To Bill or Not to Bill? That is the Question

Fees Instructions for Obtaining Credit

Program Information

Description

This presentation will guide small and medium size institutions in the steps to consider for billing third party insurers for the services they render. The participants will be able to identify the key steps in assessing readiness to begin a billing program, including assessment of population, insurance coverage, health information documentation, credentialing of providers, coding of medical care, and identifying staff needs including hiring and/or training. Participants will learn the factors which contribute to overall revenue projections from third party billing.

Intended Audience

  • Administrators
  • Physicians and Physician Assistants
  • Nurses and Nurse Practitioners
  • Health information management directors

Learning Objectives

The participant should be able to:

  1. Identify key steps in determining whether or not to bill third party insurers for services rendered in the college health setting.
  2. Compare current practice within the health center to key steps for a successful billing program.
  3. Discuss the cost benefit analysis of potential billing program for your health center.

Faculty

Ellen Reynolds, MS
Associate Director of Health Sciences
University of Rhode Island

Patricia Parkes, BS, RHIA Health Information Management Coordinator
University of Rhode Island

Cynthia Yemma, AS, CPC
Medical Coder/Billing Specialist
University of Rhode Island

Program Planning Committee

Resolution of Potential Conflicts of Interest — Program Planning Committee: Program Planning Committee members have completed conflict of interest statements regarding relationships with commercial entities. Each of the Program Planning Committee members have reported no relevant financial conflicts of interest.

Continuing Education Committee, Continuing Medical Education Subcommittee
Nell Davidson, MD, Case Western Reserve University

Continuing Nursing Education Subcommittee
Martha Davis, BSN, MBA, University of Georgia

Continuing Psychology Education Subcommittee
Michael Malmon, PhD, Metropolitan State University of Denver

Continuing Education for Certified Health Education Specialists Subcommittee
Kathy Saichuk, MA, MCHES, Louisiana State University

Continuing Education for National Certified Counselors Subcommittee
Joy Himmel, PsyD, PMHCNS-BC, LPC, NCC, Pennsylvania State University-Altoona

Advisor for Social Workers
Drayton Vincent, LCSW, MSW, BCD, Louisiana State University

Fees

The fee for the download of this program is $24.95 and is payable directly to Conference Media via their website (see link below). We encourage you to share this download with colleagues at your institution.

There is an additional fee for each individual requesting continuing education credit. This is payable to ACHA and is required prior to receiving your CE certificate. This fee is non-refundable.

ACHA individual members at member institutions: FREE
ACHA individual members at a non-member institution: $15
Nonmembers: $25

Instructions for Obtaining Credit

It is estimated that it will require 1.5 hours to view the download of this program and complete the post-test and evaluation. (You will be asked to identify the type of credit you are requesting when you take the post-test.)

Step 1: Purchase and view the download of the session. (Viewing this download requires QuickTime 7, available free from Apple.com.)

Step 2: Complete the Post-test and Evaluation Form. (Note: you may print the post-test prior to viewing the download.)

Step 3: Purchase CE creditException: ACHA individual members at member institutions receive free credit, so may skip this step. 

Statements and Disclosures

Accreditation

  • The American College Health Association (ACHA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    ACHA designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit™. Physicians should claim credit commensurate with the extent of their participation in the activity.

Policy on Continuing Education Post-Tests

It is the policy of the American College Health Association that when a post-test is required upon completion of a continuing education activity, participants must receive a passing grade of 80%. If participants receive a grade lower than 80%, they will be given the opportunity to re-take the post-test one time. If they receive 80% or higher the second time, they will be awarded continuing education credits/contact hours for the activity. We encourage participants to complete the post-test and evaluation form immediately after viewing the download. Those with a passing grade of 80% on the post-test will receive their CE certificate electronically within two weeks.

Disclosure Information

It is the policy of the American College Health Association (ACHA) to ensure balance, independence, objectivity, and scientific rigor in all its individually sponsored or joint-sponsored educational programs. All faculty participating in any ACHA sponsored program are expected to disclose to the participants any real or apparent conflict(s) of interest (consultancies, honoraria, research grants, speaker’s bureaus, etc.) that may have a direct bearing on the subject matter of the educational program. We therefore obtain a completed disclosure and attestation form to inform the participant of any pertinent relationships disclosed, provided here:

Disclosures (including discussion of off-label uses of drugs):

  • Ellen Reynolds, MS, Patricia Parkes, BS, RHIA, and Cynthia Yemma, AS, CPC, have nothing to disclose.
  • Members of the 2013 Program Planning Committee have nothing to disclose.

Type of Continuing Education

  • CME: 1.5

About this Activity

Self-paced, synchronized audio and PowerPoint “capture” of a live program

If you received continuing education credit for the original live presentation (ACHA Annual Meeting, in Boston, Massachusetts, May 2013), you are not eligible for additional credit.

Important Dates

Released: August 2013
Expires: December 31, 2017