Department Government Designations
This page allows you to view government designation information for a department. You can also see which departments have an assigned government designation (FQHC, RHC, or PBC) and the insurance packages used for institutional billing to Medicare. The information stored on this page can drive the formatting and posting of submitted claims and information on the Claim Edit page.
How do I get to this page?
On the Main
Menu, click Settings 
> Billing. In the left menu, under Practice Links — Departments, click Department
Government Designations
User access and permissions
The Advanced Institutional Billing Setup feature must be enabled for your practice. To discuss whether this feature makes sense for your practice, please contact your Customer Success Manager.
Features and workflows
The department government designations are federally qualified health center (FQHC), rural health clinic (RHC), and provider-based clinic (PBC). Other department types and specialties are not stored on this page.
- FQHC — Federally qualified health center (FQHC) is a reimbursement designation that refers to several health programs funded under the Health Center Consolidation Act (Section 330 of the Public Health Service Act). FQHCs are community-based organizations that provide comprehensive primary care and preventive care to persons of all ages, regardless of their ability to pay. FQHCs receive grants under Section 330 of the Public Health Service Act. FQHCs qualify for additional reimbursement from Medicare and Medicaid, as well as other benefits.
- RHC — Rural health clinic (RHC) is a clinic certified to receive special Medicare and Medicaid reimbursement. RHCs are intended to increase primary care services for Medicaid and Medicare patients in government-designated rural areas. RHC status provides enhanced reimbursement rates for providing Medicaid and Medicare services in rural areas.
- PBC — Provider-based clinics (PBCs) provide outpatient services at a hospital facility.