Healthcare Finance and Revenue Cycle Presentation and Panel Discussion

Healthcare Finance and Revenue Cycle Financial Areas of Discussion Financial Perspective for Contracting/Compacting Indian Health Service Funds Key Areas of Consideration When Contracting/Compacting Budget and Cost Determinations Key Areas for Establishing Revenue Cycle

Healthcare Finance and Revenue Cycle Key Areas for Corporate/Financial Structure Obtain EIN and DUNS Number CAGE and SAMS Number Bank Account Setup - i.e. Check Signers Federal Requirements Indian Health Care Improvement Act – Scope of Services OMB Super Circular Requirements Accounting/Procurement Policies and Procedures Accounting Reports; Single Audit Requirements

Healthcare Finance and Revenue Cycle Key Areas for Corporate/Financial Structure Obtain EIN and DUNS Number CAGE and SAMS Number Bank Account Setup - i.e. Check Signers Federal Requirements Indian Health Care Improvement Act – Scope of Services OMB Super Circular Requirements Accounting/Procurement Policies and Procedures Accounting Reports; Single Audit Requirements

Healthcare Finance and Revenue Cycle Annual Budgeting and Staffing Plans Contract Support Costs (Direct and Indirect (Session 2) Indirect Cost Rate Proposal and Negotiation Personnel Policies and Procedures Employee Health Benefits – FEHB or Own Plans; Leave; Holidays; Retirement; Competitive Salaries; Recruitment and Retention Plans Major Equipment Purchases/Leases General Liability Insurance Contracts with Health Professionals/Consultants/Attorney(s)

Healthcare Finance and Revenue Cycle Questions for Panelists What are the financial implications for Title I Contracting and Title 5 Compacting? Identify budgeting issues that occurred during the 638 transition? What are the advantages and disadvantages in applying for grants?

Healthcare Finance and Revenue Cycle Questions for Panelists What are the financial implications for Title I Contracting and Title 5 Compacting?

Healthcare Finance and Revenue Cycle Questions for Panelists 2. Identify budgeting issues that occurred during the 638 transition?

Healthcare Finance and Revenue Cycle Questions for Panelists 3. What are the advantages and disadvantages in applying for grants?

Healthcare Finance and Revenue Cycle Key Areas for Establishing Revenue Cycle Obtain National Provider Identifier (NPI) Number for BOTH Medical and Pharmacy Obtain Drug Enforcement Administration (DEA) Number for facility and individual practitioners Apply for Medicaid Numbers for Medical and Pharmacy Apply for Medicare Part A Number (if applicable) Apply for Medicare Part B Number Set up Contracts for Medicare Part D Clearing House Set Up for Business Office and Pharmacy Purchase Coding Software Purchase Fee Schedule Software for Medical and Dental Establish Bank Accounts (i.e. electronic/physical checks)

Healthcare Finance and Revenue Cycle Questions for Panelists How do you best plan for 3rd Party Revenue Setup? What revenue streams are available? How can we use the revenue collected?