FQHC, CHC, and RHC billing

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 to accommodate All-Inclusive Rate ("AIR") and standard billing differences between payers
• 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 AR strategies across payers and programs
• FQHC-specific AR 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.