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Manage Revenue Cycle
Offers e-learning resources to build your clinic/lab’s capacity in revenue cycle management (RCM). Includes tools to assist with the implementation of practical everyday functions of billing and a section that outlines special considerations for labs. 
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Revenue Cycle Management Basics
| Tool description | Format |
|---|---|
| RCM: Best Practices for Public Health A 30 minute self-paced course offering an overview of RCM best practices for public health providers looking to bill for STD, HIV, family planning, and related services. – Cardea, 2014 |
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| RCM Process Overview This handout offers a detailed overview of the RCM process, demonstrating how each step in the process impacts both subsequent steps and the overall revenue cycle of an agency/clinic. – Cardea, 2014 |
Link |
| RCM Webinar Series Provides details and descriptions regarding the different stages of RCM for family planning clinics. – Family Planning National Training Center for Management Systems Improvement |
Link |
| Best Practices for Clinic Flow *Updated! This job aid outlines recommendations for efficient integration of billing before, during and after the visit in STD clinics. – Region I STD TAC, 2016 |
LABS – Revenue Cycle Management
| Tool description | Format |
|---|---|
| Billing Essentials: Third-Party Billing for Labs Offers step-by-step video lessons on various billing topics—such as RCM, third party billing, laboratory billing options, etc. – INFOlutions |
Link |
| State Public Health Laboratory Billing: Status Report and Recommendations Overview of current billing processes in use at State Public Health Labs (SPHLs) conducted to determine current SPHL billing capacity and share expertise in this area. –Association of Public Health Laboratories, 2013 |
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| LAB – Third-Party Billing at the Oregon State Public Health Laboratory This case study focuses on the Oregon State Public Health Laboratory and highlights the experience of a public health program. – Cardea, 2013 |
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| LAB – Moving Toward Third-Party Billing and Revenue Generation in Public Health: An Emerging Model from Michigan This webinar depicts the success the state of Michigan has seen through third-party billing in generating revenue in the public health sector. – National Coalition of STD Directors, 2012 |
Link |
Revenue Cycle Management Implementation Documents
| Tool description | Format |
|---|---|
| Becoming an In-Network Provider: The Health Department Perspective This webinar gives a detailed description of the overall billing landscapes in New York, North Dakota, and Mississippi. – NACCHO, 2013 |
Link |
| Instructions for Filling Out CMS 1500 This document provides instruction on how to fill it out the 1500 Health Insurance Claim Form, the basic paper form for claims submitted by physicians and suppliers, and in some cases, for ambulatory service. – National Uniform Claim Committee (NUCC) & the American Medical Association (AMA), 2005 |
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| Revenue Cycle Metrics Sample quality assurance measures to help health centers understand the degree to which the organization is collecting revenue from third-party payers. – Access Matters, 2014 |
