Learning module series on billing, for Ryan White-funded Community Based Organizations (CBOs) and AIDS Services Organization (ASOs).
Billing & Reimbursement
Collection of tools on third-party billing and reimbursement and calculating the cost of care.
Webinars and Training
Primary Care Development Corporation (PCDC)July 2019
CRE TA Center, National Center for Innovation in HIV CareMay 2016
Steps agencies can take to bill for services that enhance their financial sustainability.
Training resources on enhancing billing systems to maximize revenues, covering CPT and ICD codes in the HIV/AIDS care context.
Tools and Job Aids
CRE TA CenterMay 2017
Tips for Ryan White HIV/AIDS Program recipients and sub-recipients on ways to improve contracting and billing processes.
CRE TA CenterMarch 2016
Tool for conducting a cost analysis (determining the unit/average cost of a service) for purposes of billing and securing reimbursement for services provided.
CRE TA CenterSeptember 2015
Tool for assessing your organization’s strengths and gaps in areas that (1) are important to insurers and (2) support maximizing revenue from contracting activities.
West County Health CentersMarch 2013
Form for clients explaining the maximum annual amount of costs they will incur for RWHAP services they receive.
Reports and Best Practices
Primary Care Development Corporation (PCDC)May 2018
Findings from an assessment to help AIDS Service Organizations (ASOs) and Community-based Organizations (CBOs) increase direct HIV care and treatment.
Fact sheet to explain policies and procedures for ADAPs to follow to ensure that Ryan White funds are used as the payer of last resort, including for Medicaid.
Summary of survey findings on third party billing practices of state health departments and their local providers. Included is a chart for health departments in building the billing capacity of agencies.