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FQHC Management Module

Specialized Federally Qualified Health Center management including 340B drug pricing, PPS payment tracking, sliding fee scales, UDS reporting, and grant management.

6
Pages
5
API Endpoints
1
High-Priority Orgs
5
Requirements

Organization Relevance

FQHC: High MCO: Low Health Plan: Low ACO: Low IPA: Low PHO: Low TPA: Low MSO: Low

How It Works

The FQHC module provides specialized workflows for community health center operations. 340B program tracking ensures compliance with drug pricing requirements. PPS payment management tracks Medicare and Medicaid reimbursement. The sliding fee scale engine calculates patient charges based on income. UDS reporting aggregates clinical, financial, and operational data for HRSA submission. Grant management tracks funding, expenditures, and deliverables.

Requirements

  • 340B program compliance engine
  • PPS rate calculation
  • Sliding fee scale engine (based on FPL)
  • UDS data aggregation and submission
  • HRSA grant management

Target Audience

FQHC Administrators, 340B Coordinators, Finance Teams, Quality/Reporting Staff, Grant Managers

Pages (6)

PagePurposeKey Features
FQHC Dashboard FQHC operations overview with key metrics and program status Operations metrics, Program compliance, Financial summary, Patient volume
340B Program 340B Drug Pricing Program management and compliance tracking 340B tracking, Covered entity management, Contract pharmacy oversight, Compliance reporting
Grant Management HRSA and other grant tracking, expenditure monitoring, and deliverable management Grant tracking, Budget monitoring, Deliverable status, Reporting
PPS Payments Prospective Payment System payment tracking and reconciliation PPS rate management, Payment tracking, Reconciliation, Wraparound payments
Sliding Fee Scale Income-based sliding fee schedule management Fee calculation, FPL thresholds, Patient eligibility, Discount application
UDS Reporting Uniform Data System reporting for HRSA compliance Data aggregation, Table generation, Validation checks, Submission tracking

API Integrations

  • HRSA 340B OPAIS API
  • UDS submission API
  • PPS rate lookup API
  • Sliding fee calculation API
  • Grant management API

Referenced Resources

  • HRSA 340B Program Requirements
  • Medicare FQHC PPS Final Rule
  • UDS Manual
  • Health Center Program Requirements

Expected Results

FQHC-specific operational excellence with 340B compliance, accurate PPS billing, equitable sliding fee schedules, and timely HRSA reporting.