Wiki RHC/FQHC auditing

[CTENNESSEN]

I have a question does anyone do FQHC auditing, if so is there a specific audit tool that you use? Thank you

 

[Lisapurple216]

I do but I just use the regular CMS tool for documentation and coding.

 

[Laurenmlomax]

New to FQHC Coding

Hello!,

I see that you are familiar with FQHC coding, I am new to working at FQHCs. Can you please tell me if we can bill for Telehealth services? I know according to Medicare that we cannot, but do you know if we can by Medicaid guidelines? From what I read in Medicaid manuals they don't specify FQHCs in the Telehealth criteria. I called Medicaid and didn't get a clear answer regarding FQHCs. My facility wants to start billing for it but we are in a metropolitan area, and according to medicare we cannot bill for originating or distant sites.

Also can we bill for prolonged services?

Thank you!

-Lauren Lomax