GRANTS & PROGRAM COMPLIANCE
NEW ACCESS POINT (NAP) GRANT
Are you a community health center looking to compete for a base grant and designation as a FQHC? Are you an existing grantee looking to open a satellite clinic? Keep an eye out for NAP grants and contact us to discuss the application process. We can write the narrative, pick up the budget, manage upload into the EHB, help with forms and attachments, etc. We have a high success rate when it comes to securing awards in this highly competitive process.
LOOK-ALIKE DESIGNATION AND RENEWAL
Don’t have a grant? No problem. Abide by the program requirements of 330 program and receive a foot-in-the-door preference for the next round of funding. Also receive better rates of reimbursement on Medicare and Medicaid, participate in the 340 Drug Pricing Program, and access providers via the NHSC. Once designated, you will be asked to complete a renewal application, each year. We can help you assess your compliance with program requirements and through every step of the initial designation and renewal applications.
SERVICE AREA COMPETITION (SAC) GRANT
As a grantee, when your project period comes to a close you will be asked to file a SAC grant application for renewal of funding. Requirements include a 60 to 80-page narrative, full budget, staffing profile, income analysis, performance measures, and various forms and attachments. Let us help you develop a strong application for continued funding.
EXPANSION GRANTS
Often HRSA will release supplemental funds aimed at a specific program for existing grantees to compete for. Let us help you secure this funding by producing an air-tight and competitively charged application worthy of funding.
NEEDS ASSESSMENT
HRSA recommends you conduct a community needs assessment at a minimum of every two to three years. Think of the needs assessment as your pitch for continued funding, therefore its contents and its message are vitally important to informing your organization of those you serve and intend to serve. Let us prepare a needs assessment specific to HRSAs requests and formatting. We can capture your existing sites and services or develop a needs assessment for a potential satellite location or FQHC start up.
POPULATION SURVEY
Health centers are governed by a patient-majority Board of Directors. An accurate, in-depth analysis of your patient population or potential patient population within your service area, can improve access, outreach, or services development. We can help you develop and conduct in-house and community surveys, to gather reliable data that will aid your organization in meeting and exceeding your patients’ expectations.
BUDGET PERIOD RENEWAL
Typically, a grantee will have a three-year project period. For years two and three, a budget period renewal or BPR report is required, to demonstrate grant expenditures budgeted. We can assist you in completing this report and also assist with subsequent renewal of funding under the SAC announcement.
CHANGE IN SCOPE
Want to add new service, delete an existing service, add a new site location, or notify HRSA of activities you perform outside your health center? You’ll need to file a Change In Scope (CIS) application in the EHB. We can assist you in evaluating the need for a CIS, as well as filing one in the EHB, and training you in review of relative forms to be certain you’re maintaining compliance.
UDS REPORT
Every calendar year end, HRSA requires grantees and look-alikes to produce a comprehensive report detailing patient demographics, services rendered, staffing profile, clinical outcomes, and financial performance indicators. Let us help you complete this meticulous reporting requirement.
HRSA SITE VISIT PREPARATION
Have a site visit coming up? Be ready to welcome HRSA reviewers to your facilities, interview your staff and review your policies, procedures and records. Be prepared to demonstrate that you are compliant with the 19 federal program requirements of the 330 program. We will run a mock site visit to be certain you are on top of your game.
POLICY DEVELOPMENT
Aligning policies and procedures with the 10 program requirements of the health center program is no easy task. HRSA project officers consistently request and review your policies for alignment with their specifics. We are well versed in policy development, review, revision, and have developed numerous templates to help aid in this tedious process.
SLIDING FEE DISCOUNT PROGRAM
Whether you’re a grantee or a look-alike, HRSA requires you to develop and maintain a Sliding Fee Discount Program (SFDP), so that eligible patients at or below 200% of Federal Poverty Guidelines may receive discounted services. Your policy and schedules must be well-developed and aligned with PIN 2014-02 to maintain compliance. Let us help you.
FEDERAL FINANCIAL REPORT (FFR)
Need help with your FFR? The Payment Management System (PMS) requires a quarterly electronic Federal Financial Report (FFR) Cash Transaction Report that identifies cash expenditures against the authorized cooperative agreement funds. Failure to submit the report may result in the inability to access cooperate agreement funds. Let us help you out.
MANAGEMENT
SECURITY RISK ASSESSMENT
The risk of a security breach is growing in healthcare and specifically FQHCs. CLC can bring you peace of mind by completing a Security Risk Analysis to identify any areas of vulnerability. This service results in an audit-ready final report and robust tool for ongoing use to ensure your organization is protected.
INTERIM CEO
Need an interim CEO until you're able to fill the position with a qualified individual? Let us help. We offer flexible solutions, including on-site and mobile work schedules. We will aide you in developing a solid recruitment and retention plan, providing a wealth of wisdom in FQHC governance, compliance, and business management.
INTERIM CFO
Need an interim CFO until you're able to recruit a qualified individual to fill the role? Our consultants work as interim CFOs in more than a dozen health centers at any given time. We can help keep your finances in order, mentor your staff, define needs, strategically plan for the future, and help you recruit the right fit, when you are ready. We offer flexible options, including on-site and remote assistance.
