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FQHC Revenue Cycle Management Services

Maximizing Financial Health and Operational Efficiency

Federally Qualified Health Centers (FQHCs) and community health centers play a critical role in providing healthcare to underserved populations. However, managing the complex financial processes associated with these centers can be a daunting task. Effective FQHC revenue cycle management is essential for maintaining financial stability and ensuring that these centers can continue their mission of delivering quality care. At Visualutions, we offer comprehensive revenue cycle management services for FQHCs that are tailored to meet the unique needs of these vital healthcare providers.

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52%

of Health Centers listed “Increasing Cost to Operate” and “Workforce Recruitment” as top challenges

(Kaiser Family Foundation Survey, published 4/2020)

Our customer stories

You are why we do what we do

Community health providers rely on Visualutions to help them fund their mission.

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the vital piece our organization was missing

The Visualutions RCM team has been the vital piece our organization was missing. FQHC’s are such a niche healthcare market, and many RCM companies do not have the knowledge around the differences in billing that Visualutions does. It is good to know that we have an invested partner who is helping us to paddle up this river of revenue cycle!


Director of Revenue Cycle
IL FQHC

I would not hesitate to recommend them

We have been very pleased with the performance of Visualutions RCM team and I would not hesitate to recommend them for your organization based off our experience.


Director of Revenue Cycle
IL FQHC

collected the largest payments we have ever received

Our organization was struggling in December with minimal staffing due to the pandemic, so I budgeted for a shortfall. However, the Visualutions RCM team collected the largest payments we have ever received, during this very difficult time.  Visualutions is a trusted partner to our organization


Chief Financial Officer
IL FQHC

we started receiving payment right away!

I worked really closely with Visualutions. They worked with us on our claims filing and sat with us as all the claims went through to make sure nothing was rejected. They all went through, and we started receiving payment right away!


Revenue Cycle Manager
CO FQHC

a very strong partner

We have Visualutions not just as a company we hired to help us, but as a very strong partner and partnership that has been very successful together


Chief Executive Officer
AZ  FQHC

Our collections have improved significantly

With the help of the Revenue Cycle Management team, we're doing very well. Our collections have improved significantly.


Chief Financial Officer
MD FQHC

so much more developed than other companies

With Revenue Cycle Management, Visualutions' processes were so much more developed than other companies…immediately the quality of everything just went up. It's been a delight.


Chief Financial Officer
KY FQHC

Communication and relationship

And I think that that is what we miss the most going with another vendor. So they might have had that specific EHR experience, but they did not have the communication and the relationship and the partnership that we have with Visualutions.

Joey Horton
Chief Executive Officer
NY FQHC

It has been tremendous knowing that it is being done correctly

It has been tremendous knowing that it is being done correctly.


Chief Operating Officer
MI FQHC

we would never be able to duplicate knowledge and experience that Visualutions brought to us

We quickly came to realize that we would never be able to duplicate the depth and breadth of knowledge and experience that Visualutions brought to us, and we moved to full out‐sourcing of our payer credentialing, billing, and collections operations to Visualutions later in 2020.


Chief Financial Officer
IL FQHC

They have transformed our revenue cycle processes

Visualutions has given training on proper coding to our providers, reducing cycle time on the front end. They have transformed our revenue cycle processes, allowing us to better serve our low‐income patient base. I can strongly recommend Visualutions as a Revenue Cycle Management partner for your organization.


Chief Financial Officer
IL FQHC

Our company has been blessed during our partnership with Visualutions on multiple levels

Our company has been blessed during our partnership with Visualutions on multiple levels. They have increased our Average Weekly Collections. They also cleaned up the outstanding patient balances. An outflow of their efforts has resulted in increased internal and external communications regarding our RCM activities. Lastly, as a Visanalytics customer, our company now has a reliable set of reports that we rely upon. Our partnership with Visualutions has been extremely successful. It has been great to have access to numerous of Visualutions' key resources working on our priorities. Their key resources come with a vast amount of knowledge and experience. Visualutions has my highest recommendation.


CFO
LA FQHC

What is Revenue Cycle Management?

