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Third-Party Billing at the Oregon State Public Health Laboratory

Third-Party Billing at the Oregon State Public Health Laboratory

July 2013
CARDEA

Description

Case study on how Oregon's state lab set up Medicaid and other third-party billing to diversify revenue.

 

Summary outlines steps in setting up third-party billing:

  • Getting Started (Contracting and Enrollment, Data Transfer & Claims Submission)
  • Billing Process Implementation (Insurance Eligibility Verification, Claims Submission, Denials Management & Collections)
  • Process Improvements & New Challenges (Program Expansion, Staff Capacity, Legislative & Policy Considerations, Coordinated Care Organizations (CCOs) and the Future of CT/GC Billing With Oregon’s implementation)

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