Learning module series on billing, for Ryan White-funded Community Based Organizations (CBOs) and AIDS Services Organization (ASOs).
Collection of tools on third-party billing and reimbursement and calculating the cost of care.
Resources 10
Webinars and Training
- Primary Care Development Corporation (PCDC)
- CRE TA Center, National Center for Innovation in HIV Care
Steps agencies can take to bill for services that enhance their financial sustainability.
- HealthHIV
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 Center
Tips for Ryan White HIV/AIDS Program recipients and sub-recipients on ways to improve contracting and billing processes.
- CRE TA Center
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 Center
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 Centers
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)
Findings from an assessment to help AIDS Service Organizations (ASOs) and Community-based Organizations (CBOs) increase direct HIV care and treatment.
- NASTAD
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.
- NASTAD
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.