STRATEGIC PLANNING
We are able and willing to facilitate on-site and remote strategic planning sessions. In open discussion with your management and governing Board, we can work together to plan realistic and achievable objectives, develop responsibilities, create tracking mechanisms, and see verifiable results in your clinic and the communities you serve. Strategic planning is essential to maintaining motivation and consistent progress in realizing your goals.
BOARD EDUCATION
We offer on-site and online board education training in the 19 program requirements of the health center program, as well as sessions to assist your board in understanding their responsibilities, authority, and active participation in the strategic advancement of your mission, values, and services.
FTCA APPLICATION
We offer assistance in completing Federal Tort Claims Act (FTCA) deeming and redeeming applications. The application process is rather meticulous and must be repeated annually to maintain malpractice coverage. Designation requires a well-developed Quality Improvement plan and active participation on behalf of board members.
340B PROGRAM DEVELOPMENT
Looking for a better understanding of the 340B drug discount program and how your health center can benefit from participating? As a FQHC grantee, your health center is eligible for best-price options from pharmaceutical companies. We can help you evaluate the costs and benefits of your participation and assist you through the enrollment process.
RESIDENCY DEVELOPMENT
Located near a medical school? Help educate resident physicians in embracing the philosophy and principles of family medicine. Let us help you evaluate the pros and cons of participating in a medical residency program. Should you determine this is the path for your organization, we can help you through the process.
BUSINESS ANALYSIS
We’ve helped numerous health centers in disastrous scenarios rebuild revenues and retain confidence of their patients and the communities they serve. Our consultants have a wide background of experience in health center management, financials, business development, and leadership. Need a business plan? Let us help.
FINANCIAL MANAGEMENT
Federal compliance, 340B contracting, revenue cycle management, insurance enrollment, Medicaid rate setting, and other complexities make financial management of a health center particularly challenging. Our consultants are working as interim CFOs in more than a dozen health centers at any given time, regularly developing budgets and financial tools to aid management and the board in better understanding the intricacies of financial management. Let us help.
PROJECT FEASIBILITY
Need an informed opinion to determine the viability of your bright new idea? Let us help you better understand the technicalities, legality, and financial feasibility of your project to be certain you see return on your investment.
FINANCE
MEDICAID COST REPORT
Need help preparing your Medicaid cost report? We can help you prepare a new application, file a change in scope, and rebase. We’ll gather the appropriate financials, prepare the required forms, and help you file the report with your state, on-time. We are also capable and willing to provide post-submittal support, to answer questions and negotiate the best possible rate with your state.
MEDICARE COST REPORT
Need help preparing your Medicare cost report? We’ll help put the tedious process in order, gather appropriate financials, and prepare the many required forms. Your encrypted cost report file will include all required back-up documents as PDFs and detailed submittal instructions, to be certain delivery is on-time.
AUDIT SUPPORT
We’ve been auditors so we can anticipate the many questions and issues that will arise prior to the auditors arriving at your doorstep. We will coordinate and prepared required schedules and interface with your auditors on-site, on behalf of your staff.
BUDGET DEVELOPMENT
We can work with you to develop and format operational budgets and special project budgets required by HRSA for grant applications or look-alike designation/re-designation.
BOOKKEEPING SERVICES
Our consultants are familiar with QuickBooks, Abila’s MIP, and Sage products. General ledger, accounts receivable, and payroll support - we can help with that.
MONTH END SUPPORT
We employ many accountants with a wealth of experience in managing month-end tasks. We can help you calculate and post month-end entries, AR allowance and bad debt, depreciation, prepaid expenses, payroll accrual, process financial statements, and more. We will also help you develop accounting tools to analyze trends and produce summary reports for your Board.
BILLING
OUTSOURCED BILLING
In addition to our consulting services, we manage and staff a full billing department in our Spokane office. Our billing consultants possess industry leading expertise. Let our billers manage: daily postings of payments received; posting of all charges, payments, and adjustments; billing of all claims; management of all billing inquiries; follow-up on denied claims; follow-up on overdue accounts; communicate with collection agencies regarding overdue accounts; review your fee schedule; management appeals on denied claims; design appropriate medical billing procedures to maximize cash flow. All via a secure data transfer between CLC and your office and an 800 number for patient billing inquiries.
REVENUE CYCLE MANAGEMENT
Billing services, dashboard preparation, billing analysis, efficiencies and best practices, and front desk training, are just some of the revenue cycle management services we offer. We can help you manage the process until your staff are effectively trained in best practices.
INSURANCE CONTRACT REVIEW
Determine a contract’s value to your health center from financial and risk perspectives, with our assistance. We offer a comprehensive analysis of all types of contracts, including payor contracts.
COST BASED FEE SCHEDULE
BPHC recommends an annual review of patient fees, and we’re here to help you accomplish this. Using your Medicare cost report and CPT frequency information, we’ll develop a cost-based fee schedule to help you set appropriate fees for patients. For an even more thorough review, we can add commercial insurance reimbursement amounts and/or regional fees. We’ll even assist you in presenting this information to your board for approval.