FQHC and CHC Billing Specialists
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Billing Services Tailored for Federally Qualified Health Centers (FQHCs) and Community Health Centers (CHCs)
FQHC and CHC billing isn’t like standard medical billing. With unique encounter-based reimbursements, PPS rates, and complex reporting requirements, it demands deep knowledge and precision. At Rapid RCM Solutions, we specialize in helping health centers navigate the nuances of FQHC and CHC billing so you stay compliant and fully reimbursed without burning out your staff.
- Accurate encounter and PPS-based billing
- Clean claims submitted promptly
- Consistent support and transparent reporting
Our Strength in FQHC & CHC Billing Services
- Extensive experience with Medicare and Medicaid PPS billing
- Clean claim rate over 98%
- HIPAA-compliant systems and secure data exchange
- Dedicated team familiar with UDS, sliding fee scales, and wrap-around claims
- Real-time eligibility checks and pre-authorizations
What We Handle for FQHCs & CHCs at Rapid RCM
We take a hands-on approach to FQHC and CHC billing, so your providers and admin team can stay focused on care, not on payer headaches.
Accurate PPS & G-Code Billing: We ensure every encounter is billed under the correct methodology—whether PPS, APM, or managed care—and include all required G-codes.
Claim Submission & Monitoring: We handle daily claims processing and track submissions until payment is posted, so no revenue slips through the cracks.
Denial Management: From rejected wrap-around claims to Medicaid crossovers, we work fast to correct and resubmit denials that impact your bottom line.
Eligibility Verification & Sliding Fees: We verify eligibility before the visit, apply appropriate discounts based on income levels, and ensure documentation meets compliance standards.
Clear Monthly Reporting: Our detailed reporting helps you track collections, identify payer trends, and prepare for UDS and HRSA audits with confidence.
Stay Compliant with Complex Billing Guidelines
Billing for FQHCs and CHCs means working under strict federal, state, and payer-specific guidelines. We help you avoid common compliance pitfalls:
- Proper use of G codes and T1015 encounter codes
- Accurate reporting of services bundled in the PPS rate
- Medicaid wrap-around billing and crossovers
- Correct use of modifier 25 and E&M codes
- Sliding scale documentation and income verification
Technology That Keeps Your Health Center Running Smoothly
We integrate with your EMR and billing platforms to streamline the billing workflow, so you don’t have to sacrifice time or visibility:
- Compatible with eClinicalWorks, NextGen, Athena, and more
- Automated insurance verification
- Secure portals for document exchange
- Real-time claim status tracking dashboards
Challenges We Solve for FQHCs & CHCs
Running a federally qualified or community health center comes with its own set of billing issues. Here’s what we help fix:
- Denials from misused encounter codes or modifiers
- Delays in PPS wrap-around reimbursements
- Errors in sliding fee scale application or income documentation
- Cross-state Medicaid issues and incorrect payer setups
- Gaps in reporting for UDS or HRSA compliance
Your Trusted Billing Partner for FQHCs & CHCs
We’ve helped health centers across the country recover lost revenue, reduce denials, and stay audit-ready year-round. Whether you’re a small rural CHC or a large urban FQHC, we tailor our approach to match your needs and volume.
Why Health Centers Choose Rapid RCM
We know the FQHC/CHC space inside and out—from claims and compliance to patient billing support. Our team becomes an extension of yours, delivering reliable results without disrupting your mission.
Ready to Improve Your FQHC or CHC Revenue Cycle?
- Submit accurate PPS and wrap-around claims
- Cut denials with proper coding and compliance
- Stay audit-ready with thorough reporting
- Keep your staff focused on patient care
- Get full support tailored to your unique billing model
Reach out to Rapid RCM Solutions for a free revenue review. Let’s help your health center thrive financially so you can focus on your community.