Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers Click here for more sample CPC practice exam questions and answers with full rationaleTag Archives: fqhc
How to Bill 2 Mental Health Visits on same day for FQHC
I have billed an E/M Office visit code and mental health code before but I cant get this one to work and it says that a modifier can’t be used. Any suggestions will be greatly appreciated! TIA!
Looking for best practice for billing Medicare for a Naturopathic provider in an FQHC
What is the best way to bill this to let Medicare know that we know services are not covered but the patient is requesting it be billed for proof of denial. Is there a modifier we should be using? I know there is a modifier for excluded services but the service would be covered if provider by a different provider. I have never worked with or billed for a Naturopathic provider so any help would be appreciated.
FQHC Seminar
Links would be helpful…
Thanks!!
FQHC Dual encounters, what constitutes “significant additional work”
:confused:
What is a general length of time to which "restarting medication" is considered significant? Your input is greatly appreciated.
HRT injections in FQHC setting
Billing IOP in an FQHC
I work for an FQHC in CT that is looking to start and IOP program, does anyone have any experience in billing this? Everything I’ve found so far leads to H0015 and S9480 billed on a UB but we bill everything (except Medicare, which doesn’t pay for IOP) on a HCFA so I’m wondering if we just need to unbundle each service to bill professional on a HCFA.
TIA,
Shannon
FQHC Billing Lab Services to Medicare Advantage plans
I work for an FQHC in Hawaii and we are having issues with billing PPD tests and other lab services to Medicare Advantage plans like UHC, WellCare, etc.
Is there anyone else billing/coding for FQHCs who can share how they are billing labs to Medicare plans?
According to the Medicare FQHC Policy Manual under the subcategory Description of Non RHC/FQHC Services regarding lab services:
Laboratory services – Although RHCs and FQHCs are required to furnish certain laboratory services (for RHCs see section 1861(aa)(2)(G) of the Act, and for FQHCs see section 330(b)(1)(A)(i)(II) of the PHS Act), laboratory services are not within the scope of the RHC or FQHC benefit. When clinics and centers separately bill laboratory services, the cost of associated space, equipment, supplies, facility overhead and personnel for these services must be adjusted out of the RHC or FQHC cost report. This does not include venipuncture, which is included in the AIR when furnished in an RHC by an RHC practitioner or furnished incident to an RHC service, and it is included in the per-diem payment when furnished in an FQHC by an FQHC practitioner or furnished incident to an FQHC service.
Does this mean that we should be billing for labs on a CMS-1500 under the rendering provider’s NPI instead of on a UB-04 under our FQHC’s NPI since they are not FQHC services, and expect to get separate reimbursement? We have the billing staff insisting that all of our UnitedHealthcare should be billed out on UB-04 forms regardless of the services we are billing for.
Any assistance is greatly appreciated!
FQHC Chiropractic Services billed to Medicare
Can an FHQC get reimbursed for Chiropractic services rendered to a Medicare patient?
Any guidance will be greatly appreciated.
Thank You!
Patty Leber
FQHC Optometry 66984
Thanks!