Provider Services
Billing support for FQHCs and community health centers
Encounter-based billing, Medicaid managed care rules and sliding fee scale tracking, handled by a team that understands community health center funding.
How MedValue helps
Health centers bill under rules that most outsourced billers never learn. We build the workflow around encounter rates, payer mix and program reporting.
- PPS and encounter-rate claim preparation with the correct visit and modifier logic
- Medicaid, Medicaid managed care and commercial claim submission and follow-up
- Wraparound and supplemental payment tracking and reconciliation
- Sliding fee scale and self-pay balance handling with respectful patient communication
- Eligibility verification at every visit to reduce coverage-related denials
- Reporting that supports program, grant and board-level review
The challenges we hear
These are the bottlenecks that quietly cost revenue. Our team removes them with a documented workflow, clear ownership and weekly reporting.
- Encounter-rate and PPS rules are applied inconsistently
- Medicaid managed care denials pile up without dedicated follow-up
- Wraparound payments go unreconciled for months
- Sliding fee scale accounts blur the true self-pay picture
- Staff turnover leaves billing knowledge undocumented
Built around encounter economics
We bill and reconcile to your encounter rate, not just to a claim total, so PPS visits, wraparound payments and managed care remittances line up with what the health center should have received.
Mission-aware patient handling
Patient balances at a health center need care. Our team applies your sliding fee policy consistently and handles patient calls in plain language, protecting both collections and community trust.
Related pages
Provider RCM Services
End-to-end revenue cycle management, credentialing, patient enablement and analytics.
ExploreHow It Works
Our onboarding, daily workflow and weekly reporting rhythm, step by step.
See the processGet a Quote
Tell us your specialty, size and volumes and we will build a custom estimate.
Request pricingNo-cost revenue check
See exactly what your practice is leaving on the table
Our billing assessment team reviews a sample of your claims, denials and aging AR, then walks you through the findings. Most practices are surprised by the first slide.
- A claim-level look at what is being denied and why
- Aged AR you can still recover, quantified in dollars
- Coding and fee schedule gaps costing you per visit
- A plain-English action plan you can keep either way
Prefer to talk first? Call 630-430-1040
Get your free billing audit
Takes 2 minutes. No commitment, no obligation to switch.
Questions first? Read the billing FAQ or build a custom quote.