Focus on Finance: Sliding Fee Discount & Billing and Collections


Many of the most challenging requirements in the Health Center Compliance Manual are related to maintaining a Sliding Fee Discount Schedule (SFDS) that ensures access to care. The SFDS requirements must be reflected in health center policies, while incorporating elements outlined in the billing and collection requirements- these factors can make this a ‘high risk’ area for compliance. This webinar will review the current requirements and provide guidance on how to develop compliant SFDS and Billing & Collections policies and procedures.


With the release of the Health Resources and Services Administration (HRSA) Health Center Program Compliance Manual in 2017, FQHCs were ushered into a new era of health center compliance. The new Manual reaches beyond the longstanding “19 program requirements” and identifies over 90 distinct required compliance elements. To address all of these elements, health centers need robust policies, procedures, and systems to monitor and report on these compliance elements and improve performance on an ongoing basis.

In this webinar series, the Community Health Center Association of New York State (CHCANYS) invited industry experts including CohnReznick, attorneys from Feldesman Tucker Leifer Fidell LLP, and HRSA Consultants to present detailed guidance and resources to enhance your organizational approach as well as recommended strategies for achieving continuous compliance.

* The live webinar series was hosted by CHCANYS in Fall 2018

Cohn Reznik

Target Audience

  • CEOs/ Executive Staff
  • Compliance Officers
  • Fiscal Staff
  • Quality/Risk Management Staff
  • Grants Management Staff
Course summary
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Gil Bernhard, CPA, is a partner with CohnReznick and is based in thier New York office. Gil concentrates on healthcare audit, financial management, and reimbursement issues. His clients include Federally Qualified Health Centers (FQHCs), behavioral healthcare organizations, AIDS/HIV agencies, healthcare trade associations, and other related not-for-profit and for-profit health corporations. In addition, as a member of CohnResnick's Not-for-Profit and Education Industry Practice with more than 25 years of experience in public accounting, Gil has broad capabilities in Government Auditing Standards and Federal Single Audit under the Uniform Guidance (formerly OMB Circular A-133). Gil also consults on internal controls and accounting systems for health centers and other not-for-profit healthcare corporations.


Dolores Di Re is a senior manager in CohnReznick’s Healthcare Industry Practice. She has almost 20 years of experience working in the healthcare industry, for which she has provided revenue cycle and compliance services to Federally Qualified Health Centers (FQHCs), ambulatory care providers, and hospitals. Dolores also has extensive knowledge of federal and state reimbursement, and considerable experience in assisting clients with account receivable management, the identification and implementation processes for reducing denied claims, and the optimization of revenue by evaluating existing charge capture processes.

There are no continuing education credits offered for this course.

Certificates of Attendance are available for all webinars for the registered attendee upon completion of the webinar.

blank Certificate of Attendance will be available for organizations to issue to attendees that viewed the webinar. Due to the online nature of the training course, Feldesman Tucker Leifer Fidell LLP does not certify that the attendee actually viewed the course. A supervisor at the organization should sign the certificate, and therefore, certifies that the attendee viewed the course.

Attendance record forms are available for all webinars and can be utilized to record the attendance of numerous staff members for internal purposes.

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