Tag: chc

The Evolution of Patient Billing Processes for Health & Medical Practices

The complex nature of medical billing and coding has changed extensively over the years. These changes in medical billing have taken place directly alongside the ever evolving technology of computer, digitization, and new ways of doing business. medical billing and coding

This trend is likely to continue as new ways and methods of handling medical billing and coding have arose and continue to evolve in modern business and work environments. As the frameworks continue to expand, so does the number of specialized billing consultants who offer focused expertise in certain areas of health care, such as surgery, chiropractic, OB/GYN, pediatrics and pain management.

What the future will bring to medical billing and coding is slowly taking shape and medical practices now are embracing the changes taking place within the industry.

Highly Specialized Billing Consultants

Soon there will be more and more medical billing consultants who specialize in helping the different types of practices. With the federally qualified health center reimbursement practices already in place, more and more qualified FQHC billing consultants will become available to the practices that need them and their help. Such is also the case with community health center (CHC) consultants as the CHC neighborhood health centers network has and continues to grow along with federally qualified health centers (FQHCs).

The fact that community health centers serve underprivileged persons such as those who have little or no income, those who do not have medical insurance or less than adequate health insurance as pertains to their individual needs and is available in areas where there is little access to primary health care. Low income families and individuals tend to need health care the most and the fact that there is a network in place to help them means the need for billing and coding specialists will only become greater as it has in recent years.

Mitigating Low Income Medical Billing for CHCs and FQHCs

The populations designated by the Health Resources and Services Administration are defined as having too few primary care providers, high infant mortality, high poverty and/or high elderly population. Health Professional Shortage Areas are designated by Health Resources and Services as having a lack and shortage of primary medical care, dental and or mental health providers.

As a result, these groups, depending the geographic location of a county or general service area, comprise of a demographic consisting of a low income population. These groups often rely on certain medical institutional environments like comprehensive health centers, federally qualified health centers, or other public facility serving the low income demographic.

With community health centers receiving funding from the federal government and also being locally funded, some of the health clinics within the network are quite surprisingly modernized with electronic medical records and new equipment and this trend is expected to continue due to the financial backing the clinics have which allows them to serve the many underprivileged patients who without programs being in place would rarely be able to afford to get the care they so desperately need.

FQHCs and CHCs are here to stay and will only expand thanks to the financial support already in place. The fact is medical billing and coding outside of medical offices and providers serving the wealthy and well off will see advancements in all parts of the medical industry mostly because health care is being provided and paid for.

However, for FQHC billing and community health center billing, the changes will be even more drastic. Whether by patients and insurance companies or by government assistance, science and medicine will only develop further which in turn will create a demand for more medical billers and coders and more efficient medical billing practices to maximize effectiveness.