Billing Compliance 101

Master FQHC PPS billing rules, documentation requirements, and the False Claims Act. Prevent revenue leaks and protect your organization.

30 minutes3 modules140 XP

What you'll learn

How flat PPS rates work, same-day rules, and revenue maximization

Minimum requirements for every billable encounter and common mistakes to avoid

Fraud scenarios, whistleblower protections, and audit readiness

FQHC Billing Fundamentals

PPS rates, encounter definitions, and payer mix basics

10m

Documentation for Billing Compliance

What must be in the chart to support a billable encounter

10m

False Claims Act & Audit Readiness

Understanding fraud risks, whistleblower protections, and audit prep

10m

Billing and coding staff

Clinic managers and COOs

Chief Financial Officers (CFO)

Compliance officers and internal auditors

Checklists, policy templates, and regulatory calendar

Model PPS revenue with real billing scenarios

No registration required • Progress saved locally • Always free