Blog

Category Archives: Medicaid and Medicare

What Federally Qualified Health Centers (FQHC) Need to Know About the 340B Drug Program

prescription bottle

While healthcare funding and new regulations continue to evolve, there can often be confusion about various programs for federally funded centers on how these programs intersect. For safety-net providers like Federally Qualified Health Centers (FQHC) and publicly funded family planning clinics, plans like the 340B drug pricing program are intended to stretch scarce federal resources […]

Read More

Are You Down with PPS?

If you are currently billing to Medicaid or Medicare, you are likely familiar with the Prospective Payment System (PPS) outlined by the Centers for Medicare and Medicaid Services (CMS). For Federally Qualified Health Centers (FQHC) or those looking to get Health Center designation, PPS rates are updated yearly and the system is changed more frequently […]

Read More

Core Quality Measures Collaborative Released Seven sets of Clinical Quality Measures

Seven new core quality measure sets to be used as a basis for quality-based payments. This was recently announced by America’s Health Insurance Plans (AHIP) and its member plans’ Chief Medical Officers, leaders from Centers for Medicare & Medicaid Services (CMS) and the National Quality Forum (NQF), as well as national physician organizations, employers, consumers, […]

Read More