MedClaim Comprehensive (MCC) employs a staff with extensive FQHC billing knowledge. MCC provides billing and claims management services on medical, dental, and behavioral health insurance balanced claims.

• Claims Management
• Payment Posting
• Denial Management
• Reporting (activity, aging, delinquency, productivity, and Key Performance Indicators)

We understand that being short staffed can be an issue during this time and in the FQHC setting.  MCC also offers a short-term Full RCM services option to our clients who need to optimize their revenue while rebuilding your internal billing department.  Billing responsibilities and tasks are gradually transitioned back to the client’s internal billing team with training provided to ensure continued success with collections and no decrease in your revenue stream.  During the Full RCM service phase, the following will be provided:

• Claims Management
• Payment Posting
• Denial Management
• Reporting (activity, aging, delinquency, productivity, and Key Performance Indicators)

This model allows for MCC to work claims that are more difficult for your staff to manage and affords the health center the ability to focus and collect maximum dollars on the most critical dollars (0-60 days). Not only does this bring in the much-needed revenue that FQHC’s cannot afford to fall into bad debt but can also reduce potential staffing issues or stress on current billing teams. MCC will provide Full Revenue Cycle Management on insurance balanced claims that fall in the 61+ aging buckets. This model is offered to FQHCs that meet criteria based on aging. We can provide an analysis to establish how effective this option can be for your health center.