Quality First Healthcare Consulting

What Quality First Healthcare Consulting does

Quality First Healthcare Consulting, Inc. (QFHC) is a Winter Park, Florida-based healthcare management consulting firm founded in 2001 that provides regulatory compliance and operational consulting services primarily to Federally Qualified Health Centers (FQHCs), FQHC Look-Alikes, and healthcare plans. The firm offers eight core service lines including HRSA Operational Site Visit (OSV) preparation and FTCA deeming assistance, NCQA accreditation and PCMH recognition consulting, quality management, financial management, interim management, revenue cycle management, and document management. Its client base includes named FQHCs such as Matthew Walker Comprehensive Health Center, VNACJ Asbury Park, Friend Health, Community HealthNet, Community Clinic of Maui, Grace Health, and Ezras Choilim Health Center, alongside health plans such as Claims Development Management (CDM).

QFHC pairs its consulting practice with a proprietary compliance software platform, PolicyPLUS, operated through a related entity, Quality First Management Services, Inc. (QFMS), founded in 2009. PolicyPLUS is a modular cloud-based system providing document management, employee training, credentialing and privileging tracking, and quality management. Two named modules extend the platform: Total 330 Continuous Compliance, which maintains HRSA Site Visit Protocol Readiness, and PolicyAssist, a resource library of policies, procedures, templates, and forms crosswalked to HRSA, NCQA PCMH, FTCA, and AAAHC standards. Software development and maintenance are outsourced to technology partner Aileron Consulting.

The business model combines professional services revenue (project-based and multi-year consulting engagements priced by scope) with recurring subscription revenue from PolicyPLUS. Go-to-market is direct enterprise field sales to healthcare organizations nationwide, supplemented by website content marketing and an OSV Challenges webinar series. The consulting bench of approximately 15 senior and associate consultants includes NCQA external surveyors, former HRSA contracted consultants (three of whom helped develop the HRSA Site Visit Protocol), and clinicians with credentials including RN, MBA, CPA, CPHQ, CPC, and PCMH-CCE. The firm is privately held with no disclosed institutional funding.

Name

Quality First Healthcare Consulting

Legal name

Quality First Healthcare Consulting, Inc.

Website

https://qfhc.com

Company type

Private

Founded year

2001

Operating status

Operating

Headcount range

1–10 employees

Short description

Quality First Healthcare Consulting (QFHC) is a Winter Park, FL-based healthcare management consulting firm serving Federally Qualified Health Centers and healthcare plans with HRSA OSV preparation, NCQA accreditation, quality, financial, and revenue cycle consulting, alongside its PolicyPLUS compliance software.

Ownership category

akta.pro rank

Product category

Healthcare Management Consulting

NAICS

Computer Systems Design and Related Services (54151)

SIC

Services-Management Consulting Services (8742), Services-Prepackaged Software (7372)

akta.pro industry

PRIMARYHLAGAKAI

Clinical Quality Assurance (GCP QA, TMF/QMS oversight)

Healthcare & Life Sciences/Life Science Tools & Services (CRO/CDMO/Lab Services)/Regulatory Affairs, Quality & Compliance Services (GxP)

SECONDARYHLAFAGAB

Community Health Centers (FQHCs & Look-Alikes)

Healthcare & Life Sciences/Healthcare Providers & Systems/Primary Care & Community Health Providers

Keywords

• Healthcare management consulting
• HRSA compliance services
• NCQA accreditation consulting
• Policy management software
• Revenue cycle management

Headquarters

HQ city

Winter Park

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure

Revenue model

1. Healthcare Management Consulting Services: Professional consulting services including HRSA OSV preparation, NCQA accreditation management, quality management, financial management, interim management, and revenue cycle management. Delivered through collaborative team engagements tailored to client needs.
2. PolicyPLUS Software Subscription: Subscription-based access to PolicyPLUS compliance software platform including document management, credentialing, quality management, and Total330 compliance modules. Includes free access to PolicyAssist resource library.
3. Training and Education Services: Staff education on various healthcare topics, OSV preparation training, board training, and technical assistance delivery.
4. NCQA Accreditation Consulting: Project management and consulting services for NCQA accreditation, recognition, and certification programs including gap analysis, document preparation, and mock reviews.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels3 records

