Healthcare
FQHCs: Navigating Financial and Operational Challenges Amid Federal Funding Uncertainty
AAFCPAs’ Matthew Hutt, Vassilis Kontoglis, and Ryan K. Wolff offered insights in an educational session titled Navigating Financial & Operational Challenges in FQHCs at CHI 2025! This session was ideal for health center CFOs, COOs, and other decision-makers looking to adapt to the current federal and state funding landscape. In this session, attendees explored how […]
Practical Applications for AI, Automation in Healthcare Finance
AI is reshaping healthcare finance and creating opportunities for providers to improve efficiency and financial performance. With government funding shortages, rising claim denials, and a competitive labor market, automation is becoming an essential tool. Third-party payors are already leveraging AI for claims processing, and providers may benefit from similar technologies. Consider just a few of […]
340B Discounts at Risk: What It Means for FQHCs and Patient Care
Federally Qualified Health Centers (FQHCs), hospitals, and health systems relying on 340B discounts are facing growing uncertainty. Courts, policymakers, and pharmaceutical manufacturers continue to push for changes that could reshape how the program operates. Recent developments have highlighted potential new restrictions and increased oversight along with the financial strain for participating providers. FQHCs and hospitals […]
Upcoming Increase in Single Audit or Program-Specific Audit Thresholds
For audits of fiscal years beginning on or after October 1, 2024, the Office of Management and Budget (OMB) will raise the threshold for requiring a single audit or program-specific audit from $750,000 to $1,000,000. Non-Federal entities receiving less than $1,000,000 in federal funds annually will no longer be required to undergo a single audit, […]
Attestation Deadline for New York Medicaid PCMH Incentive Increase
AAFCPAs would like to make FQHC clients aware that the 2024-2025 state budget approved a Patient-Centered Medical Home (PCMH) incentive increase that provided additional funding to health centers. These payments, which were retroactive to April 1, 2024, included $2 per member per month (PMPM) for adult Medicaid patients and $4 PMPM for children under the […]
Reminder: UDS+ Reporting Requirements Begin February 18
As a reminder, the new Uniform Data System (UDS+) reporting requirements go into effect on February 18, 2025. These changes require health centers to submit some de-identified 2024 UDS patient-level data using Health Level Seven International (HL7)-developed Fast Healthcare Interoperability Resources (FHIR) R4 standards. To help you navigate these updates, we previously published a detailed […]
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 […]
Streamlining Operations: How Modern ERP Systems Solve Inefficiencies and Drive Growth
In this article: Complex nonprofits, especially multi-service health and human services agencies, face the daunting task of managing diverse programs, complex funding streams, and stringent compliance requirements. Fragmented systems and disjointed processes can compound these challenges, leading to inefficiencies and increased administrative workloads. The implementation of a well-designed enterprise resource planning (ERP) system offers a […]
Is your chart of accounts an unnecessarily complex maze?
In the fast-paced world of business, growth often leads to complex challenges, especially in accounting. A common issue many organizations face as they expand is the management of increasingly lengthy account numbers. These numbers, which detail segments of transactions such as location, department, and grants, can become unwieldy as organizations rise to meet new challenges. […]