Supporting HIV care through education and innovation

Building Safety Net Billing Capacity: State Support for a Solid Foundation

Building Safety Net Billing Capacity: State Support for a Solid Foundation

June 2013
National Academy for State Health Policy

Description

This webinar outlines requirements and resources to build capacity to conduct third party billing and reimbursement. The focus is on what states can do to support safety net providers in enhancing their capacity to develop back office operations to support billing and reimbursement.

Topics covered:

  • Billing Tips (preparation like assessing billing capacity, getting credentialed; working with clients to, for example, explain insurance basics and enroll clients in coverage; conduct a pilot test for continuous improvement).
  • Provider Assessment (determine TA/training needs of safety net providers).
  • Enrollment and Credentialing (why it's necessary in order to be able to bill, challenges, ways to assist providers).
  • Managed Care (helping safety net providers work with managed care organizations and Medicaid, TA to build agency capacity and promote sustainability).
  • Billable Services (codes and coding including CPT, ICD, and their relationship).
  • Billing Mechanics.

 

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