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Third Party Reimbursement Risk Assessment

Monitor the progress of your compliance efforts by assessing your health center’s compliance with the requirements for third party reimbursement (federal and state-specific requirements).

 

Product Details

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.