Pursuing Third Party Payments

The advantages of pursuing third party payment Improved ability to provide services More likelihood that those in need will seek services An increase in the organization's control of its finances An opportunity to add staff and improve the facility Increased credibility

The disadvantages of pursuing third party payment Increased recordkeeping time Increased bureaucracy An extra administrative layer The danger of decisions being driven by money rather than mission Discrimination against those without coverage

Who is eligible for third party payments? Eligible services Staff Facility Administration Other possible requirements

How do you prepare your organization to become an approved provider? 1.Find out exactly what requirements you need to fulfill 2.Assess what the organization needs to do 3.Develop a plan for making and maintaining the necessary changes 4.Carry out the plan 5.Continue to assess and evaluate the effect that third party payment is having on your organization

Communicating and maintaining relationships with third party payers Personal relationships are important Designate someone to handle relations with payer organizations Things are constantly changing