Third Party Reimbursement Risk Assessment

The Third Party Reimbursement (federal and state-specific requirements) risk assessment includes the following topics:

• Medicare and Medicaid enrollment
• Medicare FQHC billing 
• Medicaid FQHC billing 
• Documentation requirements

After your health center uploads the requested documents into our secure website, FTLF will prepare a final report that addresses the following items:

1. Assessment of selected compliance domains with a standard grading scale to indicate current level of compliance risk;
2. Explanation in detail of particular elements within each compliance domain that the health center should work towards;
3. Prioritized recommendations for individual health center compliance improvements; and,
4. Prioritized recommendations for compliance training and technical assistance.