IPHA Executive Council Election 2024

Voting will take place June 7 through June 30. As a member of the Association, you are allowed one vote in the 2024 election. Once the online voting closes and the votes are tallied, elected candidates will be announced to IPHA membership and will assume office for FY2025.

Renew Your Membership Today!

The IPHA Membership Year will end on June 30, 2024. Remain an active member by signing into your member portal and renewing your membership today!

Third-Party Billing

Third-Party (or health care) billing is the process of charging public and private insurance/health plans for the purpose of reimbursing services rendered by a healthcare provider. While local health departments (LHDs), community-based organizations (CBOs), and other healthcare providers (HCPs) are some of the most common providers of public health services, many of them have not developed capacity to bill public or private payers/health plans.

Healthcare providers need to maximize revenue capture to sustain their organizations and to continue to provide essential public health services in an era of dwindling public funding. Public health providers often offer safety net coverage:  ensuring that low-income clients, many newly insured under the Affordable Care Act (ACA)/expanded Medicaid, have access to public health services.

The Illinois Public Health Association (IPHA) has a long, successful history in assisting local health departments, community-based organizations, and other healthcare providers with implementing the six core components of third-party billing:

  • credentialing
  • contracting
  • coding
  • billing
  • electronic medical records implementation
  • revenue cycle management

 

IPHA's technical assistance has resulted in the generation of more than $40 million in new revenue for essential public health services in Illinois over the past decade.  In 2020, the IPHA Third-Party Billing project was recognized as a Billing Project Success Story by the Centers for Disease Control and Prevention (CDC).  CDC funded 38 projects nationwide and only six projects received this recognition.  Read IPHA's success story here.

For more information on Healthcare Billing, please contact Phil Talley, Program Manager.

Third-Party Billing Webinars - Archive

 

   

Introduction to Medicaid Managed Care: Tips for Public Health Departments - 6/26/2024 [Slides]

 

  Medicare and People with HIV - 6/5/2024 [Slides]

Navigating the Financial Landscape of Adult Vaccines - 6/03/2024 [Slides]

 

  Encore Presentation: Digging Deeper into the CMS Final Rule - 5/2024 [Slides]
Revenue Cycle Management Fundamentals - 4/10/2024 [Slides]  

Introduction to Medicaid Managed Care: Working with MCOs and Getting Credentialed to Bill for Services - 3/13/2024 [Slides]

 

NASTAAD Billing and Coding Guide: Updated PrEP, PEP, and other HIV Prevention Strategies - 3/06/2024 [Slides]

 

  Overview of 2024 CMS Final Rule and Medicare Physicians Fee Schedule - 2/14/2024 [Slides]
Third Party Billing for STI/HIV and Other Public Health Services - 12/18/2023    
     

 

 

 

Third-Party Billing Digest Archive

 

Page updated July 8, 2024

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