Billing Resources

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  • Association of Immunization Managers Meeting
  • Webinars
  • National Association of County and City Health Officials (NACCHO) Billing Toolbox
    • Billing Landing Page – Information on billing, webinars, and some basic Affordable Care Act items.
    • Billing for Clinical Services Toolbox
      To access the Billing for Clinical Services Toolkit, please click on the “Toolkits” drop-down menu and select “Billing for Clinical Services.” There are more than 300 resources available. To download any of the tools, you will need to register or use your current log-in with NACCHO’s web site.
  • California Billables Project online training:  An online training course with an introductory video on the California Billables Project and curriculum customized for seven different clinic billing roles. The curriculum covers key areas such as:
    • Introduction to billing forms, fee schedules, credentialing, CAQH, NPI, and office visit coding
    • Medi-Cal (Medicaid) and Medicare basics, including contracting, enrollment, and billing
    • Private insurance terminology, cards, networks, clearinghouses, billing, and claims management
  • Georgia Department of Public Health Billing Resource Manual—Provides policy and procedural guidance on how to bill third-party payers for public health programs and services. Developed as a billing resource tool, its purpose is to assist state, district, and county public health staff in understanding the insurance coding and billing process.
  • Kansas Local Health Department Clinical Services Coding Resource Guide—Provides recommended policy and procedural guidance on how to bill third-party payers for public health programs and services. Used to assist state, district, and county public health staff in understanding the insurance coding and billing process.
  • Minnesota Department of Health Immunization Program Billing website—Includes resources to help support immunization providers in billing the most common Minnesota health plans.
  • Missouri’s Billing Plan Toolkit for Local Public Health Agencies [1.12 MB, 76 pages]—Comprehensive guide that offers local public health agencies tools to assist in establishing billing plans and billing private/commercial insurance carriers, Medicare, and Medicaid for immunization services
  • CDC Billables Project Evaluation Report [4 MB, 36 pages]—In December 2017, CDC released a report that assessed whether the Billables Project strengthened the capacity of local health departments (LHDs) to effectively bill third-party payers for immunization services; identified activities, resources, and stakeholder partnerships that helped or hindered LHDs’ ability to bill; described the steps taken by LHDs to plan and implement a billing program and the barriers they encountered; and described trends seen in awardees’ billing programs.

Association of Immunization Managers Meeting, November 2012

Webinars

  • Speaker: Wayne Rawlins, MD, MBA, National Medical Director, Racial and Ethnic Equality Initiatives, Aetna
  • Coding and Electronic Billing [16.6 MB, 1:14:02 min] August 28, 2012
    Warning: Extremely large file so provided as “zipped” file for your convenience. Opens as a Windows Media Player file (.wmv)
  • Speaker: Barbara Lardy, MPH, Senior Vice President, Clinical Affairs and Strategic Partnerships, America’s Health Insurance Plans
  • Speaker: Wayne Rawlins, MD, MBA, National Medical Director, Racial and Ethnic Equality Initiatives, Aetna
  • Speaker: Katherine Abel, CPC, CPMA, CPC-I, CMRS, Director of Curriculum, AAPC
  • Speaker: Michele Darnell, Vice President, Secure Exchange Solutions
  • Speaker: Shannon Montgomery, Aetna Learning Consultant, Communications Production and Education, Aetna
  • Strategies for Contracting with Health Plans for Vaccine Delivery [19.7 MB, 1:29:30 min] July 23, 2012
    Warning: Extremely large file so provided as “zipped” file for your convenience. Opens as a Windows Media Player file (.wmv)
  • Speaker: Barbara Lardy, MPH, Senior Vice President, Clinical Affairs and Strategic Partnerships, America’s Health Insurance Plans
  • Speaker: Wayne Rawlins, MD, MBA, National Medical Director, Racial and Ethnic Equality Initiatives, Aetna
  • Speaker: Kate Reynolds, MHA, Enterprise Contract Manager, Provider Contracting and Reimbursement, WellPoint
  • Speaker: Donna Dojan, MS, National Director, Contracting Policy, Standards and Compliance, Cigna
  • Insurance 101: Assistance for Innovative Projects to Improve Reimbursement in Public Health Department Clinics [24.6 MB, 1:55:17 min] April 13, 2010
    Warning: Extremely large file so provided as “zipped” file for your convenience. Opens as a Windows Media Player file (.wmv)
    • Insurance 101: Understanding Health Plan Reimbursement Policies for Immunization Services
      Speaker: Carmella Bocchino – America’s Health Insurance Plans
    • CMS Medicare Provider Enrollment
      Speaker: James Bossenmeyer – Centers for Medicare and Medicaid Services (CMS)
    • Insurance 101: What Providers Need to Know About the Submission and Reimbursement of Medicare Influenza and Pneumococcal Claims
      Speakers: Leslie Trazzi and Bridgitte Davis – Centers for Medicare and Medicaid Services (CMS)
    • Presentation from Deschutes County Health Department (Oregon)
      Speakers: Heather Kaisner and Kacy Burgess – Deschutes County (Oregon) Health Department
  • 1st day – Planning and Implementation Webinar [20 MB, 1:25:35 min] September 28, 2011
    • Medicare Enrollment Requirements
      Speaker: Eileen Turner – Centers for Medicare and Medicaid Services (CMS), Provider Enrollment Operations Group
    • Insurance 101: What Providers Need to Know About the Submission and Reimbursement of Medicare Influenza and Pneumococcal Claims
      Speakers: Bridgitte Davis and Jocelyn Lissone – Centers for Medicare and Medicaid Services (CMS)
    • Medicaid Coverage and Reimbursement of Vaccines and Vaccine Administration
      Speaker: Gerald Zelinger – Centers for Medicare and Medicaid Services (CMS)
    • Insurance 101: Understanding Health Plan Reimbursement Policies for Immunization Services
      Speaker: Wayne Rawlins, MD – America’s Health Insurance Plans
    • Arkansas and Oklahoma Department of Health: Hints and Tips on Implementation
      Arkansas Speakers: Lee Clark and Michelle Snortland
      Oklahoma Speaker: Yvonne Myers
  • 2nd day – Planning and Implementation Webinar [12 MB, 56:31 min] September 29, 2011
    • Medicare Enrollment Requirements
      Speaker: Eileen Turner – Centers for Medicare and Medicaid Services (CMS), Provider Enrollment Operations Group
    • Medicare Claims
      Speakers: Bridgitte Davis and Jocelyn Lissone – Centers for Medicare and Medicaid Services (CMS)
    • Medicaid Claims
      Speaker: Gerald Zelinger – Centers for Medicare and Medicaid Services (CMS)
    • AHIP Introduction
      Speaker: Wayne Rawlins, MD – America’s Health Insurance Plans

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