BlueFish Medical provides a variety of services specifically for Federally Qualified Health Centers (FQHCs), including:
Billing
Our staff has decades of experience, knowledge and skills to manage FQHC billing. We have a unique systematic approach that attacks areas of your A/R that often times seem unmanageable.
Whether it’s training, project work with your current billing team or using our knowledgeable staff to bill/collect on your behalf, we can design a plan that’s right for you.
- A/R Management – Organization and monitoring of Billing Processes, Key Performance Indicators and Defined payer benchmarks and billing team training
- EDI and A/R assessments
- Optimization and Automation
- Receivables Processing and Account Maintenance.
- Training
- Project Planning
- Payer requirements – Payer and Coding Guidelines. Coding review. Incentive and value-based billing and reimbursement
- Medicare Part A and Part B Expert billing.
- Medicaid and Medicaid MCO (State guidelines and Coding)
- Commercial Fee for Service
- HEDIS, CPTII coding, Incentive-based coding measures
- Private pay – Slide Scale, Self-pay, Guarantor Responsible Collection
- Front Desk workflow and training
- Patient Engagement
- Eligibility
- Statement Processing
- Collection
- System automation
- Reporting – Monitoring revenue streams, performance and productivity
- Custom Reporting designed to monitor specific areas of focus
- A/R Dashboard Monitoring
- Financial Data collection for end of month reporting
- Monitor billing staff productivity by assignment
System
System Administration and Maintenance are key components of a healthy EHR. Table management and system data elements impact workflow, reporting, billing and patient care. Routine review and maintenance of system operations is vital to the success of your clinic. Our staff has years of experience implementing, consulting and managing EHR systems. Our routine assessments identify gaps in data processing and clinic workflows. Planning, fixing and training help our customers customize their EHR for more efficiency and greater data output.
- System Admin Configuration – Table review, system output and monitoring
- Practice Configuration for Front Desk and Back office workflowsClinical Configuration that supports clinic operations, patient care, and provider efficiency
- Reporting Configuration for Clinical, Financial and compliance measures
- Interface Configuration for interoperability with Labs and registries
- EHR and PM System Table Maintenance
- Customized Gap assessments to measure workflow and data management
Clinical
Effective and efficient provider and clinical staff workflows are critical to patient care, communication and documentation. The Electronic Health Record is the center for all management of patient documentation, clinical tools, automation and is vital to the clinic’s success and patient care. We work with your clinical staff to develop customized workflows and tools so that the provider, patient and clinic can meet its healthcare goals and standards.
- Workflow development and training
- Provider workflow for charting, prescribing, coding and education
- Nursing workflow that aligns with clinic standards
- Clinical support staff training
- Clinical documentation and Template customization
- Forms customization that meet provider needs and generates clinical measures that meet UDS and Grant based guidelines.
- Education template creation
- Patient Correspondence
- Patient engagement and outreach
Reporting
Health Centers are challenged with data management needs for patient tracking, compliance and organizational development. Data Analytics helps measure quality and outcomes. BlueFish works closely with information representatives to develop reporting and monitor data for accuracy.
- Tools for Customization and Monitoring
- Business Intelligence, SQL, Crystal report writers
- Dashboard reporting
- Claim Management system reporting
- Data Exports
- Data Management for Community Health Center
- Repository
- Toolkits
- Analyze and Comparison