Improving Reimbursement for Health Department Clinics

Community Profile

Improving Reimbursement for Health Department Clinics

Our community is designed to connect members who share an interest in empowering state and local health departments to bill insurance companies for services provided to fully insured patients. We are here to collaborate, share successes and relevant documents, and to work together toward solutions to address barriers to Billing.


Location: Atlanta, Georgia
Members: 163
Latest Activity: Jul 6

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Discussion Forum Menu

Community members may use the quick links below to access popular content in our discussion forum:


Discussion Forum (all topics)

Community Discussions and Documents

Educational Session Coding

The continued discussion about physicians charging more for immunization educaton reimbursement at the local health department (LHD) level keeps emerging.  Some LHDs feel the physician must be present in order to qualify for additional education…Continue

Started by Christopher Emanuel Smith Jul 6.

Resources Mentioned on the March 24, 2015 CDC Billing All-Projects Webinar

Please check out this CoP Page for the materials referenced on the Billing…Continue

Tags: resource

Started by Jennifer Simmons Mar 25.

Billing for case management 2 Replies

Hey, all and Happy New Year! I am working with one my LHDs which is very large and they do quite a bit of case management for tb and nurse family partnerships. I wonder if any of you bill for this service and are successful. If so, could you please…Continue

Tags: coding

Started by Kathleen Haynie. Last reply by Carri Comer Jul 15, 2014.

Billing for Clinical Services: Findings from the 2014 Forces of Change Survey

NACCHO has released 2014 Forces of Change, a series of five research briefs that contain new findings on the forces that affect change in our nation’s local health departments (LHDs). Two of the primary drivers of change in the local public health…Continue

Tags: resource

Started by Alyssa Kitlas Jun 10, 2014.

TransactRX - any problems using this service for Part D IZ billing? 2 Replies

I know many of you are currently using TransactRX to submit IZ claims for Part D beneficiaries.  We have a vaccine mfg. rep who is really pushing this, for obvious reasons, but my folks are so tired of the endless rules, regulations, and problems…Continue

Tags: seeking resources/information, billing systems

Started by Lisa Park. Last reply by Stephanie Lambert-Barth May 16, 2014.

ICD 10 staff training 6 Replies

Has anyone done specific ICD 10 trainings for LHD staff involved in billing? Looking to train current staff regarding ICD 10 rules/guidelines, code mapping, code sets for immunizations. I have been looking online for workshops/seminars/online…Continue

Tags: seeking resources/information, coding

Started by Lisa Kocak. Last reply by Lisa Kocak May 15, 2014.

Physician Referral Documentation Question

A public health provider here has recently contracted with Cigna. They were not initially aware their contract with the health plan required a physician referral in order for immunizations to be covered, and are running into payment issues as a…Continue

Tags: cigna, seeking resources/information

Started by Stephanie Lambert-Barth Apr 16, 2014.

Billing Task Analysis Resource

NACCHO and CDC partners developed a Billing Task Analysis Resource to help health departments that have varying degrees of knowledge or experience with…Continue

Tags: resource

Started by Alyssa Kitlas Mar 10, 2014.

Billing for School-Based Services 2 Replies

Hello everyone!I work for the Office of Adolescent and School Health at the Chicago Department of Public Health. We offer services through the schools (STI screenings, vision programs) all of which are funded by grants. The grants are not going to…Continue

Tags: seeking resources/information

Started by Mallika Sabharwal. Last reply by Lisa Kocak Feb 7, 2014.

Looking for billing resources for health department STD, HIV, and TB clinics

Hi all,I am currently looking for a few resources for an LHD in need and to add to our toolkit. 1.  Examples of Medicaid State Plan Amendments for states requesting to cover the following services: TB Directly Observed Therapy, TB Nurse Case…Continue

Tags: Other, seeking resources/information

Started by Alyssa Kitlas Dec 19, 2013.


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