Betsy Nicoletti

Medical Coding and Compliance Expert, Speaker, Educator, and Auditor

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Overview of FQHC Coding

Recorded June 24th, 2021

Coding for services in Federally Qualified Health Centers (FQHCs) is different than coding for free-standing medical practices or health system clinics. Services provided to patients under the FQHC Prospective Payment System (PPS) are reported differently than to patients with private insurance, in the same clinic. This webinar will describe what constitutes a visit, who may perform an FQHC visit, and what services may be provided. This overview will describe coding, and will only briefly discuss billing.

After the presentation, participants will be able to:

  • Describe a qualifying visit and who may perform it
  • Explain the importance of diagnosis coding when an FQHC is part of an ACO
  • Identify CPT, HCPCS and ICD-10-CM codes that relate to pay for reporting

Filed Under: Uncategorized

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“My organization approached Betsy Nicoletti because we had providers failing coding audits.

Betsy’s name is out there in the coding world as a leader in the field and wanted the best for our providers.

Betsy works with the organization to set up webinars for our new provider on boarding training process (which according to them has been most beneficial), as well as subsequent auditing to ensure provider engagement and understanding.

Betsy’s one on one approach has helped the organization overall by the specialized attention to our specific needs.

I appreciate Betsy’s tactful approach with the providers to lessen their concerns as it relates to proper coding. She is up to date on all of the current changes in coding and maintains the communication whenever warranted.

Overall I have found the experience of working with Betsy as positive and educational. I would not hesitate to recommend Betsy to any organization that needs to improve their coding practices and improve success rates from outside auditing.”

Julie D., LPN
Clinical Performance/Operations Manager

• Develop agenda with Betsy*
• Betsy will customize presentation and prepare learning materials
• 90 minute Zoom, live education session
• 30 days Q&A follow up
• Recording of session to show new hires
• Interactive: everyone hears the same thing and can ask questions

*Betsy’s area of expertise doesn’t include all procedural coding – email to set up a time to discuss your needs