The sliding fee discount program is a key compliance element for a health center. If this hasn’t been an area of focus for a health center during a Health Resources Services Administration (HRSA) Operational Site Visit yet, it’s only a matter of time. Knowing how to compliantly structure and implement this program in a manner that is straightforward for patients to understand and staff to facilitate will provide insight and aid in managements’ decision making. As part of a utilization review it is important to evaluate patients, visits and collections to thoroughly understand patient behavior and if there is a potential financial barrier to care.
6-2. Form 5A Column Descriptors
6-3. Form 5A Service Descriptors
15. Sliding Fee Schedule for FQHCs 24-10-07
PIN 2014-02 – Sliding Fee Discount and Related Billing and Collections Program Requirements