Federal Qualified Health Centers
Federal Qualified Health Center Expertise
GetixHealth has worked extensively with Federal Qualified Health Centers (FQHCs) to lend its revenue cycle expertise and guidance. GetixHealth recognizes the unique nature and population of this clinical setting and understands the special challenges associated with scheduling, eligibility, and collections.
GetixHealth has worked with several clinics to assist in the following areas:
Billing Workflow & Operational Evaluations
GetixHealth has recently collaborated with Wisconsin’s FQHC association on a large scale review of the
revenue cycle operations at several clinics. This has included the following core areas of the cycle:
- Pre-registration / Patient Outreach
- Patient scheduling
- Prior authorization / certification
- Eligibility management and verification
- Patient check-in
- Service ordering
- Charge master / route slip
- Charge capture and validation
- Coding
- Charge review
- Front end claims rejects
- Clearinghouse coordination
- Claim submission
- Insurance follow up and priority
- Online claim management
- Payment Posting
- Remittance processing
- Charity care, grant funded, and alternative payment programs
- Payment plans
- Credit Card and vouchers
- Pre-collect and collections
Comprehensive Revenue Cycle Management Solutions
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Process Improvements
In its consulting experience, GetixHealth finds many best practices through this review process. However, GetixHealth routinely sees areas in which process improvements are needed such as:
Coding and documentation review
Collections processes and agency affiliation
Revenue cycle leadership and coordination
GetixHealth works with clinics to identify alternative protocols, process changes, tools, and metrics that can enhance the clinic’s operations, staff, skills, or billing software to effect change. GetixHealth’s guidance and interventions can be critical to the revenue cycle and bring the clinic additional opportunities for success, reimbursement and compliance. Where direct support is needed, GetixHealth can provide education, resources, and analysis that enables the clinic to reach its goals and fulfill its mission.
Tap into our powerful resources for Healthcare Providers
With SVA (Healthcare) capturing potentially missed services through their certified coders, RAA’s production increased 10.59% and our collection of receipts also increased by 12.14% in 1 year.
Dr. Fred Panzer, Radiology Associates of Appleton
With SVA (Healthcare) taking a proactive approach, WRS’s denied claims have been reduced by 50%.
Al Jensen, Wisconsin Radiology Specialists
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