ASP-RCM SOLUTIONS | PLAYBOOK

The FQHC PPS + UDS Toolkit

Built around the 330 grant, PPS billing, and UDS reporting reality.

For: FQHC CFOs, billing directors, compliance officers. Updated: May 2026. Pages: 48.

Chapter 01

PPS wraparound calculation

Medicaid MCO contract clauses + reconciliation workflow

This chapter covers: the operational pattern, the most common failure modes we have seen across FQHC CFOss, and the specific intervention sequence with timelines and success metrics. Where applicable, includes worked examples from anonymized client engagements with the math behind every recommendation.

Worksheet: Use the worksheet on the next page to apply this to your own practice. If you want a working session with a senior partner to walk through your specific numbers, book a 30-minute audit at asprcmsolutions.com/contact.

Chapter 02

Sliding fee schedule

poverty-line tier templates + documentation standards

This chapter covers: the operational pattern, the most common failure modes we have seen across FQHC CFOss, and the specific intervention sequence with timelines and success metrics. Where applicable, includes worked examples from anonymized client engagements with the math behind every recommendation.

Worksheet: Use the worksheet on the next page to apply this to your own practice. If you want a working session with a senior partner to walk through your specific numbers, book a 30-minute audit at asprcmsolutions.com/contact.

Chapter 03

UDS submission checklist

the 30 fields most often miscoded that affect future PPS rates

This chapter covers: the operational pattern, the most common failure modes we have seen across FQHC CFOss, and the specific intervention sequence with timelines and success metrics. Where applicable, includes worked examples from anonymized client engagements with the math behind every recommendation.

Worksheet: Use the worksheet on the next page to apply this to your own practice. If you want a working session with a senior partner to walk through your specific numbers, book a 30-minute audit at asprcmsolutions.com/contact.

Chapter 04

FQHC dental + behavioral integration

visit-level billing rules + revenue capture

This chapter covers: the operational pattern, the most common failure modes we have seen across FQHC CFOss, and the specific intervention sequence with timelines and success metrics. Where applicable, includes worked examples from anonymized client engagements with the math behind every recommendation.

Worksheet: Use the worksheet on the next page to apply this to your own practice. If you want a working session with a senior partner to walk through your specific numbers, book a 30-minute audit at asprcmsolutions.com/contact.

Chapter 05

340B compliance crosswalk

claim modifiers + audit trail

This chapter covers: the operational pattern, the most common failure modes we have seen across FQHC CFOss, and the specific intervention sequence with timelines and success metrics. Where applicable, includes worked examples from anonymized client engagements with the math behind every recommendation.

Worksheet: Use the worksheet on the next page to apply this to your own practice. If you want a working session with a senior partner to walk through your specific numbers, book a 30-minute audit at asprcmsolutions.com/contact.

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