Nominal Fees When Multiple Services Are Provided

If the health center chooses to have a nominal fee and there are several categories with different nominal fees, (example, dental preventative $20, dental basic $50, dental restorative $100), can we charge the nominal fee per category if several services were provided across these different categories on the same day?  Or, are we only able to charge one of the nominal fees, and if so, how do we determine which category to charge?

This is a great question that we get asked often!  In the example scenario, you are able to charge a nominal fee per category as long as you show incremental increases, and the nominal fee for patients under 100% Federal Poverty Level is the lowest nominal fee.

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Proving Program Effectiveness Under Regulatory Scrutiny

Regulators are no longer satisfied with documentation alone; they want evidence that your compliance program actively prevents, detects, and corrects risk. Investigators expect to see how issues are identified early, investigated thoroughly, corrected effectively, and monitored over time. Boards demand measurable insight, and leadership needs confidence that exposure is managed before it becomes a liability. The standard has shifted from activity to impact.