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Federally Qualified Health Center Services Manual

Federally Qualified Health Center Services Manual

This manual is a DRAFT and IS NOT IN EFFECT.
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Federally Qualified Health Center Services Manual

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Federally Qualified Health Center Services Manual

Updated 04/25/2017

This manual was updated 04/25/2017

Update Log

Update Log

 


07.27.2016
RHC_FQHC Manual, July 2016.
In summary. the Cost share section was updated in the Billing Procedures chapter and the Cover Page was updated to reflect the correct date.
 
12.31.2015
FQHC, January 2016, HELP Plan-Related Updates and Others

08.25.2015
FQHC, August 2015:Changes in the Introduction, Covered Services, Prior Authorization, Billing Procedures, Submitting a Claim, and the How Payment Is Calculated

04.29.2015
FQHC, March 2015: Entire Manual

10.29.2013
FQHC, October 2013: Key Contacts, Covered Services, Billing Procedures, Submitting a Claim, RAs and Adjustments

07.05.2013
FQHC, June 2013: Other Programs
These replacement pages include a terminology change (client to member). Unless a paragraphs included content changes, it was not marked as a change but was included in this document.

03.22.2013
FQHC, March 2013: Coordination of Benefits

07.20.2011
FQHC, June 2011

08.24.2007
FQHC, August 2007: Key Contacts, Prior Authorization, Coordination of Benefits, and Revised Revenue Codes

Table of Contents

 

Key Contacts and Websites

 

Introduction

 

Covered Services

 

Prior Authorization

 

Coordination of Benefits

 

Billing Procedures

 

Submitting a Claim

 

Remittance Advices and Adjustments

 

How Payment Is Calculated

 

Appendix A: Forms

 

Definitions and Acronyms

 

Index

 

Complete Federally Qualified Health Center Service Manual