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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH April 26, 2017 S:\Managers Working Files\BOH\Agenda & Abstracts\2017 Agenda & Abstracts/ April Page 3 The BOH members had questions that were addressed by Mr. Marotto and Susan Elmore. B. 3rd Quarter Financial Reports & Billing Dashboard Pam McCall, Personal Health Services Division Director, gave a report on the 3rd quarter revenue and billing accuracy. The report is as follows: • Total Health Department Revenue: Average YTD monthly revenue in FY17 after the third quarter is $210k/month or $1.9M YTD, representing 63% of our overall budgeted revenue for the year. (Multiple sources of revenue from the county and Medicaid Maximization funds will be transferred in at the end of the fiscal year, but cause our revenue receipts to look lower than projected at this point in the fiscal year as a result.) Expenses are higher than revenues and slightly lower than projections for third quarter at 67%. • Total Billing Accuracy: Continuing with the goal of 90% billing accuracy set in FY 14-15, the average billing accuracy rate for medical after the third quarter is 89% as compared to 95% in FY 15-16 and the average rate for dental for third quarter FY 16-17 is 98% as compared to 97% in FY 15-16. • Dental Earned Revenue by Source: The FY 16-17 average monthly revenue ($41k/month) for the third quarter is below our budget projection ($47k/month) and in- line with our FY 15-16 average of $40k/month but is related to lower patient volume in August while the dental clinic was renovated and an overall higher volume of patients this fiscal year that are self-pay and either pay 0% according to our sliding fee scale or are unable to pay the full charge and are on a payment plan. FY 16-17 dental revenue totaled $367k at the end of the third quarter. • Medical Earned Revenue by Source: Medical earned revenue is currently slightly below the budgeted projection for FY 16-17 ($59k/month) at $51k/month. This is attributed to Maternal Health Medicaid claims that have been held while the state researched the appropriate way to be reimbursed. Revenue for these claims should be recognized in the fourth quarter. Medical clinic revenue totals $462k for third quarter FY 16-17. C. Advisory Board Update Beverly Scurry, Board of Health Strategic Plan Manager, gave a brief summary of the Orange County advisory boards’ activities as they pertained to the BOH. Ms. Scurry stated that three themes were prevalent amongst the advisory boards: support for the Family Success Alliance (FSA), racial equity work and physical activity and nutrition. Below are some highlights as it relates to BOH priorities in the Strategic Plan: • OC Schools Board of Education (BOE) – o At the November 28th meeting, the BOE approved the FSA grant for New Hope Elementary in the amount of $2,500. The grant is intended to provide support and funds to help establish a Family Resource Library. o The BOE approved a letter of support to be sent to the BOH in support of the FSA and its importance to the school district. • Board of County Commissioners (BOCC) –