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Healthcare Business Specialists

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United States
Chattanooga, TN
Healthcare Business Specialists

Under the leadership of Dani Gilbert, CPA, CRHCP, CCRS, the firm combines technical expertise with a modern, approachable style of service.

Healthcare Business Specialists is a consulting firm dedicated to guiding Rural Health Clinics through the complexities of RHC Certification, Cost Reporting/Rate Setting and RHC Compliance. With decades of experience in RHC consulting, Healthcare Business Specialists understands the unique challenges rural providers face. The team delivers practical, tailored solutions that help clinics remain compliant, financially sustainable, and focused on their mission of serving patients in their communities. Grounded in professionalism yet driven by innovation, Healthcare Business Specialists represents the next generation of RHC consulting—committed to building strong partnerships, simplifying regulations, and equipping clinics for long-term success.

10/22/2025

💼 Protect Your Clinic’s Bottom Line

Cost reports and audits can feel overwhelming — especially when outside labs, provider compensation, or Medicaid disallowances come into play.

That’s where we step in:
• Cost report preparation & reconciliation
• Audit defense and appeal support

💡 Our goal? Maximizing reimbursement while keeping you fully compliant.

10/17/2025

🌪 Are You Ready for the Unexpected?

Emergency preparedness isn’t optional — it’s required. We help RHCs design, implement, and test “all hazards” plans that keep you compliant and keep your patients safe.

Our services include:
• Hazard Vulnerability Assessments (HVA)
• Written emergency response plans
• Staff training and drill documentation

⚡ Be prepared before CMS asks. Reach out for support with your next EP review.

10/14/2025

⚖️ Compliance with Federal, State, and Local Laws & Licensure
It’s not enough to meet federal rules—42 CFR § 491.4 requires clinics and staff to comply with all applicable federal, state, and local laws. That means state licensure, clinic licenses, staff certifications, registrations, etc. must all be in good standing.

✅ Action item: Do a legal/licensure audit: are all staff licenses up-to-date? Are clinic permits or certifications current? Are you aware of any new state/local rules that might affect your operations?

10/07/2025

🌪 Emergency Preparedness: “All Hazards” Plan Needed
The regulations (§ 491.12) require RHCs to have an emergency preparedness plan addressing all hazards, not just medical emergencies—think natural disasters, supply failures, communication breakdowns, etc. Training and testing are required.

✅ Action item: Do you have a current Hazard Vulnerability Assessment (HVA)? Does your clinic test the plan (drills)? Are your staff trained annually?

10/06/2025

👩‍⚕️👨‍⚕️ Stay Survey-Ready with Staffing & Licensure Support

RHC regulations require specific staffing levels and up-to-date licensure for all providers and clinical staff. Missing a detail can cost you in a survey.

At HBS, we:
• Audit staff schedules to ensure coverage meets 42 CFR 491.8
• Verify credentials and licensure compliance
• Help maintain a ready-to-present licensure file

✅ Give your surveyors confidence — and give yourself peace of mind.

10/02/2025

🔍 Program Evaluation: Regular Review & Corrective Actions
Under § 491.11, RHCs must perform periodic evaluations of their entire clinic operations—including review of utilization, closed and active clinical record samples, staffing, policies & patient care—and then act on findings.

✅ Action item: Set up or update your formal program evaluation schedule. Document results and make sure any needed improvements are implemented and tracked.

10/01/2025

🚨 URGENT TELEHEALTH UPDATE 🚨
Due to the government shutdown, there is currently no extension for distant site medical telehealth services (per the CMS MLN Newsletter).

👉 Beginning October 1, 2025, unless Congress takes action, many of the pre-COVID restrictions on Medicare telehealth will return for services outside of behavioral and mental health.

⚠️ Key impacts:

No coverage for most telehealth visits provided in a patient’s home or outside of rural areas

Hospice recertifications will once again require in-person face-to-face visits

Some restrictions may affect a patient’s continued eligibility for other Medicare benefits

Practitioners may need to consider issuing Advance Beneficiary Notices of Noncoverage (ABNs) if providing services not payable by Medicare

Healthcare providers are encouraged to monitor Congressional action closely and consider holding telehealth claims that may not be payable after October 1.

09/30/2025

🗃 Patient Health Records: Security & Retention Requirements
RHCs must maintain a health records system: ensure confidentiality, protect patient information, have secure storage, reliable record-keeping, and keep records for required periods.

✅ Action item: Audit your health record practices: are access controls in place? Is retention per state/federal law? Are electronic and paper records secure?

09/25/2025

🗂 Written Policies & Provision of Services: What You Must Have
Under § 491.9 of the RHC Conditions for Certification, clinics must have clear, written patient care policies covering:
• Direct services vs those via arrangement
• Diagnostic & lab services (basic tests)
• Use, storage & control of drugs/biologicals
• Review and updating of these policies regularly

✅ Action item: Pull your patient care policies today. Are they up-to-date? When was the last review? Do they cover all required areas?

09/23/2025

🛠 Physical Plant & Environment: Safety, Equipment & Maintenance
SOM Appendix G and 42 CFR require that RHCs maintain a physical plant that supports patient safety, proper hygiene, accessibility, and appropriate equipment— regularly inspected and maintained per manufacturer guidelines.

✅ Action item: Schedule regular checks of equipment (e.g. safety/emergency equipment, medical devices), keep maintenance logs, ensure exits, handrails, lighting are compliant and safe.

09/19/2025

📊 Program Evaluations Made Simple

Struggling to keep up with RHC Program Evaluation requirements under § 491.11? We help clinics design and complete evaluations that don’t just check the box — they improve operations.

Our team provides:
• Structured review templates
• Health record and policy assessments
• Actionable improvement plans

✨ Don’t wait until survey time to find gaps — let’s get your evaluation schedule on track.

09/18/2025

📋 Staffing & Practitioner Requirements Under 42 CFR 491.8
RHCs must have a physician available for medical direction, AND non-physician practitioners (NP/PA/CNM) must be employed or under contract. Many states also require that NP/PA/CNM staff cover at least 50% of clinic operating hours.

✅ Action item: Review your staffing schedule to make sure the percentages are met, credentials/licenses are valid and displayed/in records, and oversight documentation is in order.

Address

Chattanooga, TN

Opening Hours

Monday	8am - 4pm
Tuesday	8am - 4pm
Wednesday	8am - 4pm
Thursday	8am - 4pm
Friday	8am - 4pm

Website

http://www.ruralhealthclinic.com/

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