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

How will our FQHC billing help your practice?

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.

UDS (Uniform Data System) Reporting
HRSA & CMS Compliance Audits
Sliding Fee Discount Program Audits
Payer-specific documentation and encounter compliance

Real-time claim validation for high first-pass acceptance
Root cause analysis on denials to drive long-term improvement
Appeals, recoupments, and underpayment analysis

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

📊 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.)

🏆 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.

End to End Billing Services

ARIA RCM Services offers a dedicated team of experts that delivers comprehensive end-to-end billing solutions, including Aging AR, claims scrubbing, denial management, coding oversight, payment posting, and more.

By utilizing these services, Federally Qualified Health Centers (FQHCs) can enhance their revenue cycle efficiency, allowing them to focus more on patient care while ensuring accurate billing and maximized reimbursements

ARIA RCM SERVICES

Medical Coding Services

Medical coding can be challenging! However, because it plays a crucial role in both ensuring continuity of care and securing the financial reimbursements that practices rely on, it's essential to have knowledgeable experts on your team.

By partnering with ARIA Coding Services, you will stay updated on:

Coding guidelines that change quarterly or annually
New codes for the services you provide
Opportunities to improve your documentation
Strategies for managing coding rejections and denials

For Federally Qualified Health Centers (FQHCs), this partnership not only streamlines the coding process but also optimizes revenue, allowing healthcare providers to concentrate on delivering quality patient care.

ARIA Coding Services

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

ARIA's provider enrollment services are designed to simplify the often lengthy process of onboarding new clinicians, allowing Federally Qualified Health Centers (FQHCs) to focus more on patient care. Our team of experts is committed to ensuring that your revenue and payments remain consistent, bolstered by our complementary Revenue Cycle Management (RCM) services, which enhance both provider and patient satisfaction.

By facilitating a smoother enrollment process, FQHCs can improve access to care for underserved populations, ensuring more efficient service delivery. With flexible pricing plans tailored to accommodate larger groups, smaller practices, and solo providers alike, ARIA Enrollment Services offers the ideal solution to help you efficiently receive payments from insurance organizations within your market.

ARIA Enrollment Services

Credentialing Services

If you are managing in-house credentialing, you're likely feeling overwhelmed or understaffed, which can hinder your facility's ability to deliver timely care. Our services are designed to alleviate internal stress and provide results that truly matter, allowing your staff to focus on patient care instead of administrative burdens.

By outsourcing credentialing, Federally Qualified Health Centers (FQHCs) can enhance operational efficiency and ensure that clinicians are properly enrolled, ultimately improving access to healthcare for the communities they serve.

ARIA Credentialing Services