Safety-net providers under HRSA, 340B, and Section 330 scrutiny.
The engagement
OSV-ready documentation; a current Compliance-Manual gap assessment; resolved findings; and a defensible compliance and billing posture.
Week 1 — intake: OSV and Compliance-Manual posture, and exposure. Weeks 2–4 — documentation and grant-compliance review against the 2025 manual. Ongoing — OSV readiness and audit response.
Regulatory context
Community health centers face a refreshed oversight regime. HRSA published a new Health Center Program Compliance Manual in October 2025 — the first overhaul since 2018 — and updated the Site Visit Protocol in November 2025, changing what an operational site visit tests. The federal Single Audit threshold rose to $1 million, and the Section 504 accessible-medical-equipment compliance deadline was extended to May 11, 2027 by an HHS interim final rule. On top of grant compliance, the same payer reviews every provider faces still apply.
From revenue cycle through audit defense — each shaped to your operation.
The cross-cutting capabilities we bring to safety-net providers:
Each service shaped to the specific pressure observed.
Three reasons FQHCs and RHCs choose us:
We have sat through HRSA OSVs. We know what the reviewer actually examines and what they don't. The prep is targeted, not theatrical.
340B without finance-vs-compliance silos. We build covered-entity oversight that lives across the entity, not in one department's binder.
Safety-net billing nuance, not transferred outpatient logic. Encounter billing, all-inclusive rate, NHSC scholarship — the patterns matter.
What changed with the HRSA Compliance Manual?
It’s the first major revision since 2018 (Oct 2025), with an updated Site Visit Protocol (Nov 2025) — so prior OSV preparation may be out of date.
What’s the Section 504 deadline?
Accessible-medical-equipment compliance was extended to May 11, 2027 by an HHS interim final rule — use the extra year to actually close the gaps.
Do payer audits still apply to us?
Yes — grant compliance is on top of, not instead of, the Medicare and Medicaid review every provider faces.
Are you a law firm?
No. We’re expert consultants and licensed investigators fluent in both grant compliance and payer review — the two regimes you answer to at once. We work alongside your counsel and can serve as experts. Nothing here is legal advice.
Tell us what you are up against. Scoping memo in week one, before any meaningful commitment.