Code EMR

06/01/2026

Did you know?

The definition of a “new patient” isn’t the same across the board - especially in the world of FQHC Medicare billing.

According to CPT (AMA), a new patient is one who hasn’t received professional services from the provider (or another provider in the same specialty & group) within the past 3 years.

But CMS’s FQHC Medicare rules are stricter:

A new patient is one who hasn’t received ANY medical or mental health services from ANY site within the FQHC organization in the past 3 years.

That means:
✔️ If a Medicare patient saw your facility’s dentist last year, they’re still considered new - because dental isn’t Medicare covered.
✔️ If a newly hired physician sees a patient who was only ever treated in their private practice - that patient is also new to the FQHC.

Why does this matter?

New patient encounters often qualify for a higher PPS rate than established patients. Failing to code this correctly means your FQHC could leave significant reimbursement on the table.

✅ Bottom line: Knowing these nuances can directly impact your PPS payments.

Want more FQHC billing and coding insights?

Follow us for weekly tips on maximizing compliance & reimbursement. Contact us today!

https://www.codeemr.com/request-information/

Request information about outsourcing medical coding services with CodeEMR. Our remote coders ensure fast chart processing and improved revenue cycle efficiency.

05/29/2026

💡 Did You Know?

Healthcare staffing shortages are impacting far more than scheduling - they’re contributing to delayed prior authorizations, incomplete referrals, administrative overload, provider burnout, and lost revenue.

According to a recent article published in Medical Economics, virtual medical agents can help healthcare organizations manage critical administrative tasks such as:

✔️ Appointment scheduling & confirmations
✔️ Prior authorizations
✔️ Referral coordination
✔️ Patient registration
✔️ Chart preparation
✔️ Fax & document management

The article also highlights how proactive virtual support workflows may help reduce no-shows, improve provider efficiency, and ease staff burden across healthcare organizations. ()

As staffing challenges continue across the healthcare industry, many practices are exploring smarter operational models that combine technology, workflow optimization, and virtual support services to improve efficiency and patient care outcomes.

Read the full article here: https://www.medicaleconomics.com/view/six-tasks-that-virtual-medical-agents-can-handle-to-ease-staffing-shortages

Here’s how to augment your front-end workers so they can focus on patients when staff and funding are in short supply.

05/25/2026

Focus: Maternity Coding in an FQHC/CHC Setting

Did you know that FQHCs (Federally Qualified Health Centers) and CHCs (Community Health Centers) follow a different billing methodology for maternity care compared to hospitals - even when the same provider is involved in both settings?

Here’s what you need to know:

🔹FQHCs are reimbursed either through the Prospective Payment System (PPS) or an Alternative Payment Methodology (APM) for both Medicaid and Medicare patients.
🔹 Hospitals, on the other hand, are not classified as FQHCs and are not paid under the PPS rate structure.

Let’s say a provider sees a patient throughout her prenatal visits at an FQHC/CHC and later delivers the baby at a hospital. Despite being the same provider, the services cannot be billed globally for Medicaid/Medicare. Why? Because:

✅ The FQHC and hospital are reimbursed differently
✅ Global maternity billing may not be permitted under PPS/APM for FQHCs

💡 Takeaway: Accurate maternity coding requires careful attention to site of service and payer-specific rules. Failing to separate billing between the CHC and hospital setting can lead to claim denials or compliance issues.

At CodeEMR, we specialize in FQHC- and CHC-specific coding that aligns with federal and state guidelines, ensuring your claims are both accurate and audit-ready.

Want to streamline your maternity coding and compliance processes?

Contact us now - https://www.codeemr.com/request-information/

Request information about outsourcing medical coding services with CodeEMR. Our remote coders ensure fast chart processing and improved revenue cycle efficiency.

05/21/2026

Exciting moments from the ongoing NRHA Annual Conference in San Diego!

ScribeEMR and CodeEMR teams are excited to be connecting with rural healthcare providers, industry leaders, and innovators to discuss the future of healthcare efficiency and provider support.

We are showcasing how AI-powered Virtual Medical Scribing, Medical Coding, and Revenue Cycle Management (RCM) solutions can help rural healthcare organizations reduce administrative burden, improve clinical efficiency, and enhance patient outcomes.

It has been great engaging in meaningful conversations around provider burnout, documentation challenges, reimbursement optimization, and the growing role of AI in healthcare.

Here are a few glimpses from the event so far 📸

If you are attending the conference, we would love to connect and discuss how ScribeEMR can support your healthcare organization.

Know more - https://www.codeemr.com/request-information/

05/21/2026

Exciting moments from the ongoing NRHA Annual Conference in San Diego!

ScribeEMR and CodeEMR teams are excited to be connecting with rural healthcare providers, industry leaders, and innovators to discuss the future of healthcare efficiency and provider support.

We are showcasing how AI-powered Virtual Medical Scribing, Medical Coding, and Revenue Cycle Management (RCM) solutions can help rural healthcare organizations reduce administrative burden, improve clinical efficiency, and enhance patient outcomes.

It has been great engaging in meaningful conversations around provider burnout, documentation challenges, reimbursement optimization, and the growing role of AI in healthcare.

Here are a few glimpses from the event so far 📸

If you are attending the conference, we would love to connect and discuss how ScribeEMR can support your healthcare organization.

