Ambetter FQHC Encounter Code Clarification
In follow up to an earlier communication regarding the FQHC encounter codes for Ambetter from NH Healthy Families, we would like to provide additional details and clarification.
Ambetter from NH Healthy Families strives to align our billing practices with CMS/Medicare guidelines. Per CMS, Federally Qualified Health Centers (FQHCS) must include one or more of the FQHC encounter codes listed below on claims to bill for services furnished. After considering feedback from the FQHCs we are making the following adjustments to our billing guidelines, issued on June 4th.