Fqhc Billing Guidelines 2025. Starting in 2025, rural health clinics (rhcs) and federally qualified health centers (fqhcs) will transition from the general g0511 code—currently used for billing general care coordination. Can be billed multiple times for the same patient on the same date of service if the fqhc meet the requirements for billing each service code, medically necessary and.
Requesting a change in scope of services allows an fqhc to refresh its pps rate by submitting a new cost report—which is vitally important when the fqhc’s costs per patient. The 2025 medicare physician fee schedule proposed rule introduces several major changes to cms’s policies and reimbursements.