Operating system · Healthcare & Medical

Start and run a remote FQHC revenue-cycle & coding-compliance service — the plan, the playbooks, and the numbers already worked out.

The complete operating system for a tech-enabled compliance layer that pre-screens PPS claims, surveils UDS measures, and drafts denial appeals for Federally Qualified Health Centers. It answers what newcomers get wrong: the money is in shift-left — scrubbing claims before they leave and watching UDS all year — not in chasing denials after they land or cramming measure validation every January.

What's inside

A banker-grade business plan covering the regulatory spine generic billing courses skip — the G0511 sunset (Sept 30, 2025) and the Jan 1, 2026 move to individual PFS care-management codes (CCM/PCM/APCM/BHI/CoCM, incl. new G0568/G0569/G0570) under CMS-1832-F; the CY2026 FQHC PPS base rate of $207.72/visit with GAF and the +34.16% new-patient/AWV/IPPE adjustment; continuous UDS reporting as a Section 330 grant condition; and the HIPAA Business Associate Agreement you sign with every client.

An editable Excel financial model — real, changeable assumptions (the ~$4,500/mo blended per-client retainer, 40% labor COGS against ~60% gross margin, and the ~8-client break-even where one credentialed analyst supports 8–12 retained centers), not a static PDF.

Up to 17 operations playbooks — pre-bill PPS and G-code scrubbing that catches errors before submission; continuous UDS gap surveillance instead of the annual cram; payer-specific denial-appeal drafting; integration into the client's stack (OCHIN Epic, NextGen, eCW, athenahealth, Azara DRVS; clearinghouses Availity, Waystar, Change/Optum) via 277CA/835/837 feeds; and channel GTM through PCA, HCCN, and NACHC preferred-vendor relationships.

Who it's for

Built for the FQHC coder, biller, or RCM specialist (CPC/CCS/CPMA) going independent to launch this compliance-layer service — not the health center itself. Delivered instantly at checkout; single-buyer license. Editions differ by how many playbooks are included — compare the tiers below.

Choose your edition

Edition	What's included	Price
Starter	Business plan + financial model + essential playbooks	$149	Buy Starter
StandardMost popular	Plan + model + all 12 core operations playbooks	$299	Buy Standard
Premium	Plan + model + all 17 playbooks (core + growth & scale)	$499	Buy Premium

Please read before purchasing. This product is an informational and educational operating system — a research-grounded business plan, operations playbooks, and an editable financial model. It is not legal, tax, accounting, financial, or investment advice, and using it does not create a professional-client relationship. Bytell Press does not guarantee any specific business, funding, or financial outcome. You are responsible for your own decisions and for consulting a qualified professional licensed in your jurisdiction before acting.