Boost Commercial Payer Revenue to Offset Federal Funding
Government funding is uncertain. Federally Qualified Health Centers (FQHCs) and Community Health Centers (CHCs) must develop more reliable, diversified revenue streams for long-term financial stability.
Federal grants and PPS reimbursements from Medicaid and Medicare are the foundation for FQHC and CHC funding. Now more than ever, leveraging certified medical coders who know how to maximize commercial insurance reimbursements will be crucial for sustaining access to care in underserved areas.
Commercial Insurance: An Effective, Supplemental Revenue Stream
Reimbursements from commercially insured patients can help increase revenue margins and strengthen financial health in several ways:
- Higher Reimbursement Rates ─ Commercial insurance often reimburses at higher rates than Medicaid, which helps cross-subsidize services for uninsured or underinsured patients.
- Cost Recovery ─ Commercial payers can help fill financial gaps for services that aren’t fully covered under Medicaid, Medicare or grant funds.
- Diversified Revenue ─ A mix of payers reduces dependence on government funding.
- Improved Cash Flow ─ Commercial claims are often paid faster, which improves operational cash flow.
Certified Medical Coders Can Maximize Commercial Reimbursements
Hiring full-time certified medical coders, who are up-to-date on shifting insurance guidelines, may not be financially feasible for many FQHC and CHC providers. But coding without training can result in lost revenue and non-compliance, which can be even costlier.
Outsourcing commercial medical coding experts, who focus solely on commercial coding, delivers maximum ROI:
- Boosts revenue from higher-paying commercial payers
- Reduces the risk of undercoding or denials
- Keeps medical coding outsourcing costs manageable
- Allows providers to continue coding for Medicaid and Medicare patients
Budget Friendly Hybrid Commercial Coding Plan
Let CodeEMR help you unlock the full potential of your commercial billing without adding unnecessary costs or straining your team.
Contact us to customize the remote medical coding solution that works best for you.
