Rural Health Clinic Compliance and Advisory
Think... always survey ready.
Rural Health Clinic compliance is my core specialty. I help RHCs identify compliance risk, understand where breakdowns are happening, and strengthen readiness before those issues become larger operational or regulatory problems.
Compliance readiness starts with the right documentation and systems in place.
I have more than 10 years of direct rural health implementation experience, including serving as a state and national subject matter expert on the CMS-Certified Rural Health Clinic program and advising RHC leadership on compliance, corrective action, and Medicare and Medicaid regulatory requirements. I have delivered more than 250 technical assistance engagements focused on RHC operations, compliance, and regulatory alignment, and I am a frequent presenter at state and national conferences on these topics.
I bring behavioral science, research rigor, and operational discipline to compliance work. That matters because the real problem is rarely just the regulation on paper. It is the inefficiency, friction, workflow breakdown, or documentation gap happening underneath it.
Core Services
Rural Health Clinic Compliance Diagnostic
A structured assessment of your current compliance posture under 42 C.F.R. § 491. I identify regulatory exposure, documentation gaps, workflow breakdowns, and operational risks before they become deficiencies. You receive a clear, source-cited analysis and a practical plan you can actually use.
Biennial Review Support
End-to-end support for the Rural Health Clinic biennial review required under federal regulation. I help you prepare the right documentation, walk the review with discipline, capture findings cleanly, and turn the review into an operational improvement tool instead of a paperwork exercise.
Want this as a fixed-fee engagement? See the RHC Biennial Program Evaluation Package.
Survey Readiness and Mock Surveys
Structured mock survey design and execution that mirrors the real thing. I evaluate compliance, documentation, and operational readiness across the conditions for certification, identify the gaps that matter, and help your team correct them before a real surveyor walks in.
Want this as a fixed-fee engagement? See the RHC Mock Survey Package.
Chart and Documentation Audits
Targeted medical chart and documentation review focused on the elements that drive compliance, deficiency risk, and reimbursement integrity. I identify documentation patterns, training gaps, and workflow issues that show up in the chart but originate elsewhere.
Deficiency Response and Corrective Action
If a deficiency citation is already on the table, I help you build a corrective action response that is regulation-grounded, operationally realistic, and built to hold up under follow-up scrutiny. Not a paperwork promise. A real plan.
Policy and Procedure Manual Development and Refresh
Policy and procedure manual development, revision, and alignment to current federal Rural Health Clinic requirements. Practical, implementable, and written so your staff can actually follow it, not just sign off on it.
Emergency Preparedness Plan Support
Emergency preparedness plan development, review, and alignment with federal Rural Health Clinic requirements. Real plans for real settings, not boilerplate that fails the moment something actually happens.
Want the complete program as a fixed-fee engagement? See the RHC Emergency Preparedness Program Package.
Staff Training and Competency Validation
Compliance-critical staff training and competency validation. Targeted training built around your actual workflows and your actual regulatory exposure, not generic continuing education.
Ongoing Compliance Advisory and Monitoring
Retained advisory support for Rural Health Clinics that want a trusted compliance resource in their corner on an ongoing basis, not just when something is on fire. Regular check-ins, regulatory updates, and direct access for the questions that come up between formal engagements.
Operational clarity and compliance readiness go hand in hand.
What I Do Not Provide
Radical transparency includes scope.
- I do not provide billing and coding services.
- I do not complete cost reports.
- I do not provide EHR technical support.
I can support the strategy, documentation, workflow, readiness, and operational alignment surrounding those areas. I will not pretend to be the expert on something I am not.
Why Clients Bring Me In
I bring policy knowledge, operational knowledge, training experience, behavioral science, research rigor, and direct implementation experience on both the state and national technical assistance side of Rural Health Clinic work.
I understand the regulation on paper. I also understand what happens when that regulation hits a real Rural Health Clinic with real staffing constraints, real workflow patterns, real documentation habits, and real operational pressure. That is where compliance work succeeds or fails, and that is where I do my best work.
I am not a 30,000-foot-only advisor. I can do the strategy. I can also get into the weeds when the work is messy, stuck, or operationally tangled. I am a workhorse, not a showpony salesman.
Engagement Models and Pricing
My standard hourly rate is $250 per hour. For individual projects expected to require 20 or more hours, I offer a 20 percent rate reduction applied to that project total. Fixed-fee packages are available for emergency preparedness, mock surveys, and the biennial program evaluation; see the Services page for the current package list.
Project estimates are provided when scope is clear. Retained advisory engagements can be scoped on a monthly basis. All work is delivered remotely unless otherwise agreed in the engagement letter. When on-site days are agreed, the proposal names the number of included on-site days, and travel is reimbursed at actual cost, with the exception of meals, which are reimbursed at the current federal per diem rates, in addition to the agreed fee.
Radical transparency includes scope, not just pricing. Agreed-upon scopes of work are clearly defined up front and strictly adhered to. If a project needs to expand, shift, or change direction, that can be discussed and adjusted by mutual agreement or handled as a separate project. No surprise charges. No vague scope creep. No games.
What Working With Me Looks Like
Step 01
Free 15-Minute Call
A short, direct conversation to understand what you need, identify whether working together is a good fit, and clarify next steps.
Step 02
Scoped Proposal
A clear, written scope of work, deliverables, timeline, and pricing. No vague language.
Step 03
The Work
Direct engagement, source-cited analysis, honest communication, and practical recommendations built for your specific Rural Health Clinic.
Step 04
Documented Hand-Off
You leave the engagement with documentation you can actually use.
Ready to Talk?
If your Rural Health Clinic needs compliance support, survey readiness help, biennial review support, deficiency response, policy and procedure work, or a trusted advisor who understands the regulatory environment and the real-world operational pressures that come with it, I would be glad to connect.
Regulatory Clarity. Financial Durability. Rural Health Viability.