Split-Billing, Reporting and More for FQHC and RHC

FQHC/CHC/RHC billing isn't straightforward.

Our experts share key details about billing professional and institutional/UB codes, how to make sure you're optimizing your practice management software, and how to leverage the coding for better utilization reporting.

Key Topics

Reimbursement differences: Medicare Part A/Medicaid PPS contract rates vs. Part B FFS payments
Split billing rules, including billable CPTs for Part A (G0466-G0470) vs. Part B
Qualifying CPTs mapped to FQHC PPS codes, with revenue codes like 0521 for Medical, 0900 for behavioral, 0636 for Vaccines and 0771 for Admin UB-04 claims
Claim submission details: Forms (UB-04 vs. CMS-1500), Type of Bill (771 for FQHC/711 for RHC), and POS (50 for FQHC/72 for RHC)
Special services: Telehealth guidelines (G2025) and 2025 vaccine/admin code reimbursements (real-time claims)
Medicaid Wrap methodology for cost-based adjustments beyond Medicare payments

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Need help with your billing?

ARIA RCM Services has been recognized as a top performer in Ambulatory RCM Services, underscoring our leadership in revenue cycle management for rural health providers and community-based clinics.

With ARIA Health Services, we partner with FQHCs, RHCs, and CHCs to manage the entire revenue lifecycle, applying deep expertise in payer billing rules, audits, recoupments, appeals, and denials specific to safety-net and rural care environments.

We deliver tailored revenue cycle support—including dedicated FTEs, a focused Aging AR program, denial management, coding assistance, and more—to help rural and community health practices strengthen financial performance and sustain access to care in the communities they serve.

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