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HCPCS Code for Federally qualified health center (FQHC) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a FQHC visit G0467

HCPCS code G0467 for Federally qualified health center (FQHC) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a FQHC visit as maintained by CMS falls under Federally Qualified Health Center (FQHC) Visits.

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Official Long Descriptor

Federally qualified health center (FQHC) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a FQHC visit

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FQHC Billing Medical and Behavioral health with F DX on same day?
Medicare just completed a webinar on FQHC billing payment and reimbursement. You should be paid for both on the same claim, but did you add the G codes for the visits? In the FQHC world they are the... [ Read More ]
Medicare: Telephone Visit Guidelines & Referrals
[QUOTE="ntreber, post: 473105, member: 269394"] As an FQHC you can bill for a medical visit and a BH visit on the same DOS. So I would say if the BH provider is employed by your FQHC that visit would ... [ Read More ]
FQHC Telephonic Billing
I am trying to bill out telephonic claims. I was told to use G2012. I have billed that and got rejected for needing HCPS code G0466-G0468. I added the G0467 and the G2012 code with MOD 95/GT on line G... [ Read More ]
93000 Requires modifier for 2020?
G0439 ID MEDICARE AWV G CODE. IT SHOULD BE G0439 - G0468. O/V 99214-G0467. MEDICARE DOESNT PAY FOR 93000. HOPE THIS HELP.... [ Read More ]
FQHC Injections
We are an FQHC and often bill with additional services beyond the E&M (ex: 99213-25, 96372, J1885, etc) and we are not denied for bundling. This may be an issue with a specific carrier. I would sugg... [ Read More ]
FQHC Vaccine Billing
[b]New to FQHC Coding[/b] [QUOTE="Chelle-Lynn, post: 443422, member: 190699"][SIZE=3] [SIZE=2] [FONT=arial narrow][COLOR=#222222][FONT="Times New Roman"]It is different for FQHC providers. Whi... [ Read More ]
FQHC Vaccine Billing
[SIZE=3] [SIZE=2] [FONT=arial narrow][COLOR=#222222][FONT="Times New Roman"]It is different for FQHC providers. While RHC and FQHC are similar they are not exactly alike. Per the CMS Manual FQ... [ Read More ]
Medicare Annual Wellness Visit and additional Well Woman Exam awv fqhc medicare well woman
Hello, fellow coders: One of my providers performed an AWV and a separate well woman exam on two different dates of service. Since both were preventive, triggering use of G0468 (we're an FQHC), Medi... [ Read More ]
FQHC Billing G0101
No, [I]For FQHCs billing under the PPS, G0101 and Q0091 are qualifying visits when billed with FQHC payment HCPCS codes G0466 or G0467.[/I] 3rd paragraph last sentence in the MM8927. So you would bi... [ Read More ]
FQHC Billing G0101
Thanks ~ So am I to understand that G0101 does not need to be billed with the qualifying codes ~ G0466, G0467?... [ Read More ]
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