Billing and Reimbursement for SBHCs
| Date | Old State | New State | By | Comment |
|---|---|---|---|---|
| 27 April 2010 - 10:26am | submission | approved | admin | |
| 27 April 2010 - 10:22am | (creation) | submission | admin |
Examining SBHC Billing and Reimbursement
The Network is reviewing how to improve revenue collection in SBHC systems, which inherently challenge the traditional revenue cycle. This cycle depends on:
1. Having an insured patient
2. Identifying that insurance
3. Having the capacity at the local site to create a bill and follow up on the payment.
The Network engaged a public health consultant to conduct an analysis of the current revenue system and to make recommendations to improve reimbursements to SBHCs. Download the Billing and Reimbursement Report (pdf file).
The Network is currently talking to public and private insurers about revenue cycle and its relationship to SBHCs. Read the Status Report from the September 2008 meeting between the Network and managed care organizations. Our goal is that SBHCs receive fair and full reimbursement for the services they provide. For more information on this process, please contact Liz Smith Currie, Policy Director.
