Revenue Cycle Management And Billing Solutions For FQHCs & RHCs
At StafGo Health, we understand that Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) deal with their own unique set of challenges. Because of complicated Medicare and Medicaid billing rules, sliding fee scales, grant reporting, and many different types of providers, your billing requires a proactive and prompt approach, not just a generic solution.
Why Should FQHCs & RHCs Outsource Their RCM And Billing Solutions To Stafgo Health
As a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC), you aim to offer accessible, high-quality, and great healthcare services to communities in need. However, this goal can be at risk because of billing problems, missed payments, and compliance issues. Here, at StafGo Health, we focus on Revenue Cycle Management (RCM) and billing solutions specifically tailored for community health centers and make sure that you secure the funding you've earned.
Deep Expertise in Medicaid, Medicare & Wrap-Around Billing
FQHC and RHC billing is not as simple as typical medical billing. Due to the nuances of PPS, cost-based reimbursement, wrap-around claims, and encounter billing, it becomes more complex. We make sure that claims are submitted correctly the first time, minimizing denials and delays.
Compliance-First Approach
Our experts ensure that we always stay up-to-date with all the rules and guidelines from HRSA, CMS, and state Medicaid. We have a comprehensive understanding of what exactly is needed for everything from sliding fee scales to UDS reporting, making sure you stay audit-ready and grant-eligible.
Reduced Overhead and Higher Cash Flow
Hiring and training new billing staff is costly and time-consuming. Our outsourced model helps you to cut overhead costs by up to 30-40% while improving the claim submission accuracy, and you get paid on time. You get top-tier billing performance without the high operating costs.
End-to-End Revenue Cycle Management
We provide End-to-End billing services, managing every step of the billing cycle from credentialing and patient eligibility verification to coding, claims submission, denial management, and A/R follow-up. All these back-office tasks are taken care of by our billing professionals efficiently and proactively.
Customized Reporting & KPI Monitoring
We help your organization by providing real-time insights into the performance of your organization with the help of dashboards that track the Days in A/R, Denial rates, Reimbursement by payer, etc.
Faster Credentialing & Enrollment
We speed up your provider credentialing and payer enrollment so that you can bill for new services or new staff without any kind of delays. We make sure that your providers stay fully enrolled and compliant.
Measuring Performance with Tailored KPIs for FQHCs & RHCs
Clean Claim Rate
First-Pass Resolution Rate
Days in A/R
Denial Rate
Patient Collection Rate
FQHCs & RHCs Can Save 30–40% in Operational Costs with StafGo Health’s RCM Services
Get more collections and less stress with our expert RCM professionals