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Federal Qualified Health Centers - GetixHealth
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Federal Qualified Health Centers

Federal Qualified Health Center Expertise

GetixHealth has worked extensively with Federal Qualified Health Centers (FQHCs) to lend its revenue cycle expertise and guidance. GetixHealth recognizes the unique nature and population of this clinical setting and understands the special challenges associated with scheduling, eligibility, and collections.

 

GetixHealth has worked with several clinics to assist in the following areas:

Compliance

340B Pharmacy Programs

Coding Audits

Billing Workflow & Operational Evaluations

smiling-fqhc

Revenue Cycle Review

GetixHealth has recently collaborated with Wisconsin’s FQHC association on a large scale review of the
revenue cycle operations at several clinics. This has included the following core areas of the cycle:

  • Pre-registration / Patient Outreach
  • Patient scheduling
  • Prior authorization / certification
  • Eligibility management and verification
  • Patient check-in
  • Service ordering

  • Charge master / route slip
  • Charge capture and validation
  • Coding
  • Charge review
  • Front end claims rejects

  • Clearinghouse coordination
  • Claim submission
  • Insurance follow up and priority
  • Online claim management
  • Payment Posting

  • Remittance processing
  • Charity care, grant funded, and alternative payment programs
  • Payment plans
  • Credit Card and vouchers
  • Pre-collect and collections

Comprehensive Revenue Cycle Management Solutions 
Put our experience and expertise to work for you!

Process Improvements

In its consulting experience, GetixHealth finds many best practices through this review process. However, GetixHealth routinely sees areas in which process improvements are needed such as:

Coding and documentation review

Financial counseling

Collections processes and agency affiliation

Revenue cycle leadership and coordination

On-line Claims follow up

GetixHealth works with clinics to identify alternative protocols, process changes, tools, and metrics that can enhance the clinic’s operations, staff, skills, or billing software to effect change. GetixHealth’s guidance and interventions can be critical to the revenue cycle and bring the clinic additional opportunities for success, reimbursement and compliance. Where direct support is needed, GetixHealth can provide education, resources, and analysis that enables the clinic to reach its goals and fulfill its mission.

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