Bush Consulting FQHC Medical Auditing Services

FQHC Auditing Services and Resources

About Bush Consulting Services

My Mission

At Bush Consulting Services, our mission is to help FQHCs, ensuring your health center's billing and collections processes are accurate, compliant, and efficient.

My Services

Our Federally Qualified Health Center (FQHC) Medical Auditing Service is dedicated to ensuring your health center's billing and collections processes are accurate, compliant, and efficient. We specialize in conducting thorough audits to identify discrepancies, enhance revenue cycle management, and maintain compliance with federal and state regulations.

My Approach

At Bush Consulting Services, we take a proactive and collaborative approach to auditing. We work closely with our clients to understand their needs and develop solutions that are tailored to their unique challenges.

My Auditing Services Can Help With:

Maximizing Reimbursements: Accurate coding and thorough documentation ensure that healthcare services are properly billed and coded, reducing the risk of undercoding or overcoding. This maximizes reimbursement from insurance companies, government payers, and patients, directly contributing to increased revenue and ROI.

Avoiding Penalties and Audits: Non-compliance with coding and documentation standards can result in penalties, fines, or even audits from regulatory bodies such as CMS (Centers for Medicare & Medicaid Services). By ensuring compliance, organizations avoid these costly penalties, preserving revenue and protecting ROI.

Reducing Claim Denials: Inaccurate or incomplete coding and documentation often lead to claim denials or delays in reimbursement. By maintaining compliance, organizations minimize the likelihood of claim rejections, reduce the administrative burden of appeals, and expedite the revenue cycle, ultimately improving cash flow and ROI.

Enhancing Operational Efficiency: Efficient coding and documentation processes streamline revenue cycle management, reducing administrative costs and accelerating payment turnaround times. By optimizing workflows and minimizing errors, organizations can allocate resources more effectively, improving operational efficiency and overall ROI.

Mitigating Legal and Reputational Risks: Compliance with coding and documentation standards mitigates legal and reputational risks associated with billing inaccuracies or fraudulent practices. Avoiding legal battles, fines, or damage to reputation preserves resources and enhances long-term ROI by maintaining trust with patients, payers, and regulatory authorities.

Hear From My Happy Clients

Frequently Asked Questions About FQHC'S

What is a Federally Qualified Health Center (FQHC)?

An FQHC is a community-based health care provider that receives funds from the HRSA Health Center Program to provide primary care services in underserved areas.

What services are covered under FQHC reimbursement?

FQHCs are reimbursed for a broad range of services, including primary care, dental, mental health, and substance use disorder services.

How are FQHCs reimbursed by Medicare?

Medicare reimburses FQHCs under the Prospective Payment System (PPS), which provides a predetermined rate for each patient visit

BUSH CONSULTING SERVICES

Are you looking to maximize your reimbursement?

Let Bush Consulting Services help you navigate the complexities of healthcare reimbursement by

providing comprehensive medical coding audits, billing assistance services, and provider education tailored to meet the unique needs of FQHCs.

Schedule your consultation today!

Get Started

Bush Consulting Services

(317) 371-1729