1. In-House Third Party Billing – Is it Really Working? Beth, Eagles, Dept. Head, Billing & Reception University of Arkansas Libby Greaney, Director of UHS Western Kentucky University Ethel “Willi” Haskins-Cotton, Insurance Program Manager UMBC Jennifer K. Lepus, Director of UHS UMBC Beth, Eagles, Dept. Head, Billing & Reception University of Arkansas Libby Greaney, Director of UHS Western Kentucky University Ethel “Willi” Haskins-Cotton, Insurance Program Manager UMBC Jennifer K. Lepus, Director of UHS UMBC

2. In One Word…. YES!

3. Objectives of Today’s Session Describe ways in which to participate in third party billing Compare successes of UMBC, WKU, and U of Ark Describe administrative functions relative to managing a health center that performs third party billing Describe ways in which to participate in third party billing Compare successes of UMBC, WKU, and U of Ark Describe administrative functions relative to managing a health center that performs third party billing

4. Why do billing? State revenue decreasing Keeping records in house More control in revenue and purchasing Able to expand other programs within UHS State revenue decreasing Keeping records in house More control in revenue and purchasing Able to expand other programs within UHS

5. Topics to be Discussed Today Participating? Do you want to be a participating provider? Credentialing - Signing up as a provider Setting up your pricing - How much will you need to charge? Insurance file setup What type of billing will you do? Paper vs. electronic Payments and Denials Participating? Do you want to be a participating provider? Credentialing - Signing up as a provider Setting up your pricing - How much will you need to charge? Insurance file setup What type of billing will you do? Paper vs. electronic Payments and Denials

6. Getting started… Somebody Who Knows Personnel Join the Party? – Participating With Insurances What it means to participate – The Contract The Good The Bad The Ugly Who to participate with The Big Five Big Fish in a Small Pond – Local Plans The Biggest Fish – Medicare/Medicaid Somebody Who Knows Personnel Join the Party? – Participating With Insurances What it means to participate – The Contract The Good The Bad The Ugly Who to participate with The Big Five Big Fish in a Small Pond – Local Plans The Biggest Fish – Medicare/Medicaid

7. Show Me What You’re Working With Credentialing Becoming a provider CAQH Provider Credentialing Database https://caqh.geoaccess.com/oas/ NPI numbers Applying http://www.cms.hhs.gov/NationalProvIdentStan d/03_apply.asp# TopOfPage Show Me What You’re Working With Credentialing Becoming a provider CAQH Provider Credentialing Database https://caqh.geoaccess.com/oas/ NPI numbers Applying http://www.cms.hhs.gov/NationalProvIdentStan d/03_apply.asp# TopOfPage

8. Show Me the Money - Setting up your pricing Medicare Pricing Where to find Ready, Set, Go - Insurance file setup How Many is to many Paper or plastic - How to file claims The Cost Where will the payments go Payments and Denials Understanding the EOB How many billers does it take to post payments Show Me the Money - Setting up your pricing Medicare Pricing Where to find Ready, Set, Go - Insurance file setup How Many is to many Paper or plastic - How to file claims The Cost Where will the payments go Payments and Denials Understanding the EOB How many billers does it take to post payments

9. Questions? Contact Us. Beth Eagles, Dept. Head Billing & Reception, U of Ark beagles@uark.edu; 479-575-4075 beagles@uark.edu Libby Greaney, Director of UHS, Western Kentucky University Libby.greaney@wku.edu; 270-745-3830 Libby.greaney@wku.edu Willi Haskins-Cotton, Insurance Specialist, UMBC Ehaskins@umbc.edu; 410-455-1556 Ehaskins@umbc.edu Jennifer K. Lepus, Director of UHS, UMBC Jlepus@umbc.edu; 410-455-3751 Jlepus@umbc.edu Beth Eagles, Dept. Head Billing & Reception, U of Ark beagles@uark.edu; 479-575-4075 beagles@uark.edu Libby Greaney, Director of UHS, Western Kentucky University Libby.greaney@wku.edu; 270-745-3830 Libby.greaney@wku.edu Willi Haskins-Cotton, Insurance Specialist, UMBC Ehaskins@umbc.edu; 410-455-1556 Ehaskins@umbc.edu Jennifer K. Lepus, Director of UHS, UMBC Jlepus@umbc.edu; 410-455-3751 Jlepus@umbc.edu