Created by Felicia Kidd
Timely updates on FQHC billing, reimbursement, compliance, and Medicaid policy for Louisiana
Explore the latest content tracked by Louisiana FQHC Reimbursement Watch
CMS issued guidance clarifying Medicare reimbursement for deprescribing-related care by physicians and other practitioners, tied to HHS's new MAHA Action Plan. FQHC billers: Essential update for Medicare compliance.
Key takeaways for FQHC compliance and billing amid accelerating FCA scrutiny:
Critical update for Louisiana FQHC therapy billing:
Critical CY2026 updates for FQHC PMHNPs billing Medicare PFS:
Watch for payer audits on high-tech diagnostics as AI clashes with outdated regs:
Kentucky FQHC CEO John Lillybridge, ex-CFO, navigates daily strains like grants, staffing, and audits amid OBBBA threats.
Hands-on opportunity for FQHC staff to test CMS interoperability rules like Patient Access APIs and payer workflows:
Nebraska's May 1 work reporting launch under H.R. 1 signals trouble ahead for FQHC reimbursements.
2026 Medicare Part D updates causing widespread pharmacy confusion, claim rejections, and delays.
FQHC billing teams – watch for:
Essential for FQHC billing accuracy:
Key 2027 Medicare Advantage updates for Louisiana FQHCs to monitor:
Key updates for Louisiana FQHCs billing Ambetter:
Key updates for FQHC workflows:
Louisiana FQHC billers, master CPT 99395 for preventive visits using preventive rules, ICD-10 coding, modifier 25, and denial fixes to optimize reimbursements and cut claim errors.
MSMS Reimbursement Advocacy Alert (May 2026) outlines evolving reimbursement policies, spotlighting the shift from fee-for-service to per diem structures for FQHCs and RHCs.
New HCPCS G0511 lets Louisiana FQHCs bill Chronic Care Management services.
Key billing facts for staff: