For rural and safety-net organizations
RHTP Governance Partnership
The AI and data governance layer that extends what your health center network already does: a process for vetting AI tools before you adopt them, the definitions and decision rights those tools depend on, privacy protections (including 42 CFR Part 2 for substance use records), and equity checks for rural and tribal patients, plus reporting that keeps your funding defensible.
For providers and suppliers facing automated review
Denial Exposure Scan
Where automated review threatens your revenue, sized so a compliance officer can approve it without a committee.
- Denial, recoupment, and prior authorization patterns across payers
- How your documentation holds up against automated first-pass review
- A findings memo and a 90-day plan
Readiness Build
The capability your scan, or your denial trend, says you need.
- Appeals and medical-necessity readiness, with staff training
- A review of payer AI and an escalation playbook
- Clinical AI due diligence and equity review
Standing Advisory
The regulatory landscape, watched for you against your payers and product lines.
- A monthly brief tailored to you
- On-call advisory hours
- A quarterly denial and documentation review
For payers, health systems, and AI vendors
AI Governance Operations
Stand up or mature an AI governance function: an inventory of your AI tools, risk tiering aligned to the NIST AI Risk Management Framework and ISO/IEC 42001, tracked fixes, and audit-ready evidence mapped to HIPAA, CMS, ONC, Section 1557 nondiscrimination rules, and the state and federal AI requirements that apply to you.
Litigation and regulatory support
Clinical, functional, and governance analysis that informs counsel’s advice: record review, discovery support, report support, and governance reviews at counsel’s direction.
Training and keynotes
Workshops on documentation that holds up under automated review, appeals readiness, and AI governance for clinical leaders.
How an engagement works
Scope and boundaries. 5Q Health provides regulatory analysis, governance, and operational advisory. It is not legal advice or a financial audit. Where a matter needs a legal opinion or financial assurance, 5Q works alongside your counsel and accountants, not in their place. Grant-funded organizations can engage 5Q as a contractor under the Uniform Guidance (2 CFR 200.331).