Core offering

Quality First Healthcare Consulting (QFHC) delivers customized healthcare management consulting to Federally Qualified Health Centers (FQHCs), FQHC Look-Alikes, health plans, hospitals, and other healthcare organizations nationwide. Core engagements cover HRSA Operational Site Visit (OSV) preparation and FTCA deeming, NCQA accreditation and PCMH recognition, quality management, financial management, interim management, revenue cycle management, and document management. Alongside its services, QFHC offers the PolicyPLUS cloud-based compliance software platform (via sister entity QFMS), including the Total330 Continuous Compliance module and the PolicyAssist resource library of pre-built healthcare policies, procedures, protocols, forms, and templates.

Product overview

Quality First Healthcare Consulting (QFHC) offers a platform-plus-services model combining an online compliance software suite operated by Quality First Management Solutions (QFMS) with expert healthcare management consulting. The core software product is PolicyPLUS™, a modular internet-based platform that provides document management, employee training, credentialing management, and quality management. PolicyPLUS™ includes two named add-on modules: Total 330 Continuous Compliance (for HRSA Site Visit Protocol Readiness) and PolicyAssist™ (a document resource library of policies, procedures, forms, and templates crosswalked to HRSA, NCQA PCMH, FTCA, and AAAHC standards). Consulting services span HRSA OSV and FTCA Assist, NCQA Accreditation Programs, Quality Management, Financial Management, Interim Management, Revenue Cycle Management, Document Management, and Additional Services including credentialing, provider enrollment, and board training.

Differentiator

Problem solved

Functional benefit

Brands

• PolicyPlus: Healthcare compliance software providing document management, employee training, credentialing management, and quality management. Includes PolicyAssist resource library.
• PolicyAssist
• Total 330

Products and services

• PolicyPLUS An online, modular cloud-based healthcare compliance software platform operated by Quality First Management Solutions (QFMS) that provides document management, employee training, credentialing management, and quality management functions for FQHCs and other healthcare organizations; each client is assigned a dedicated account manager for ongoing support.
• Total 330 Continuous Compliance An online management system within the PolicyPLUS platform that helps FQHCs and FQHC Look-Alikes (FQHC-LALs) store and maintain ongoing compliance with HRSA Site Visit Protocol Federal assessment requirements.
• PolicyAssist A dynamic resource library of hundreds of healthcare policies, procedures, protocols, forms, templates, and job descriptions, crosswalked to HRSA, NCQA PCMH, FTCA, and AAAHC standards and regularly reviewed and updated by QFHC consultants; included free with PolicyPLUS subscriptions.
• HRSA OSV and FTCA Assist Operational Site Visit (OSV) readiness coaching services for FQHCs and FQHC-LALs, including on-site readiness reviews, gap analysis reports, coaching throughout the review process, and assistance with FTCA deeming applications and renewals.
• NCQA Accreditation, Recognition, and Certification Programs Consulting services that guide organizations through NCQA accreditation, recognition, and certification programs including Health Plan Accreditation, Case Management Accreditation, LTSS, Population Health, Health Equity, Utilization Management, Provider Network Accreditation, Credentialing, and PCMH Recognition.
• Quality Management (QM) Outsourced quality management consulting services spanning Continuous Quality Improvement (CQI) processes, performance measure development, QM committee facilitation, staff coaching, annual QM program evaluations, and compliance with federal, state, and accreditation requirements.
• Financial Management (FM) Financial consulting services for health centers delivered by CPA consultants, covering workflow analysis, UDS submission, HRSA financial OSV protocol compliance review, policy development, Medicaid/Medicare cost reporting, budgeting, and grants management.
• Interim Management (IM) Transitional management services that fill leadership voids in CEO, CFO, COO, CMO, Chief Compliance Officer, QM Director/Manager, and Risk Management Director roles while organizations recruit permanent staff.
• Revenue Cycle Management (RCM) Comprehensive revenue cycle consulting covering patient scheduling, registration, charge entry, medical coding, revenue integrity, clinical documentation improvement, billing, accounts receivable management, and RCM workflow development.
• Document Management Consulting and software services for managing healthcare documents including policy and procedure review and development, contract review, staff education tracking, and digital storage with expiration alerts through PolicyPlus software.
• Additional QFHC Services Additional support services covering credentialing and privileging, provider enrollment and onboarding, Board of Director training, and staff education on various healthcare topics.

