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  • Blogs

The Hidden Revenue Leaks in FQHC Billing—and How to Fix Them

Federally Qualified Health Centers (FQHCs) and Community Health Centers (CHCs) serve more than 30 million patients nationwide, many of whom are uninsured or rely on Medicaid.[1] Operating margins are tight, payer complexity is rising, and compliance scrutiny is increasing. Revenue is rarely lost in dramatic fashion. It leaks quietly—through underpayments, ...Read More
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  • Blogs

Why RCM Breaks Down Before the Patient Ever Arrives

When a denial lands on your desk, how often do you stop and ask where it really started? Not where it was found—but where it was created. For most teams, the instinct is to look downstream. Billing. Coding. AR. And sometimes that makes sense. But if you’ve ever tracked down ...Read More
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  • Blogs

Where RCM Workflows Fail (And How AI Helps Fix Them)

Everything feels like it’s just barely holding together. You’re juggling backlogs, denials, and documentation gaps while trying to keep the whole machine moving. You feel the pressure. If one chart’s late or an audit flag pops up, suddenly you’re playing defense on two fronts. It’s enough to make you wonder ...Read More
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The 2026 Documentation Cliff: Why FQHCs, CHCs and Tribal Health Must Master the V28 Risk Adjustment Model Now

For Federally Qualified Health Centers (FQHCs), Community Health Centers (CHCs), and Tribal Health organizations, 2026 marks a transformative—and potentially volatile—inflection point in revenue cycle management. The three-year transition from the CMS-HCC Version 24 (V24) model to Version 28 (V28) has reached its final phase. As of January 1, 2026, 100% of ...Read More
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