1 CDC Immunizations Grant – Implementation of Strategic Plans for Billing for Immunization Services in Health Tim Budge, KDHE Jane Shirley, KDHE AAron Davis, CCSR Sonja Armbruster

2 Welcome

3 Background 2012 Kansas Immunization Program award for “CDC Immunizations Billing Planning Grant” – Contract with KFMC – Surveys of billing practices across the state – Pilot Project for measuring effects of Certified Coders

4 Background Cont Kansas Immunization Program award for CDC grant: “Implementation of Strategic Plans for Immunization Services in Health Department Clinics” – Contract with Center for Community Support and Research (CCSR) at WSU

5 Intent of Program Problem Statement: – Insured patients are accessing immunization services at public health departments for free or a nominal administrative fee. Purpose: – To enable public health departments to bill health insurance plans, with the intent of capturing maximum immunization service delivery fees. Outcomes: – Short Term: Public Health Departments able to begin/expand/or continue to capture reimbursements for immunization services. – Long Term: Greater reach of immunization efforts.

6 KFMC Recommendations 1.Biller specific coding manuals 2.AAPC Coding Training (will also cover ICD-10) 3.Electronic Health Record Pilot Program

7 1. Biller Specific Coding Manuals Goal: To get billers on the same page with codes and procedures being done across the state Process: Team of 5 billers across the state with support from AAPC Deadline: June 2015

8 2. AAPC Coding training (to include ICD-10) Goal: To train billers on codes and processes used by “Kansas Health Departments” Process: AAPC, with guidance from KS LHD billers will provide an all day training in Wichita Deadline: June 2015

9 3. Pilot Program: Practice Management Software and Electronic Health Records Goal: To increase efficiencies and revenues in Kansas Health Departments through software upgrades Process: To assist up to ten departments in implementation of new software systems Application Deadline: January 30, 2015 – 2 year project

10 Quick Definitions Electronic Health Records Practice Management Software Billing Software Hybrid Systems Outsourcing

11 Pilot Project Benefits Training and guidance from experienced EHR consultants Technical Assistance from CCSR Financial assistance (up to $10,000) Peer Learning Workgroup

12 Criteria for Participation Must have >40% of total billed revenue from Immunizations Services OR must be the sole immunizer in the county for adults and/or children. Must be a Local Health Department that has not signed a contract with an EHR company in the last 2 years. Must be able to provide baseline data for application.

13 CDC Immunizations Projects 1.Biller specific coding manuals 2.AAPC Coding Training (will also cover ICD-10) 3.Electronic Health Record Pilot Program

14 Also from CCSR Business Process Training – KALHD District Meetings – Top down thinking of how to push for improved processes – Best Practices observed across the state

15 Thanks for Joining Today! AAron Davis, CCSR © WSU Center for Community Support and Research, (316) ,