Topic: Program Income
Agencies can fiscally benefit by generating program income through contracts with public and private payers and efficient billing systems.
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Webinars and Training
Training resources on enhancing billing systems to maximize revenues, covering CPT and ICD codes in the HIV/AIDS care context.
National Center for Innovation in HIV CareMay 2015
Webinar on the organizational benefits of developing pharmacy services, the different models of pharmacy that can be utilized at different organizations, and steps required to develop these services.
Tools and Job Aids
Assessment of Medicaid coverage of HIV/AIDS prevention, screening, and care services (e.g., testing, counseling, PrEP, condoms) in ten selected states.
CRE TA CenterMarch 2016
Tool for conducting a cost analysis: the process of determining the unit cost or the average cost of providing specific services over a defined period of time in order to use this information to bill and secure reimbursement for services provided.
CRE TA CenterSeptember 2015
Tool for assessing your organization’s strengths and gaps in areas that are of importance to insurers and that support maximizing revenue realized from contracting activities.
Insights for ADAPs in establishing procedures for seeking rebates when a prescription is filled by another 340B entity (pharmacy), to ensure that either ADAP other the other entity receives the rebate or discount for the claim.
TARGET CenterOctober 2013Collection of resources on compliance programs, which are an essential component of agency operations and entail mechanisms to ensure, for example, appropriate handling of payments, claims, and audits.
West County Health CentersMarch 2013
Form for clients explaining the maximum annual amount of costs patients will incur (annual payment cap) for services they receive from Ryan White providers. Once this payment cap is reached in a given year, Ryan White providers will not charge any more for the rest of the year.