Community Health Services

We help community health organizations achieve financial transparency and maximize reimbursement. We guide providers through the complexities of federal and state requirements, helping ensure compliance and optimize payment rates.

Cost reporting 

      • Preparation and review of Medicare and Medicaid cost reports

      • Identification of allowable costs and expense allocation strategies

      • Audit support and documentation integrity

      • Training for staff on cost reporting best practices

Rate setting 

     • Development of rate-setting models tailored to organizational needs

     • Analysis of historical cost and utilization data

     • Strategic guidance for PPS, APM, and other payment methodologies

     • Advocacy and negotiation support with payers and regulatory agencies

We help organizations design and scale mobile healthcare programs that expand access, reduce system costs, and deliver measurable ROI – bringing care directly to where it’s needed most.

    • Program design & ROI modeling: Average ROI of $12 for each $1 invested, with significant cost savings per visit.

    • Strategic & financial planning: Tailored to environmental and market needs.

    • Operational & grant support: Includes staffing, compliance, and sustainability planning.

We help FQHCs optimize operations, elevate care quality, and build financial resilience through targeted, data-driven strategies.

Workflow optimization:

   • Diagnostic assessments at the program, site, or organizational level

   • Workflow analysis and policy alignment

   • Compliance readiness for regulatory requirements

Service line expansion:

   • Operational plans for expanded medical, dental, and behavioral health services

   • Data-driven decisions for service line growth or contraction

   • Alignment with value-based care and grant funding

Performance monitoring:

   • Advisory support for dashboard development

   • Evaluation of operational plans against benchmarks and goals

We help covered entities protect their 340B eligibility and maximize program savings through rigorous compliance audits, risk-based evaluations, and strategic oversight tailored to evolving federal requirements.

   • Program compliance audits: Diversion and duplicate discount testing.

   • Eligibility & recertification reviews: OPA database verification and contract pharmacy audits.

   • Risk-based workplans: Tailored to address major compliance risks.

We transform revenue cycle operations into engines of financial health – enhancing billing, coding, and compliance while delivering actionable insights that reduce risk and unlock growth

   • Workflow optimization: Enhance billing, coding, and collections processes.

   • Coding accuracy & documentation integrity: Improve compliance and audit readiness.

   • Revenue analytics & dashboards: Identify missed opportunities and assess risk.

   • Specialized services for FQHCs & CCBHCs:

            o Medicare/Medicaid rate-setting

            o Wraparound performance analysis

            o Sliding Fee Discount Program alignment.

We help healthcare leaders turn vision into action with data-driven strategies that align mission, operations, and financial sustainability so that bold ideas are backed by executable plans and measurable outcomes.

   • Organizational & environmental assessments: Evaluate internal performance, external market forces, and community needs.

   • Operational roadmaps: Define success metrics, resource needs, and implementation timelines.

   • Financial modeling & capital planning: Develop revenue forecasts, capital budgets, and board-ready investment cases.

   • Grant writing & competitive applications: Support for federal, state, and private foundation funding.