![]() HRSA gives grants to FQHCs to help pay for the cost of helping people who aren’t getting enough care. Furthermore, FQHCs are eligible for higher reimbursement rates for some services. Furthermore, FQHCs can receive enhanced reimbursement rates for specific services.įor services covered by Medicare that FQHCs provide to Medicare recipients, they are paid a rate based on the Medicare fee schedule. Medicare pays FQHCs a rate set by the Medicare fee schedule for the covered services they give to Medicare recipients. FQHC Billing and Reimbursement Regulations Various elements determine these codes, such as the complexity of the patient’s condition, the length of time spent with the patient, and the nature of the medical decisions made. Evaluation and management (E/M) service codes assess and manage a patient’s medical condition. Thus, it’s crucial to verify changes to ensure accurate billing.ĬPT codes represent services delivered to patients in Federally Qualified Health Centres (FQHCs), including E/M services, lab tests, and procedures. It’s important to note that these codes are updated annually. 99394-99397: Preventive medicine evaluation and management services for established patients.99385-99387: Preventive medicine evaluation and management services for new patients.99304-99307: Office or other outpatient visit codes for prolonged services.99211-99215: Office or other outpatient visit codes for established patients.99201-99205: Office or other outpatient visit codes for new patients.Some commonly used FQHC CPT codes include: They are necessary to fund government health insurance programs like Medicare and Medicaid. These codes list the medical procedures and assistance given to a patient. ![]()
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