With only two months left in 2019, this is the perfect time to ensure you have the right building blocks in place to deliver maximum revenue for the remainder of the year, and set up for strong growth in the new year.
Let's look at an easy win first. If you haven't already, don't forget to review your self-pay balance for retroactive reimbursement opportunities - this can generate additional revenue in a short period of time with no disruption to operations. Don't have a spare resource to dedicate? We can help! See below for details.
Next, let's look at credentialing. This is one of the top claim denial reasons we see, which unfortunately results in write offs that could be avoidable. Accurate (and fast) credentialing is critical to revenue generation, but can be resource intensive to manage in-house. Below we provide some tips and a handy fact sheet.
For longer term growth, we've seen a lot of focus lately on mental and behavioral health - some of the statistics are staggering. Integrated behavioral health provides a significant expansion opportunity, and is an area that many FQHCs haven't fully explored.
In the media, we've seen HHS announce proposed changes to modernize the Stark Law and Anti-Kickback Statute and award $319 million to support health providers caring for the underserved through the National Health Service Corps (NHSC). CMS recently celebrated its two-year anniversary of the "Patients Over Paperwork" initiative, plus outlined its vision for delivering value-based vs. encounter-based care and the future of Medicare and Medicaid. And NACHC launches its new Unity for Community Health Day.
Keep reading for more details.