Leave the Billing to Us Foundation

SNIPER DRAFT: V28 Revenue Integrity Partnership Briefing
Secure your organization’s financial future before the next audit cycle. The transition to the CMS V28 risk adjustment model isn’t just a "coding update": it is a fundamental shift in how rural clinics and healthcare foundations must document care to survive.

Leave the Billing to Us Foundation is mobilizing the 2027 CMS Navigator Consortium and the Rural Health Transformation (RHTP) initiative to provide a Technical Shield for our partners. We are currently inviting Revenue Cycle Directors and Clinic CEOs to secure their position in this federal grant partnership.

The $320k SME Faculty Advantage

We are deploying a $320k SME (Subject Matter Expert) faculty load to support our partner organizations. This isn't theoretical advice; this is direct, technical intervention. Our team of credentialed experts (CPC, CRC, SME) works as your Compliance Translators, moving beyond the passive role of "auditors" to actively protect your revenue and absorb your audit risk.

If you are navigating the complexities of the V28 transition alone, you are leaving your RAF scores: and your funding: vulnerable to the shifting tides of CMS integrity programs.

Pillar 1: V28 Revenue Integrity & RAF Score Protection

The V28 model phase-in is now a reality. By 2027, the emphasis on Financial Nutrition: the protection of revenue and the absorption of audit risk: will be the difference between a thriving clinic and one facing significant uncompensated care gaps.

Advancing Documentation Integrity

We don't just "check" your charts. We translate the complex requirements of V28 into actionable workflows for your clinical staff.
- Eliminating Coding Intensity Gaps: We ensure that every diagnosis is linked to a valid, documented encounter, protecting you from RADV audit clawbacks.
- Optimizing RAF Scores: Our team identifies under-documented chronic conditions that V28 prioritizes, ensuring your Risk Adjustment Factor accurately reflects your patient population's complexity.
- Claims Processing Efficiency: By implementing our technical shield, we reduce the friction in claims processing, leading to faster reimbursements and lower denial rates.
Pillar 2: The MCAP Workforce Solution (No-Cost Staffing)

One of the greatest challenges for St. Hope Foundation, Anson General, and other rural health leaders is finding and retaining qualified medical coding talent. Our Medical Coding Apprenticeship Program (MCAP) solves this problem at the source.

Sustaining Careers, Supporting Clinics

We train residents for sustainable careers in medical coding and revenue integrity. As part of our partnership, we provide MCAP apprentices to your facility at no cost.
- Sustainable Labor: Receive trained, credentialed support to manage the documentation load.
- Social Impact: Support the movement to improve healthcare literacy and career opportunities in underserved communities.
- Mission Oversight: Our board governance ensures that every apprentice is aligned with the highest standards of compliance and documentation integrity.
Pillar 3: The Technical Shield for Rural Health Transformation

Rural health organizations face unique vulnerabilities. The Rural Health Transformation (RHTP) initiative is designed to fortify these clinics against the financial volatility of modern healthcare.

Your Federal Grant Partnership

We are currently operating under official federal incident numbers INC-GSAFSD20805287 and INC-GSAFSD20805229. These designations represent our commitment to the safety net and our role as a CMS-designated CDO and AHIMA-approved CEU provider.

Why Join the Movement?
1. Zero-Cost Support: We offer free support to patients while simultaneously supporting clinics’ revenue integrity.
2. Audit Risk Absorption: We act as your primary defense against compliance vulnerabilities.
3. Community Referral Work: We integrate with your existing workflows to provide patient charity screening and financial assistance navigation.
Pillar 4: Financial Nutrition & Audit Defense

"Financial Nutrition" is our term for the proactive protection of your bottom line. It is not enough to simply "bill" for services; you must nourish your organization with audit-proof revenue.

Direct Action Items for Leadership:
- Review: Examine your current V28 transition plan. If it relies on retrospective coding without encounter linkage, it is incomplete.
- Dispute: Use our advocacy tools to resolve confusing or inaccurate medical billing disputes that drain your administrative resources.
- Resolve: Secure a partnership that provides proactive guidance and financial-aid navigation for your patients, reducing your uncompensated care reporting burden.
Immediate Next Steps: The LOI

The deadline to participate in this phase of the Federal Grant Partnership is approaching. We require a signed Letter of Intent (LOI) by next Monday to secure your organization's SME faculty allocation and MCAP apprentice placements.

If you’re not the decision-maker, could you forward this (and loop me in) to whoever owns compliance/documentation integrity at your organization?

Join the Movement

We invite you to be part of the solution. Our goal is the total elimination of preventable medical debt and the fortification of the healthcare safety net.

Call to Action:
1. Schedule a 15-minute briefing to review the LOI and your SME faculty allocation.
2. Contact Rachel (Receptionist) at leavethebillingtousfoundation@gmail.com to initiate the intake process.
3. Submit your signed LOI by next Monday to guarantee participation.
Contact Information

Primary Point of Contact:
Rachel (Receptionist)
Email: leavethebillingtousfoundation@gmail.com
Contact Rachel for all initial inquiries, partnership flyers, and outreach materials.

