Tara Comstock Support Services Supervisor/Finance Billing Specialist - - PowerPoint PPT Presentation
A Third Party Billing Success Story How a Small, Rural Public Health Department is Generating Significant Revenue Through Immunization and HIV Billing Kara A. Davis, RN, BSN Assistant Administrator/Director of Nursing at Logan County Department
How a Small, Rural Public Health Department is Generating Significant Revenue Through Immunization and HIV Billing
Assistant Administrator/Director of Nursing at Logan County Department of Public Health
Support Services Supervisor/Finance Billing Specialist at Logan County Department of Public Health
1.
Billable Services
2.
Pricing and Billing
3.
Medicare Part D
4.
The Payers
5.
Medicare Part B
6.
Marketing and Community Outreach
7.
STD Clinic
8.
Billing for HIV Testing and Related Services
9.
Tracking and Reporting
10.
Questions
Immunizations to everyone birth-100, private pay, Medicare and Medicaid
STD testing
HIV Testing
Blood Lead Testing
Hemoglobin Testing
TB Testing
Pregnancy Testing
Urine collection for drug screens
Blue Cross Blue Shield update price list yearly
VFC--Always charge the state paid rate $23.87
TransactRx
Check eligibility, either thru CDP and/or Medi. This will make sure you are using the correct vaccine and getting paid.
Credentialed with all major insurance companies including Medicare Part B
Submit Claims for all Medicare Part D covered vaccines with one contract
Simple Web-Based Solution
No Software to Install
No Billing or Coding Experience Needed
No cost to you for billing of Medicare Part D
Since March of 2015 we have gotten $10,790 from using TransactRx
Blue Cross Blue Shield
Medicare
Health Alliance
Molina
Aetna
Tri-Care
Meridian
Cigna
Coventry
Humana
United Health Care
Medicaid
shot, TB test, etc...). In the 2016 flu season we recouped $768 from employee flu shots.
Local business (Wal-Mart, a local factory, Dollar General)
Local hospitals
Colleges
Local Senior Center/Assisted Living
Police station/other county owned business (courthouse, highway department)
Bill insurance/Medicaid
Ask for donations from clients
IPHA HIV grant
IDPH is supplying free HIV test kits to agencies
IDPH is supplying free Lab processing of HIV specimens
IDPH is reimbursing agencies that conduct HIV testing
The regional HIV prevention grant is reimbursing $100 to
HIV tests can be performed and billed to any
The above only applies if you are not sending to