Consulting and Revenue Cycle Management

Managing the FQHC Revenue Cycle

When it comes to CHC revenue cycle – a traditional billing company just won’t do. Alternative payment models, prospective payment system, sliding fee scales, software configurations – it’s a different world. In the wake of COVID and the Delta Variant wave, a new layer of custom billing is required to handle testing, vaccination, and tele-visits.

We start by only supporting the top software platforms, where we have developed years of configuration experience and relationships. We then conduct an onsite and remote assessment to determine which areas of the revenue cycle need what type of support.

We work with our clients to develop mutually agreeable terms of service that are never locked in – we perform or we don’t get paid. With decades of combined experience, we aim to achieve referrals through excellent work.

100% Committed and 100% USA-based

The majority of FQHC billing companies have maintained their competitive pricing by seeking help from offshore partners, particularly Indian agencies that hire home workers in foreign nations. This can undermine quality, security (HIPAA) and ultimately leads to lower revenue. Further, a number of states have either specifically banned the practice, or required disclosure due to these concerns:

“States prohibiting a contractor from storing data offshore are Alaska, Arizona, Illinois, New Jersey, Missouri, Ohio, and Wisconsin.

Such states include, for example, Alabama, Colorado, Idaho, Maryland, Michigan, Minnesota, North Carolina, Pennsylvania, Tennessee, and South Carolina.”Government Contracts Navigator

We’ve taken a different approach, by increasing value through RPA (Robotic Process Automation). By employing robots to handle chore-work and repetitive billing tasks, our billers are free to spend their time where it’s most appreciated – following up on the most difficult A/R and denials. We then apply the lessons back into our claims-scrubbing robots. The goal is full payment as fast as each payers’ adjudication cycle permits.