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NIATx Business Practices for the Future-Fee for Service Learning Collaborative

With the health care reform changes expected by 2014, agencies will have to shift from relying on grants-in-aid to billing insurance companies, Medicaid and other payers for services. FADAA is pleased to announce that through the Association eleven member agencies were selected as participants in the NIATx Business Practices for the Future-Fee for Service Learning Collaborative. This initiative was launched to assist agencies that lack the capacity to bill private insurance or Medicaid or have low rates of collection and high rates of claim denial for third party billing.

Participants in this initiative are: DISC Village; The Villages, South; Susan B. Anthony Recovery Center; ACTS; The Concept House; Tampa Crossroads; Better Way of Miami; The Transition House; Broward Addiction Recovery Center; Human Services Associates and Tri-County Human Services. These agencies are receiving coaching and support to build capacity for third-party billing. This learning collaborative began with a Florida kick-off meeting in November 2011 to meet the regional NIATx coach, receive training on the NIATx process improvement model, learn how to create a change team, and establish strategies for implementing or improving billing systems. Some of the activities to be implemented include:

- Routinely request insurance cards and verify coverage
- Request prior authorization and document authorization limits
- Provide and document services using correct billing codes and amounts
- Submit at least six invoices for payment, noting if bill was paid, denied or no response given
- Make corrections and resubmit
- Document the billing procedure for these steps and write up a policy and procedure to be included in the agency billing manual

From December 2011 through August 2012, the agencies will work on their respective billing system project and participate in monthly conference calls with a NIATx coach providing additional support and guidance over the course of the project. The technical assistance activities conclude in September 2012.

If you would like more information, contact Mary Booker at mbooker@fadaa.com or call 850-878-2196.

 

What's Next A series of workshops and webinars are scheduled in 2012 for providers on process improvement. Stepping to it…From Your Walk-Through to PDSA, March 15 Process Improvement: The Customer is not the Problem; March 27, 1:30 pm-3:30 pm Managing Change Successfully Through Quality Control; April 25, 1:30 pm-3:30 pm Presenting Data & Creating Storyboards; May 22, 2 pm – 4 pm

Your Ideas We want to hear from you!  Your feedback, suggestions and ideas are valuable to the process improvement initiative!  As a way to provide on-going communication, we want your feedback, suggestions and ideas.  There is a place to input your questions and feedback provided below. We'll be responding to your questions and comments in future e-Communications.

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For more information, contact Anika Foster at afoster@fadaa.org or call 850-878-2196.
or contact Sheila Barbee at Sheila_Barbee@dcf.state.fl.us or call 850-717-4400.