Revenue cycle management (RCM) involves the oversight and management of the financial processes associated with patient care, from the initial patient encounter to the final payment of services. This includes, billing, coding, claims submission, payment processing, and compliance with regulatory requirements. The goal of FQHC RCM services is to optimize these processes, reduce errors, and maximize revenue, allowing your health center to focus on providing exceptional patient care.

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Revenue Optimization Services demonstration

Why Revenue Cycle Management is Crucial for FQHCs

Effective FQHC revenue cycle management is crucial for the financial health of your center. Given the complexity of billing and payment processes for FQHCs and community health centers, having a well-managed revenue cycle is essential to ensure that your center is reimbursed for the services it provides. Delays in payment, errors in billing, and non-compliance with regulations can lead to significant financial challenges, making it difficult for your center to operate effectively.

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Benefits of Our FQHC Revenue Cycle Management Services

Choosing Visualutions for your FQHC revenue cycle management needs offers numerous benefits, including:

  1. Increased Revenue: Our RCM services for FQHCs are designed to maximize your revenue by ensuring that services are billed accurately and promptly. We reduce the risk of denied claims and improve your center’s cash flow.
  2. Improved Efficiency: By streamlining your revenue cycle processes, we help reduce administrative burdens and improve the overall efficiency of your center. This allows your staff to focus on providing quality care to your patients.
  3. Better Financial Insights: Our detailed financial reporting allows you to understand your center’s financial performance and assist with making critical data-driven decisions to optimize your operations.

Our Comprehensive Revenue Cycle Management Services

At Visualutions, we offer a full range of RCM services for FQHCs that are designed to streamline your financial processes, reduce administrative burdens, and improve your center’s overall efficiency. Our team of experts has extensive experience working with FQHCs and community health centers, and we understand the unique challenges you face. We pride ourselves on being experts on both federal requirements and the unique requirements of your state. Our FQHC RCM services are tailored to meet your specific needs, ensuring that your revenue cycle is optimized for success.

  1. Billing and Coding Accuracy

    Accurate billing and coding are critical components of effective revenue cycle management services for FQHCs. Our team of certified coders ensures that services are coded correctly and in compliance with federal and state regulations. This reduces the risk of billing errors and increases the likelihood of full and maximum reimbursement for services provided. Our billing processes are streamlined to ensure timely submission of claims, minimizing delays in payment.

  2. Claims Submission and Management

    Claims submission and management are key aspects of our RCM services for FQHCs. We handle the entire claims process, from submission to follow-up, ensuring that your claims are processed quickly and accurately. Our team works diligently to reduce the number of denied claims to ensure that your center receives the maximum reimbursement for services rendered.

  3. Payment Processing and Collections

    Effective payment processing and collections are essential for maintaining or scaling your health center. Our community health revenue cycle management services include comprehensive payment processing, ensuring that payments are received and processed promptly. We also manage collections byworking with patients and payers to resolve outstanding balances so that your center’s financial health is not affected by delayed payments.

  4. Compliance and Regulatory Support

    Compliance with federal and state regulations is a critical component of revenue cycle management services for community health centers. Our team stays up-to-date on the latest regulatory changes and ensures that your center is fully compliant with all RCM-related requirements. We provide ongoing support to ensure that your billing and coding processes meet the necessary standards, reducing the risk of audits and penalties.

  5. Financial Reporting and Analytics

    Our FQHC revenue cycle management services also include robust financial reporting and analytics. We provide your center with detailed reports on key performance metrics, allowing you to monitor your financial health and make informed decisions.

Why Choose Visualutions for Revenue Cycle Management Services for Community Health Centers?

At Visualutions, we are committed to helping FQHCs and community health centers succeed. Our team of experts has extensive experience in FQHC revenue cycle management and is dedicated to providing personalized solutions that meet your center’s unique needs. We understand the challenges you face and are here to provide the support you need to optimize your revenue cycle and maintain financial stability.

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Contact Visualutions

Ready to take your FQHC’s revenue cycle management to the next level? Contact us today to learn more about how our FQHC revenue cycle management services can benefit your organization. Our team of experienced professionals is here to help you streamline your processes, ensure compliance, and maximize your revenue.

Contact us for a free assessment of your current RCM processes.

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Hundreds of Community Health Practices rely on Visualutions to help them. Reach out to learn how we can help your business too!

281.297.2257