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Compliance & Quality: audit-ready every day, not just the week before
Regulations keep changing, HRSA and accreditation reviews are resource-heavy, and compliance work lands on people who already have full-time jobs. Checklists alone don't hold up under a site visit.
What we do
Readiness assessments and corrective action plans for HRSA operational site visits, CMS audits, AAAHC and Joint Commission reviews.
SOPs, escalation protocols and documentation standards aligned with HIPAA, CLIA, OSHA, CMS and state rules.
Quality assurance programs: audit tools, review calendars, and coaching for high-error areas.
Infection prevention and control for fixed sites and FQHC special-program sites, including mobile units.
Compliance audit support for HITRUST, SOC 2, CIS and SOX where technology is in scope, including AI governance: an acceptable-use policy, a vendor review process and staff training before the auditor asks.
What you get
A gap analysis with prioritized findings, the policies and tools to close them, and staff who know how to use them.
Who it's for: FQHCs and community clinics, private practices and medical groups, behavioral health providers, FQHC special programs, and any organization facing a site visit, payer audit or accreditation review in the next 12 months.
Revenue Cycle & Financial Sustainability
Protect the margin while the rules change
Medicaid cuts, twice-yearly redeterminations, work requirements starting in 2027, and a shifting payer mix are hitting health centers, private practices and nonprofits at the same time demand is rising. Many are already operating at a loss. The fixes are usually inside the building: denials nobody works, visits coded below what was delivered, patients who lost coverage and never got re-enrolled.
What we do
Full revenue-cycle audit: front-desk eligibility checks, coding, charge capture, claims, denials and A/R follow-up.
Coverage-loss playbook: redetermination outreach, enrollment workflows, sliding-fee and self-pay processes that keep patients in care.
Service-mix and pricing analysis, no-show reduction, and per-visit value improvement.
ROI and cost-benefit models for staffing changes, outsourcing, grants and technology purchases.
Financial dashboards and KPIs the CFO, COO and board can read in five minutes.
What you get
A revenue leakage report with dollar estimates by cause, redesigned billing and eligibility workflows, trained staff, and a monthly scorecard.
Who it's for: FQHCs, private practices and medical groups, behavioral health and social services providers on Medicaid-heavy payer mixes; nonprofits replacing lost grant revenue; any service business with cash tied up in receivables.