Wiki FQHC BILLING

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bstewart

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Smithville, TN
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I work for a FQHC, and up until 2021 we were billing Medicare Secondary claims to part B due to the patient has a commercial insurance. Now our claims are denying stating we need to bill to part A because we are a FQHC. I have not been about to fine anything about this when Medicare is the secondary payor. Can anyone give me any information on this?
 
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bstewart said:
I work for a FQHC, and up until 2021 we were billing Medicare Secondary claims to part B due to the patient has a commercial insurance. Now our claims are denying stating we need to bill to part A because we are a FQHC. I have not been about to fine anything about this when Medicare is the secondary payor. Can anyone give me any information on this?
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What services are you billing?


med.noridianmedicare.com

FQHC Billing Guide - JE Part A - Noridian

A billing guide for Federally Qualified Health Centers (FQHC) is provided.
med.noridianmedicare.com med.noridianmedicare.com
 
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bstewart said:
I work for a FQHC, and up until 2021 we were billing Medicare Secondary claims to part B due to the patient has a commercial insurance. Now our claims are denying stating we need to bill to part A because we are a FQHC. I have not been about to fine anything about this when Medicare is the secondary payor. Can anyone give me any information on this?
Click to expand...
We are billing E/M services but, Medicare is the secondary payment not primary.
 
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