CHC and FQHC Coding Tips
Maximize reimbursement and compliance with these essential coding tips for Community Health Centers (CHCs) and
Federally Qualified Health Centers (FQHCs).
FQHC Coding Tip for the week: FQHC Medicaid Denials: Why They Happen and How to Prevent Them
One of the biggest challenges Federally Qualified Health Centers (FQHCs) face is navigating Medicaid denials. Each state’s Medicaid program operates differently – with its own
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September 2, 2025
FQHC Billing Tip: Understanding Professional & Technical Components for Medicare Claims
Did you know? In FQHCs, CPT codes that have both professional and technical components must be split using modifiers 26 and TC – especially when
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July 29, 2025
FQHC Medicare Tip: Two Visits on the Same Day
Did you know Medicare does allow additional payment for a second visit on the same day – but only under specific conditions? If a patient
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July 14, 2025
The definition of a “new patient” isn’t the same across the board
According to CPT (AMA), a new patient is one who hasn’t received professional services from the provider (or another provider in the same specialty &
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July 7, 2025
Focus: Maternity Coding in an FQHC/CHC Setting
Did you know that FQHCs (Federally Qualified Health Centers) and CHCs (Community Health Centers) follow a different billing methodology for maternity care compared to hospitals
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June 30, 2025
Coding Tip of the Week – Don’t Let Insurance Mismatches Derail Your Claims
Did you know that coding based solely on EMR entries-without verifying insurance details-can lead to costly denials for FQHCs? ✅ Always align coding with the
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June 24, 2025
CHC and FQHC Tip for the Week: Let’s talk about coding accuracy for healthcare!
Ensure the CPT and ICD codes match the patient’s age for precise billing and care. Here are key examples: ✅ CPT Codes: 1) 90700: DTaP
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June 16, 2025
CHC and FQHC Tip for the Week: FQHC- IS YOUR DATE OF SERVICE CAUSING THE DENIAL?
In an FQHC/CHC setting, when a patient has dual insurance, an incorrect date of service (DOS) can often lead to a denial from the secondary
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June 10, 2025
CHC and FQHC Tip for the Week: You’ve double-checked the ICD and CPT codes.
Everything looks accurate. But then – the claim is denied. The denial cites a coding issue. And yet, your coding team confirms, “Everything seems fine.”
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June 2, 2025
Weekly Tip for FQHCs: Submitting Medicare claims under PPS?
Don’t forget: Each payment code (like G0466–G0470) must be paired with a qualifying visit code on a separate line. Here’s your go-to reference for 2024
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May 19, 2025
WEEK #1 FQHC/CHC Coding Tip: Mastering EKG Coding for Medicare
Navigating EKG coding in Federally Qualified Health Centers (FQHCs) and Community Health Centers (CHCs)? Here’s a quick guide to ensure compliance and accuracy: 🔹 CPT
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May 12, 2025