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FQHC Billing

Why FQHCs Trust Our Billing Expertise 

Optimize Funding. Improve Compliance. Streamline Reimbursements. FQHC billing is uniquely complex—balancing multiple funding sources, encounter-based billing, sliding fee schedules, and stringent compliance standards. Our specialized billing services are designed specifically for FQHCs, ensuring maximized reimbursements, streamlined operations, and full regulatory compliance—so your team can stay focused on providing quality care to underserved communities. 

How We Drive FQHC Billing Success: 

FQHC Billing & UDS Reporting – Expert handling of PPS, wrap-around claims, and Uniform Data System compliance
Maximized Reimbursements – Capture every eligible payment from Medicare, Medicaid, grants, and commercial payers
Sliding Fee Scale & Eligibility Integration – Accurate billing aligned with patient eligibility, income levels, and fee policies
Denial Management & Revenue Recovery – AI-powered denial tracking and proactive appeals to protect your revenue
End-to-End RCM for FQHCs – From patient registration to payment reconciliation, we manage it all  

Explore how our tailored billing services for FQHCs can strengthen your revenue cycle, compliance posture, and operational efficiency.

Let’s Improve Your FQHC Revenue Outcomes 

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How will our FQHC billing help your practice?

FQHC-Specific Billing & Coding
 

Coding is difficult. No way around it! But we make it look easy. Our experts are certified in coding, and specifically understand the coding needs of your Federally Qualified Health Center. 

We handle billing for common FQHC scenarios like:

  • Split billing of professional and technical components using UB and professional claim formats
  • PPS & APM Model Billing
  • Wrap-Around & Reconciliation Claims
  • Medicare & Medicaid Crossover Claims
  • Behavioral Health, Dental, and Telehealth Billing
  • Sliding Fee Schedule Integration

But it's not just the codes themselves that make coding difficult. Mastering the coding process for FQHCs goes beyond billing; it ensures appropriate reimbursement for the complex services you provide, supports healthcare sustainability, and ultimately enhances patient care quality. By equipping yourself with the right knowledge, resources, and a dedication to best practices, you'll successfully navigate coding challenges and maintain a focus on your patients.

Compliance & Grant Reporting Support
 
  • UDS (Uniform Data System) Reporting 
  • HRSA & CMS Compliance Audits 
  • Sliding Fee Discount Program Audits 
  • Payer-specific documentation and encounter compliance
Denial Prevention & Resolution
 
  • Real-time claim validation for high first-pass acceptance 
  • Root cause analysis on denials to drive long-term improvement 
  • Appeals, recoupments, and underpayment analysis 
Cash Flow Optimization & Aged A/R Cleanup
  • Systematic follow-ups and claim status tracking 
  • Segmented A/R strategies across payers and programs 
  • FQHC-specific A/R dashboards to boost visibility and performance 
Real-Time Analytics Built for FQHCs

📊 Revenue Insights by Funding Source – Monitor reimbursements across Medicaid, Medicare, grants, and sliding scale payments 
📉 Compliance Alerts – Stay ahead of regulatory changes with real-time alerts and guidance 
📈 Operational KPIs – Monitor encounter volume, rejection rates, and staff productivity 
💡 Forecasting Tools – Predict revenue patterns and prepare for funding or payer shifts 
(Unified data visibility across all service lines—medical, dental, behavioral health, and pharmacy.) 

Save time and money

🏆 Deep FQHC Experience – We’ve supported FQHCs and CHCs nationwide with end-to-end RCM and compliance management 
💡 Technology-Driven Approach – Integrated eligibility tools, EHR/PM system expertise, and AI-powered analytics 
📑 Regulatory Confidence – Stay prepared for HRSA, OIG, and CMS audits with our comprehensive compliance oversight 

Our ARIA RCM (Billing) Services team has won Best in KLAS for Billing services for Ambulatory practices 2 years in a row. We are ranked #1 by our customers, and are proud of the partnerships we have built! We work with practices and hospitals of all sizes, and with agnostic EHR software. Even if you are not a CGM customer, our ARIA team can work on your system to drive results. 

All of our team members have years of experience in medical billing and coding and have worked with over 70 specialties. We take all the hard work out of billing so that you can put your efforts elsewhere in your organization.

Award-winning FQHC billing services and solutions that impact your bottom line

Awarded Best is KLAS two years in a row, ARIA RCM Services, a part of ARIA Health Services, delivers results. We make impacts to your organization that matter. 

End to End Billing Services

Medical Coding Services

Enrollment is a pain, but it doesn't have to be

Credentialing Services

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Medical coding services for FQHCs
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