Federal Qualified Health Centers - GetixHealth

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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:

Compliance

340B Pharmacy Programs

Coding Audits

Billing Workflow & Operational Evaluations

Revenue Cycle Review

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

Put our experience and expertise to work for you!

Contact GetixHealth today!

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

Financial counseling

Collections processes and agency affiliation

Revenue cycle leadership and coordination

On-line Claims follow up

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