejection occurs and you have to resubmit the claim. Increasingly clinics are turning to specialized FQHC medical billing software to perform billing functions. While outsourcing has increased as well.
FQHC Billing Software
There are many solid FQHC billing software programs available that can help you not only with FQHC billing needs but all the needs of your clinic. They combine all the recordkeeping and billing software into one complete package.
From the moment your patient calls to set up the first appointment your software will start working for you, checking insurance policies including deductible status. The software has all the information on FQHC billing built into the system allowing you the best payoff your practice can get.
While the initial cost of the systems can be a little steep it is a onetime expense and you will find that it will pay for itself in both convenience and increased income. The programs all come with live customer support so any questions or concerns can be handled quickly and efficiently.
Outsourcing FQHC Billing Services
The other option for FQHC billing it to outsource to a company specializing in medical billing. These companies can link their billing software to your existing platform eliminating the need to purchase an entirely new software program for your practice.
Outsourcing FQHC billing services may be an advantage if you have recently purchased new software or have a large practice where training might be an issue. These services are backed by a large staff of FQHC billing specialist and it is their job to make sure you get paid for every claim you file.
Obviously, price is an issue here because you will have to pay them a fee for their services. But if you have a large practice their additional services can help you increase revenue but tracking you profits as well as analyzing where you are missing the opportunity to maximize your profits.
With the passage of new health care laws medical billing has become a time consuming and difficult process. Whether you choose a software program or a service FQHC billing can make or break your practice.