Healthcare Consulting & Reimbursements
HRSA Cancels 2025 UDS+ Reporting Requirement
AAFCPAs would like to make clients aware that the Health Resources and Services Administration (HRSA) announced health centers will not need to submit the UDS+ report for the 2024 reporting year, originally due May 30, 2025. This update was shared during HRSA’s BPHC Program Updates webinar this week and confirmed in the Primary Health Care […]
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 […]
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 […]
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
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
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
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
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 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 […]