1

CDC Immunizations Grant – Implementation of Strategic Plans for Billing for Immunization Services in Health

Tim Budge, KDHE

tbudge@kdheks.gov

785-296-1021

Jane Shirley, KDHE

jshirley@kdheks.gov

785-296-6549

AAron Davis, CCSRaaron.davis@wichita.edu316-978-5884

Sonja ArmbrusterSonja.Armbruster@Wichita.edu316-978-3988

2

Welcome

3

Background

• 2012 Kansas Immunization Program award for “CDC Immunizations Billing Planning Grant”– Contract with KFMC– Surveys of billing practices across the state– Pilot Project for measuring effects of Certified Coders

4

Background Cont.

• 2014 Kansas Immunization Program award for CDC grant: “Implementation of Strategic Plans for Immunization Services in Health Department Clinics”– Contract with Center for Community Support and Research

(CCSR) at WSU

5

Intent of Program

• Problem Statement:– Insured patients are accessing immunization services at public health

departments for free or a nominal administrative fee.

• Purpose:– To enable public health departments to bill health insurance plans,

with the intent of capturing maximum immunization service delivery fees.

• Outcomes:– Short Term: Public Health Departments able to begin/expand/or

continue to capture reimbursements for immunization services.– Long Term: Greater reach of immunization efforts.

6

KFMC Recommendations

1. Biller specific coding manuals

2. AAPC Coding Training (will also cover ICD-10)

3. Electronic Health Record Pilot Program

7

1. Biller Specific Coding Manuals

• Goal: To get billers on the same page with codes and procedures being done across the state

• Process: Team of 5 billers across the state with support from AAPC

• Deadline: June 2015

8

2. AAPC Coding training (to include ICD-10)

• Goal: To train billers on codes and processes used by “Kansas Health Departments”

• Process: AAPC, with guidance from KS LHD billers will provide an all day training in Wichita

• Deadline: June 2015

9

3. Pilot Program: Practice Management Software and Electronic Health Records

• Goal: To increase efficiencies and revenues in Kansas Health Departments through software upgrades

• Process: To assist up to ten departments in implementation of new software systems

• Application Deadline: January 30, 2015– 2 year project

10

Quick Definitions

• Electronic Health Records

• Practice Management Software

• Billing Software

• Hybrid Systems

• Outsourcing

11

Pilot Project Benefits

• Training and guidance from experienced EHR consultants

• Technical Assistance from CCSR

• Financial assistance (up to $10,000)

• Peer Learning Workgroup

12

Criteria for Participation

• Must have >40% of total billed revenue from Immunizations Services OR must be the sole immunizer in the county for adults and/or children.

• Must be a Local Health Department that has not signed a contract with an EHR company in the last 2 years.

• Must be able to provide baseline data for application.

13

CDC Immunizations Projects

1. Biller specific coding manuals

2. AAPC Coding Training (will also cover ICD-10)

3. Electronic Health Record Pilot Program

14

Also from CCSR

• Business Process Training– KALHD District Meetings– Top down thinking of how to push for improved processes– Best Practices observed across the state

15

Thanks for Joining Today!

AAron Davis, CCSRaaron.davis@wichita.edu

316-978-5884

© WSU Center for Community Support and Research, (316) 978-3843, ccsr@wichita.edu