Healthcare Consulting & Reimbursements

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Maximizing Medicaid Reimbursement for Colorado FQHCs

Maximizing Medicaid Reimbursement for Colorado FQHCs

Colorado’s Federally Qualified Health Centers (FQHCs) play a crucial role in bridging healthcare gaps for underserved and rural communities, providing access to essential services where other options are scarce. Yet managing Medicaid reimbursement remains a complex endeavor where health centers must navigate unique state protocols, changing cost structures, and operational pressures. By aligning financial strategies […]

Seven Ways to Improve Health Center Financial Stability

Seven Ways to Improve Health Center Financial Stability

Health centers are challenged with post-pandemic funding cuts, inflation, and difficulties attracting and retaining top talent amid a competitive hiring market. These factors strain operating budgets, making it necessary to adopt a proactive and strategic financial management approach. AAFCPAs advises that Federally Qualified Health Center (FQHC) clients evaluate their financial health and operational efficiencies, focusing […]

Expert Tip from AAFCPAs – 340B Report Guest Blog

Expert Tip from AAFCPAs – 340B Report Guest Blog

340b Report (August 15, 2024) – Monitoring and maintaining an active patient listing (APL) for all patients whose prescriptions qualify as eligible under the 340B program is imperative. This APL should be updated daily and maintained through the electronic medical record system. The entity’s 340B policy should specify the time period during which a patient […]

2022 HSN Supplemental Payments
2022 HSN Supplemental Payments

2022 HSN Supplemental Payments

AAFCPAs would like to make FQHC clients aware, as part of the Massachusetts Economic Growth and Relief Act of 2022, $20,000,000 was allocated to the Health Safety Net (HSN) Trust Fund for community health centers or hospital-licensed health centers (health centers) participating in the MassHealth program. Payments were to be made to the health centers […]

HRSA Operational Site Visit (OSV) Changes

HRSA Operational Site Visit (OSV) Changes

AAFCPAs would like to make our Federally Qualified Health Center (FQHC) clients aware of recent updates issued by the Health Resource and Services Administration (HRSA) related to the Health Center Operational Site Visit Protocol. HRSA summarized the updates in two categories: Substantial Updates & General Updates. Substantial Updates The two most significant substantial updates include […]

The COVID-19 Impact on the Revenue Cycle for Hospitals and Other Healthcare Providers

The COVID-19 Impact on the Revenue Cycle for Hospitals and Other Healthcare Providers

The impact of the COVID-19 pandemic on the revenue cycle is fluid, but providers must manage it to meet their obligations and missions. Here are key considerations with financial sustainability hanging in the balance. Billing and coding Ensure you know what is covered by health plans for both inpatient and outpatient services. With the rules […]

Health Centers Awarded $1.3 Billion Through CARES Act

Health Centers Awarded $1.3 Billion Through CARES Act

AAFCPAs would like to make community health center clients aware that on April 8, 2020, the Health Resources and Services Administration (HRSA) awarded $1.3 billion to the nation’s community health centers under the Health Center Coronavirus Aid, Relief, and Economic Security (CARES) Act Funding.  The distribution of funding was determined based on a $503,000 base, […]

AAFCPAs Celebrates 2019 National Health Center Week

AAFCPAs Celebrates 2019 National Health Center Week

Next week, August 4-10, 2019, is National Health Center Week, and AAFCPAs invites you to join us again this year in celebrating the great work and significant impact of these consumer-driven and patient-centered organizations! National Health Center Week gives our Health Center clients a chance to bring light to the health needs in our communities […]

Guidance for CHCs on Critical, ACO-related Budgeting, Forecasting, and Risk/Settlement Planning

Guidance for CHCs on Critical, ACO-related Budgeting, Forecasting, and Risk/Settlement Planning

Recently, healthcare providers have seen an increasing prominence of alternative payment methodologies (APMs), primarily in the form of Accountable Care Organizations (ACOs), which include risk sharing and/or incentive payment components. In Massachusetts, community health centers (CHCs) are beginning to have their first exposure to ACOs through the Medicaid 1115 waiver and the recently implemented MassHealth […]