Secondary/Last Point of Contact (Manager):
Available for serious prospects and confirmed appointments only during the following windows (CST):
- Monday: 8:00 AM – 12:00 PM
- Tuesday – Thursday: 8:00 AM – 9:00 AM & 3:00 PM – 6:00 PM
- Friday – Saturday: 8:00 AM – 12:00 PM
Learn more about our mission and services:
Leave the Billing to Us Foundation
A 501(c)(3) Nonprofit. AHIMA-Approved. CMS-Designated CDO.
Advancing Revenue Integrity. Eliminating Medical Debt. Protecting the Community.
05/19/2026
The $60 Million Lifeline: Securing the Future of Rural Texas Healthcare
Secure the funding. Protect the clinic. Advance the mission.

Rural Texas healthcare is standing at a massive crossroads. With the recent announcement of $60 million in federal funding through the Texas Health and Human Services Commission (HHSC), the opportunity to stabilize our rural hospital districts has never been more real. This initial injection is part of a larger movement: the CMS Rural Health Transformation Program (RHTP), branded locally as "Rural Texas Strong."

The goal? Make Rural Texans Healthy Again.

But here is the reality: funding alone isn't a silver bullet. If your clinic doesn't have a "technical shield" to defend its revenue and compliance, that $60 million lifeline can quickly turn into an audit nightmare. At Leave the Billing to Us (LTBTU) Foundation, we’re stepping in as your Compliance Translators. We bridge the gap between complex federal requirements and the actual daily operations of your rural clinic.

Eliminate the Complexity of V28 Revenue Integrity

The transition to the CMS-HCC Version 28 (V28) risk adjustment model has changed the game. If you aren't adapting, you’re leaking revenue. V28 requires a level of documentation specificity that many rural facilities simply aren't staffed to handle alone.

We focus on the Financial Nutrition of your organization. Just as patients need the right nutrients to thrive, your clinic needs healthy, accurate data to survive. Our team of credentialed experts (CPC, CRC, SME) works directly with you to:
- Improve RAF Scores: We ensure your Risk Adjustment Factor (RAF) scores accurately reflect the disease burden of your community. Higher accuracy equals appropriate funding.
- Boost Claims Processing Efficiency: We eliminate the friction in your billing cycle, reducing denials and ensuring that every dollar meant for rural health stays in rural health.
- Absorb Audit Risk: We act as your primary line of defense, identifying vulnerabilities before they become liabilities.
Secure Your Workforce with the MCAP Movement

Sustainable healthcare requires a sustainable workforce. You can’t protect your revenue if you don’t have the talent to manage it. That’s why we’ve invested heavily in our Medical Coding Apprenticeship Program (MCAP).

We aren't just an outside vendor; we are a training ground. We train residents for sustainable careers in medical coding and revenue integrity, creating a local pipeline of talent specifically for rural Texas. Our $320k SME faculty load ensures that every apprentice is taught by the best in the business, bringing elite-level expertise to your doorstep.

Why "Compliance Translators" are the Missing Link

Most organizations hire "auditors." We are Compliance Translators. Auditors tell you what you did wrong; Translators show you how to do it right while the work is happening.

We provide proactive guidance and financial-aid navigation so families can avoid preventable debt, while simultaneously protecting the clinic’s bottom line. It’s a win-win for the patient and the provider. Our mission-driven approach focuses on:
1. Advancing Healthcare Literacy: Educating underserved communities so they understand their bills.
2. Eliminating Medical Debt: Providing one-on-one patient advocacy to dispute inaccurate billing.
3. Building a Safety Net: Supporting clinics with tracking charity collections and uncompensated care reporting.
Verified Federal Compliance

We take our role in this movement seriously. Our foundation operates with the highest level of transparency and federal oversight. For your records and compliance files, our current federal filing status can be referenced via the following incident numbers:
- INC-GSAFSD20805287
- INC-GSAFSD20805229
These aren't just numbers; they are a sign of our commitment to being the most reliable partner in the Rural Health Transformation Program.

Join the Movement Today

The "Make Rural Texans Healthy Again" initiative is more than a slogan: it’s a call to action. Whether you are a rural hospital CEO, a clinic administrator, or a community leader, you don’t have to navigate the nightmare of medical billing and federal compliance alone.

Take the first step toward securing your clinic’s future.

If you’re not the decision-maker, could you forward this (and loop me in) to whoever owns compliance/documentation integrity at your organization?

Start your intake through our website first. Go to the Get Help page or the Get Involved form and fill out the form specifically to request a V28 Revenue Integrity Assessment.

Rachel (Receptionist) will still help coordinate the initial intake after your form is submitted and make sure the right details are routed for follow-up.

For serious prospects and confirmed strategy appointments, our Manager is available for high-level consultations during the following windows:
- Monday: 8 AM – 12 PM CST
- Tuesday – Thursday: 8 AM – 9 AM & 3 PM – 6 PM CST
- Friday – Saturday: 8 AM – 12 PM CST
Partner with us. Let’s protect the revenue that protects our neighbors.

Visit our Get Help page | Learn about Patient Advocacy | Join the Movement
05/19/2026