Advocate to state policy makers and third-party payers for funding and reimbursement mechanisms to assure affordable access to specialty/alternative care to treat chronic pain. (Pain clinics, post-surgical nerve blocks, physical therapy, yoga, etc.) and negotiated reduced rates from providers or assistance with co-pays.
Responsible Party:
EUP-ORC partnerships and collaborative efforts with the Michigan Association for Local Public Health and the MCRH
Expected Outcomes:
EUP-ORC partners meet with state lawmakers twice yearly.
Data Source and Evaluation Methodology:
Number of meetings.
Partner with The Rybar Group to offer “How to Perform a Chart Audit” training and instruction to capitalize on reimbursement for treatment encounters through proper documentation and coding once yearly during the three year project.
Responsible Party:
Project Director
Expected Outcomes:
3 Chart Audit Webinars offered.
Data Source and Evaluation Methodology:
Number of individuals trained.
Leverage training developed by the MCRH and the Association for Rural & Community Health Professional Coding to train providers, administrative staff, and other relevant stakeholders to maximize reimbursement for treatment encounters through proper coding and billing across insurance types to ensure financial sustainability of services.
Responsible Party:
Project Director
Expected Outcomes:
100% of Consortium Organizations have access in billing & coding best practices training.
Data Source and Evaluation Methodology:
Number of individuals trained.
Identify and outreach to providers, administrative staff and other stakeholders to participate in Billing & Coding Learning Collaborative.
Responsible Party:
Medical Director, Project Director and Associate
Expected Outcomes:
100% of Consortium Organizations engage in billing & coding best practices training.
Data Source and Evaluation Methodology:
Number of organizations reached.
Create and facilitate a Billing & Coding Learning Collaborative among organizations in the EUP-ORC region to address reimbursement issues; disseminate state level billing and coding education opportunities; host & conduct online Billing and Coding Learning Collaborative office hours; continue to recruit and promote learning collaborative to organizations in the region.
Responsible Party:
Project Director and Associate
Expected Outcomes:
Billing and Coding Learning Collaborative established.
Data Source and Evaluation Methodology:
Number of learning opportunities offered each year. Number of individuals participating in Billing and Coding Learning Collaborative.