in-house third party billing – is it really working? beth, eagles, dept. head, billing &...
TRANSCRIPT
In-House Third Party Billing – Is it Really Working?
In-House Third Party Billing – Is it Really Working?
Beth, Eagles, Dept. Head, Billing & ReceptionUniversity of Arkansas
Libby Greaney, Director of UHS
Western Kentucky University
Ethel “Willi” Haskins-Cotton, Insurance Program Manager UMBC
Jennifer K. Lepus, Director of UHS UMBC
Beth, Eagles, Dept. Head, Billing & ReceptionUniversity of Arkansas
Libby Greaney, Director of UHS
Western Kentucky University
Ethel “Willi” Haskins-Cotton, Insurance Program Manager UMBC
Jennifer K. Lepus, Director of UHS UMBC
In One Word….In One Word….
YES!YES!
Objectives of Today’s SessionObjectives of Today’s Session
Describe ways in which to participate in third party billing
Compare successes of UMBC, WKU, and U of Ark
Describe administrative functions relative to managing a health center that performs third party billing
Describe ways in which to participate in third party billing
Compare successes of UMBC, WKU, and U of Ark
Describe administrative functions relative to managing a health center that performs third party billing
Why do billing?Why do billing?
State revenue decreasing Keeping records in house More control in revenue and purchasing Able to expand other programs within UHS
State revenue decreasing Keeping records in house More control in revenue and purchasing Able to expand other programs within UHS
Topics to be Discussed TodayTopics to be Discussed Today
Participating? Do you want to be a participating provider?
Credentialing - Signing up as a provider
Setting up your pricing - How much will you need to charge?
Insurance file setup
What type of billing will you do? Paper vs. electronic
Payments and Denials
Participating? Do you want to be a participating provider?
Credentialing - Signing up as a provider
Setting up your pricing - How much will you need to charge?
Insurance file setup
What type of billing will you do? Paper vs. electronic
Payments and Denials
Getting started…Getting started… Somebody Who Knows
Personnel
Join the Party? – Participating With Insurances What it means to participate – The Contract
The Good The Bad The Ugly
Who to participate with The Big Five Big Fish in a Small Pond – Local Plans The Biggest Fish – Medicare/Medicaid
Somebody Who Knows Personnel
Join the Party? – Participating With Insurances What it means to participate – The Contract
The Good The Bad The Ugly
Who to participate with The Big Five Big Fish in a Small Pond – Local Plans The Biggest Fish – Medicare/Medicaid
Show Me What You’re Working With Credentialing Becoming a provider CAQH
Provider Credentialing Database https://caqh.geoaccess.com/oas/
NPI numbers Applying
http://www.cms.hhs.gov/NationalProvIdentStand/03_apply.asp# TopOfPage
Show Me What You’re Working With Credentialing Becoming a provider CAQH
Provider Credentialing Database https://caqh.geoaccess.com/oas/
NPI numbers Applying
http://www.cms.hhs.gov/NationalProvIdentStand/03_apply.asp# TopOfPage
Show Me the Money - Setting up your pricing Medicare Pricing Where to find
Ready, Set, Go - Insurance file setup How Many is to many
Paper or plastic - How to file claims The Cost Where will the payments go
Payments and Denials Understanding the EOB How many billers does it take to post payments
Show Me the Money - Setting up your pricing Medicare Pricing Where to find
Ready, Set, Go - Insurance file setup How Many is to many
Paper or plastic - How to file claims The Cost Where will the payments go
Payments and Denials Understanding the EOB How many billers does it take to post payments
Questions? Contact Us.Questions? Contact Us. Beth Eagles, Dept. Head Billing & Reception, U of Ark
[email protected]; 479-575-4075
Libby Greaney, Director of UHS, Western Kentucky University [email protected]; 270-745-3830
Willi Haskins-Cotton, Insurance Specialist, UMBC [email protected]; 410-455-1556
Jennifer K. Lepus, Director of UHS, UMBC [email protected]; 410-455-3751
Beth Eagles, Dept. Head Billing & Reception, U of Ark [email protected]; 479-575-4075
Libby Greaney, Director of UHS, Western Kentucky University [email protected]; 270-745-3830
Willi Haskins-Cotton, Insurance Specialist, UMBC [email protected]; 410-455-1556
Jennifer K. Lepus, Director of UHS, UMBC [email protected]; 410-455-3751