FQHC UDS report due. Here's the clean submission playbook.

UDS table 4 reconciliation

Table 4 reports patients by payer. Source of truth: practice management system + sliding fee schedule application. Reconcile monthly throughout the year; don't wait until UDS season. End-of-year reconciliation is significantly harder when 12 months of misclassification compound.

Sliding fee schedule accuracy

HRSA expects sliding fee discounts applied at intake based on documented FPL. Sample chart review during UDS prep validates application accuracy. Discrepancies between applied discount and FPL documentation = compliance finding.

Quality measure reporting

UDS tables 6A, 6B, 7 cover clinical quality measures. Source data from EHR clinical reports. Many FQHCs underreport quality measures because EHR query is incomplete. Validate measure denominators against patient panel before submitting.

340B reconciliation (if participating)

340B participation requires inventory accounting + claim modification (TB modifier). UDS doesn't report 340B directly but findings flow through audit risk. Reconcile inventory + claims quarterly, not annually.

Pre-submission internal audit

2-week internal audit before UDS submission. Sample 50 patient records, verify payer classification + sliding fee accuracy + clinical measure documentation. Findings = pre-submission corrections, not post-submission liabilities.

Free UDS preparation consultation

Send us your current UDS draft + last year's submission. We return diagnostic identifying reconciliation gaps + clinical measure underreporting + sliding fee accuracy risk areas.