1. Healthcare Finance and Revenue Cycle
Presentation and Panel Discussion

2. 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

3. 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

4. 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

5. 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)

6. 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?

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

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

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

10. 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)

11. 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?