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AACHC Program Overview
FINANCIAL RESOURCES/TOOLS WEBSITES
This document lists online resources for financial tools,
guidance, forms, training, technical assistance, and data resources that you
will find useful. It will be updated
regularly. If there are additional sites
that you have found to be especially useful, please email Jim Lawrence with
your recommendations - jiml@aachc.org
Medicare
- CMS Home Page - Provides information on general Medicare issues.
http://www.cms.hhs.gov/default.asp?
- CMS FQHC Page - Provides information on Health Center specific topics.
http://www.cms.hhs.gov/center/fqhc.asp
- CMS IOM Manuals - Links to the Internet-Only Manuals (IOMs) screen.
Within this section, Health Centers will particularly want to note the sections on Medicare Claims Processing
and Medicare Benefits. A section relating to State Medicaid is also available here.
http://www.cms.hhs.gov/manuals/IOM/list.asp
- CMS Paper Based Manuals CMS has converted to 'Internet Only Manuals' for presenting
many program issuances, day-to-day operating instructions, policies, and procedures that are based on statutes, regulations,
guidelines, models, and directives. Some of these documents that are available on the internet are still
identified as 'Paper Only Manuals.'
http://www.cms.hhs.gov/Manuals/PBM/list.asp
- CMS Medlearn Matters - The Medicare Learning Network (MLN) uses a variety of
mechanisms, such as the Internet, national educational articles, brochures, fact sheets, web-based training
courses, and videos, to deliver a planned and coordinated provider education program.
Our goal is to provide you with timely, easy-to-understand educational materials to accompany the
release of new or revised Medicare Program policies.
http://www.cms.hhs.gov/MLNMattersArticles/
- CMS Open Door Forum Schedule - Forums are used by CMS to better hear and
interact with those beneficiaries, providers, and stakeholders interested in the delivery of quality healthcare.
This site provides the location to sign up for e-mail notification of future meetings and to obtain information
included in previous meetings.
http://www.cms.hhs.gov/OpenDoorForums/
- CMS Medicare Enrollment - Information needed to acquire FQHC certification and enrollment as
a provider site. Every FQHC delivery site must have its own separate FQHC provider number. Requires completions of the
CMS 855A Enrollment Application.
http://www.cms.hhs.gov/CMSForms/CMSForms/list.asp
- United Government Services (UGS):
UGS is the processor of Medicare claims for Federally Qualified Health Centers. These links take you to the Audit and Reimbursement section
of UGS' Provider Services web page, Medicare Cost Reporting information and instructions
can be found here. Links across the top of this page also connect to Provider Notices, Medicare Memos, the Appeals Process and other sections.
http://www.ugsmedicare.com/
Medicaid
Bureau of Primary Health Care
- Bureau of Primary Health Care - Health Center Program Page -
The Bureau of Primary Health Care provides Health Center specs on legislation and program expectations;
updates for current issues such as Federal Tort Claims Insurance and the 340B drug program;
and funding opportunities and the Health Center initiative itself.
http://bphc.hrsa.gov/chc/default.htm
- Bureau of Primary Health Care - Uniform Data System (UDS)
http://bphc.hrsa.gov/uds/
- Bureau of Primary Health Care - Program Information Notices (PINS) and
Program Assistance Letters (PALs) - The Bureau issues PINs and PALs to inform providers of opportunities and
responsibilities surrounding primary health care. Many topics including the following are covered:
- Scope of Project Policy - PIN 2002-07
- Primary Care Effectiveness Review (PCER) - PIN 2000-06;
- Health Centers and the Federal Tort Claims Act - PIN 1999-08;
- Health Center Program Expectations - PIN 1998-23;
- Managed Care Contract Review Assistance - PAL 2002-05;
- Dual Eligibles - PAL 2006-01;
- Developing Strategy for Relative Value Unit Analysis in Health Centers - PAL 2001-20 and more.
National Association of Community Health Centers (NACHC)
http://www.nachc.com/
- NACHC Publications - Includes such publications as Accounting Policies and Procedures Manual, FQHC Medicare Billing Manual, and Financial Management Bulletins on a variety of helpful topics.
http://www.nachc.com/pubmgr/PubTypeSelect.asp
- NACHC Sponsored and Co-Sponsored Events - A list of NACHC educational seminars and national conferences is available on their website through this link.
http://www.nachc.com/ela/listing.asp
Federal Grants & Funding
Federal Grants and Funding - Funding opportunities from the federal offices of DHHS, HRSA and the BPHC.
Government Accounting Office - Auditing Standards
Government Accounting Office - Auditing Standards
Government Auditing Standards (the "Yellow Book") contains standards for audits of government organizations, programs, activities, and functions, and of government assistance received by contractors, nonprofit organizations, and other non-government organizations. These standards, often referred to as generally accepted government auditing standards (GAGAS), are to be followed by auditors and audit organizations when required by law, regulation, agreement, contract, or policy. These standards pertain to auditors' professional qualifications, the quality of audit effort, and the characteristics of professional and meaningful audit reports. The Yellow Book can be found on the GAO website at
http://www.gao.gov/
DHHS Division of Cost Allocation
This website provides access to the requirements for a federal indirect cost rate application. This site includes the application and contact information for negotiation of a rate.
http://rates.psc.gov/
U.S. Office of Management & Budget (OMB)
OMB Circulars - Circulars applicable to community health centers in terms of administrative requirements, cost principles and audits.
U.S. Internal Revenue Service
HIPAA
Other Organizations
- Healthcare Financial Management Association
HFMA - An association of healthcare executives providing publications and training opportunities.
http://www.hfma.org
- Joint Commission on Accreditation of Health Care Organizations (JCAHO)
JCAHO - The Accreditation organization that is most used by community health centers.
http://www.jointcommission.org/
- Medical Group Management Association (MGMA)
MGMA - The national association of practice managers providing publications, surveys and educational opportunities.
http://www.mgma.com
- Kaiser Family Foundation
Kaiser Family Foundation - A non-profit, private foundation consisting of commissions, research and information focused on the major health care issues facing the United States.
http://www.kff.org
- Workgroup for Electronic Data Interchange (WEDI)
WEDI - An organization dedicated to improving healthcare through electronic commerce. Find some of the latest programs, products and free resources through WEDI.
http://www.wedi.org/
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