Quantifiable outcome

• Organizations achieve 100% NCQA survey scores with QFHC support
• +1 more outcomes

Named customers9 records

Segments6 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

One partnership is on record.

• Aileron Consulting, LLCcoreTechnology or IntegrationAileron Consulting, LLC, led by CEO Senthil Ramiah, provides software design, support, and maintenance for PolicyPLUS. Based in Arlington, VA, Aileron is a Management and Technology consulting firm with extensive experience in Healthcare applications including EHR, Medicaid systems, Disease Management, Case Management, Utilization Management, Behavioral Health, and HL7 integration.

Scale indicators2 records

Recent moves7 records

Expansion highlights5 records

Broad incumbents

• Forvis (formerly BKD CPAs & Advisors): Top-10 U.S. accounting and advisory firm with a dedicated healthcare practice serving FQHCs, including HRSA OSV preparation, financial consulting, and UDS reporting. Comparable as a competing FQHC compliance and financial consulting provider, though QFHC is far smaller and more specialized.
• Wipfli LLP: Major accounting and consulting firm with a healthcare group serving FQHCs on HRSA compliance, revenue cycle, financial management, and operational improvement. Directly competes for FQHC consulting engagements but at much larger scale and broader scope than QFHC.
• Huron Consulting Group: Large consulting firm with a healthcare practice spanning performance improvement, revenue cycle, and digital transformation for health systems. Comparable in revenue cycle and compliance consulting but operates at enterprise scale versus QFHC's FQHC niche.

Direct peers

• ECG Management Consultants: Healthcare-specialized management consulting firm serving providers, including community health centers, on strategy, operations, finance, and compliance. Closely comparable in offering consulting-led services to healthcare providers with subject-matter expertise.
• Coker Group: Healthcare management and advisory firm providing compliance, RCM, operational consulting, and credentialing services to physician groups, FQHCs, and hospitals. Overlaps with QFHC's RCM, compliance, and interim management offerings.
• Health Management Associates (HMA): National healthcare consulting firm specializing in publicly funded healthcare programs including FQHCs, Medicaid, and safety-net providers. Provides policy, operational, and compliance consulting - a peer in serving the same FQHC ecosystem with broader public-sector reach.
• BSM Consulting: Healthcare practice management consulting firm offering credentialing, compliance, HR, and operational support to physician practices and provider organizations. Comparable as a compliance and operations consultancy to healthcare providers, though focused more on ophthalmology/physician practices than FQHCs.

Emerging players

• Revecore: Specialized revenue cycle management firm providing underpayment recovery, denial management, and A/R services to hospitals and health systems. Comparable in RCM service offering but serves a different provider mix than QFHC's FQHC focus.
• Healthcare Compliance Pros: Compliance and policy management provider offering policy libraries, training, and compliance software to healthcare organizations including FQHCs. Directly comparable in providing bundled policy content and compliance tools to the same FQHC segment.

Others

• Pivot Point Consulting: Healthcare IT and consulting firm providing EHR implementation, advisory, and managed services to providers and payers. Comparable as a healthcare-focused consultancy with technology enablement, though QFHC's PolicyPLUS is compliance-focused rather than EHR-focused.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/Quality-First-Healthcare-Consulting-Inc-220933917977622
• LinkedInlinkedin.com/company/quality-first-healthcare-consulting-inc.

Revenue estimate

Valuation estimate

Number of profiles

Profiles16 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Quality First Healthcare Consulting