Community Health Centers(FQHC)

Smart Solutions for Smart CHCs, FQHCs and RHCs
We fully understand the challenges faced by all CHCs, such as tight budgets, sliding-fee scales, declining reimbursement, and stringent compliance & reporting requirements.

We Help You Focus More on Patient Care!

  • Complete and Proactive RCM Services.
  • Provider Credentialing Services.
  • Staff Training and Education.
  • Medicare, Medicaid and State-Specific Compliance.
  • Comprehensive Financial and Regulatory Data Reporting.
  • Technology and Operational Assessment.
  • Patient Education and Engagement.
  • Education with Value Based Payment Programs.
  • Financial Optimization.
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Proactive Revenue Cycle Management
Designed specifically for CHCs, FQHC and RHCs

End to End Services From Patient to Payment

We do the prep work prior to submitting claims

  • Verify Patients Benefit at time of appointment
  • Verify coding accuracy & remove coding error
  • Reconcile charges with appointments
  • Scrub claims & flag any errors.
  • Ensure 99.9% clean claim submission

We file your Claims Electronically within 24 hours

  • Submit claims electronically & on paper.
  • Follow-up on denied claims & appeals.
  • Follow-up on all denied accounts
  • Resolve all billing issues timely.
  • Provide submission reports.

We provide Patient Billing & Phone Support

  • Print and mail patient statements.
  • Handle patient billing related questions
  • Track patient payments and balances.
  • Weekly & Monthly patient reports.

We manage your Accounting & Payments

  • Post insurance payments.
  • Post patient Payments.
  • Monitor underpayment & down-coding.
  • Verify payments payer fee schedule.
  • Manage PQRS incentive payments.
  • Monthly reports.

Free added value services.

  • Medicare & Insurance Credentialing.
  • Insurance Contracts negotiations.
  • Coding assistance

Results Achieved for our clients

  • Consistent track record of collecting for our clients for over 8 years.
  • We have achieved and exceeded all six measures of success.
  • 99% of claims submitted are paid from the first submission.
  • 70% increase in average collection for our new clients.
  • 90% up-front collection rate from patients at time of visit.
  • 30 days is Our Average Days in A/R. Industry standard is 48 days.
  • Vigorous and consistent claims follow-up process.
  • Complete billing from verifying patient benefit to payment.
  • We are independent and financially strong billing company.
  • Strict process to ensure payments are received for every service provided.
  • We develop a tight relationship with our clients. We work as one team.
  • We process all claims daily to ensure consistent cash flow.
  • We Address all denials daily to avoid any delay in payments.
  • We empower our billers and hold them accountable for their work.

Provider Credentialing Services
We Have Mastered the Intricacies of Credentialing Process

Designed for Primary Care specialty, our state of the art SOAP Note EHR is a best of class Certified EMR that offers cutting edge, secure on Cloud features. There are no annoying pop-up Ads, and because it is web-based, it’s available anywhere anytime.

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Our Credentialing Services Include:

  • Commercial Insurance Enrollment and Credentialing.
  • Medicare and Medicaid Provider Enrollment and Credentialing.
  • Medicare and Medicaid Revalidation.
  • CAQH Provider Registration, Maintenance and Re-attestation.
  • NPI Registration (Type I and Type II).
  • Tracking and Reporting of Application from Submission to Approval.
  • Resolving all Credentialing Related Issues.
  • Managed Care Contracting.

Request Your Free Revenue Cycle Assessment

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Positive Impact

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Average Collection

95% or more

24

Days In A/R

35 days or less

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First-Pass Acceptance Rate

99% or more

days

A/R Over 120 Days

8% or less

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Denial Rate

5% or less


Why Medvertex RCM?

Why Medvertex RCM?

By giving our clients access to best healthcare IT products and ultimate experience in RCM services, we are changing the meaning of partnership and revolutionizing the healthcare in the process.

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Client Testimonials