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Category Archives: Policy and Regulations

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 […]

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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 […]

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Credentialing Made Easier for Local Health Departments

First, let’s be clear about credentialing. You do not credential facilities, you credential providers, but it does benefit the facility in terms of revenue and reputation. But let’s face it, many health departments are not billing as much or as efficiently as they should be. Often times, physicians, especially new physicians, are only partially credentialed, […]

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