FQHC RCM Management Services

The FQHC RCM Management Services by Visualutions is a solution designed to optimize revenue cycle management for community and public health organizations, with a specific focus on Federally Qualified Health Centers (FQHCs). According to the vendor, this product caters to healthcare professionals, revenue cycle management professionals, healthcare administrators, billing and coding professionals, and IT professionals in community and public health organizations. It is suitable for organizations of various sizes, including FQHCs, Tribal Communities, County Health organizations, and Urgent Care centers.

Key Features

Revenue Cycle Analysis: According to the vendor, this feature provides a visual representation of the revenue cycle, including multi-year transaction analysis, payer mix review, A/R trends, E/M coding analysis, collection rate analysis, and filing efficiency analysis.

Revenue Cycle Consulting: The vendor claims that this feature goes beyond metrics and focuses on people, process, and technology. It includes reviewing workflows and EDI claim filing to identify areas for improvement and provides training and process improvement recommendations to mitigate potential losses.

Revenue Cycle Management: The vendor states that this feature leverages experienced and certified staff to efficiently manage FQHC medical billing. It ensures proper reimbursement on every visit by executing complex state-specific requirements. Services include credentialing, coding, charge entry, payment entry, denial management, and retroactive Medicaid management.

Managed IT Services: According to the vendor, this feature allows organizations to outsource their IT needs, enabling them to focus on patient care. It includes services such as infrastructure management, network security, device management, and help desk support. The vendor claims that it ensures data security and compliance with HIPAA regulations.

Cloud Hosting: The vendor claims that this feature offers secure and scalable cloud hosting solutions tailored for healthcare organizations. It allows access to data and applications from anywhere, improving flexibility and collaboration. The vendor also states that it ensures data backup and disaster recovery to minimize downtime and protect against data loss.

Cybersecurity: According to the vendor, this feature implements robust cybersecurity measures to protect sensitive patient data. It includes conducting regular security assessments and vulnerability scans to identify and address potential risks. The vendor also provides training and education to staff on best practices for data security.

Productivity Solutions: The vendor claims that this feature provides workflow solutions to streamline operations and improve productivity. It includes solutions for dental, behavioral health, and referral tracking. According to the vendor, it enhances the patient experience and improves Medicaid reimbursement processes.

Business Intelligence: According to the vendor, this feature provides a comprehensive dashboard solution for real-time business intelligence. It offers operational analytics, UDS reporting, and state and federal regulatory reporting. The vendor states that it promotes a goal-driven culture by providing actionable insights and data visualization.