Implementing a Caps on Charges Program

This is an overview of complexities and challenges of implementing a Caps on Charges (COC) Program by a Ryan White clinic. Areas discussed include resource and personnel needs, patient eligibility and enrollment, revenue cycle work processes, challenges and barriers encountered, and goals to increase the number of patients engaged in the COC Program.

Learning Objectives

1. Identify the complexities, challenges and needed resources to successfully execute a COC Program.
2. Identify barriers and challenges in educating the patients and revenue cycle billing regarding the COC Program.
3. Examine strategies to increase patient participation in the COC Program.