Know more - https://www.codeemr.com/request-information/

05/18/2026

🏥 Heading to San Diego for !

ScribeEMR and CodeEMR are proud to attend the NRHA Annual Conference, May 19-22, 2026 - the premier gathering of rural health leaders, providers, and innovators.

Rural healthcare faces a unique set of challenges: clinician shortages, mounting documentation burden, and tight margins.

We're excited to share how our combined solutions are helping rural providers thrive.

Together, we help rural healthcare organizations:
✅ Reduce documentation burden and clinician burnout
✅ Improve coding accuracy and compliance
✅ Strengthen revenue cycles without adding headcount
✅ Refocus care teams on what matters most - their patients

If you'll be in San Diego, let's connect. We'd love to talk about how we can support your mission.

📅 May 19–22, 2026
📍 San Diego, CA

Know more - https://www.codeemr.com/request-information/

Request information about outsourcing medical coding services with CodeEMR. Our remote coders ensure fast chart processing and improved revenue cycle efficiency.

05/14/2026

Did you know?

A large percentage of medical claims are denied the first time - and often, it’s not because the care was wrong.

Common reasons include missing patient information, coding errors, lack of medical necessity documentation, eligibility issues, and missed authorizations.

Even a small claim error can trigger delayed reimbursement, rework, and preventable revenue leakage.

That’s why healthcare organizations are paying closer attention to denial prevention - not just denial management.

The good news?
Many denials can be reduced with stronger documentation, cleaner coding, and proactive revenue cycle workflows from CodeEMR.

Read the full blog to know more - https://www.codeemr.com/top-10-reasons-medical-claims-get-denied/

Discover the top 10 reasons medical claims get denied and how CodeEMR RCM reduces denials, improves clean claims, and protects healthcare revenue flow.

05/12/2026

Consistency Across Sites & Providers

Tip:
In multi-site FQHCs, inconsistent coding can create audit and revenue risk, even when individual encounters appear correct.

Standardized practices help ensure compliance and accurate reimbursement across the organization.

Best Practice:
1. Conduct regular audits to identify coding discrepancies
2. Implement centralized coding standards across all providers and sites

Example Scenario:
An FQHC operates three clinic locations. Each site manages diabetes follow-up visits slightly differently:

1. Site A: Codes visits as PPS encounter only if labs are drawn
2. Site B: Codes visits as PPS encounter for every chronic disease follow-up, regardless of services performed
3. Site C: Codes visits consistently with proper PPS criteria

Impact:
1. Inconsistent PPS encounter coding across sites leads to audit red flags and potential recoupments
2. Accurate revenue reporting is difficult
3. Providers may be confused on proper documentation

Correct approach:
1. Develop centralized PPS encounter coding guidelines
2. Train all providers and coders on standardized criteria
3. Audit periodically to ensure consistency

Bottom Line:
Consistency across sites and providers protects revenue, reduces audit risk, and streamlines coding workflows, making multi-site FQHC operations more efficient and compliant.

Contact us today - https://www.codeemr.com/request-information/

Request information about outsourcing medical coding services with CodeEMR. Our remote coders ensure fast chart processing and improved revenue cycle efficiency.

05/07/2026

🚨 Healthcare Leaders & Practice Administrators – Are claim denials still eating into your revenue in 2026?

Denial rates hit a 10-year high of 12.4% in 2025, with each denied claim costing up to $32 in rework - plus massive lost revenue that never comes back.

In this new video, we reveal why outsourcing medical billing is one of the smartest moves practices, clinics, and FQHCs can make right now:

✅ Prevent denials before they happen with real-time eligibility verification
✅ Proactive prior authorization management
✅ Pre-claim scrubbing for cleaner coding & payer compliance
✅ Same-day denial follow-up + root cause analysis
✅ Proven results: 30–40% reduction in denials within two quarters and 98%+ clean claim rates

Stop reacting to denials. Start preventing them.

Watch the full video now 👇 https://youtu.be/7bzB6jkqwbo

CodeEMR delivers expert outsourced medical billing and revenue cycle management tailored for physician practices, multi-specialty clinics, and FQHCs.

With 500+ AAPC/AHIMA-certified coders and seamless EMR integration, we help you recover revenue and reduce administrative headaches.

Claim denials are at a 10-year high - reaching 12.4% nationally in 2025, costing practices thousands in lost revenue and rework. In this video, we break down...

05/04/2026

💡 Did you know? Healthcare providers lose 2–5% of net patient revenue due to inefficient revenue cycle processes and missed follow-ups.

And it doesn’t stop there…
Claim denials, coding errors, and delayed collections continue to drain revenue - often without being noticed.

That’s why Healthcare RCM Services are no longer just a backend function - they’re a strategic growth driver.

With the right RCM approach, providers can:
✔ Reduce claim denials and coding errors
✔ Accelerate reimbursements and cash flow
✔ Improve patient billing transparency
✔ Reduce administrative burden on staff

📈 In today’s complex healthcare environment, strong RCM isn’t just about getting paid - it’s about financial stability, operational efficiency, and better patient experience.

👉 Read more: https://www.codeemr.com/healthcare-rcm-services/

Improve revenue with healthcare RCM services. Reduce denials, speed up reimbursements, and streamline billing with end-to-end revenue cycle management solutions.