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(17) State Billing Guides - NY Elements for Successful Immunization Billing Practice

Description:

This document is designed to systematically present the elements that must be addressed to enable effective revenue generating operations at local health departments (LHDs) providing immunizations. This information is intended primarily for immunization services, however much of it is applicable to billing for a range of services. The business requirements referred to are recommendations for effective practice. There is no single solution for many of the elements of the billing cycle, thus guidance and recommendations are given as opposed to a strict blueprint of a perfect billing system. The variability between LHDs ensures that there is no single approach that will work for all LHDs.
 
The document is organized to first review the processes involved in generating revenue for individual claims; the revenue cycle. The second section of the document details billing foundation elements that must be in place to support the revenue cycle processes. The business requirements must be considered in their entirety because so many factors are interrelated.

Toolkit:

Billing for Clinical Services

Keyword Area:

Billing, Immunization, State Billing Guides

Jurisdiction:

Institutional Author:

New York State Department of Health

Submitted:

01/09/2013

Modified:

06/26/2013

The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.