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MINUTES-Final ORANGE COUNTY BOARD OF HEALTH January 25, 2017 S:\Managers Working Files\BOH\Agenda & Abstracts\2017 Agenda & Abstracts/ January Page 2 V. Educational Sessions A. 2nd Quarter Financial Reports and B. 2nd Quarter Billing Dashboard Reports Rebecca Crawford, Finance and Administrative Services Director, gave a report on the 2nd quarter revenue and billing accuracy. Her report is as follows: • Total Health Department Revenue: Average YTD monthly revenue in FY17 after the second quarter is $203/month or $1.2M YTD, representing 39.2% 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 but in line with projections for mid-year at 45.4%. • 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 second quarter is 87% as compared to 92% in FY 15-16 and the average rate for dental for second quarter FY 16- 17 is 99% as compared to 101% in FY 15-16. • Dental Earned Revenue by Source: The FY 16-17 average monthly revenue ($37k/month) for the first quarter is below our budget projection ($48k/month) our FY 15- 16 average of $40k/month but is related to lower patient volume in August while the dental clinic was renovated. FY 16-17 dental revenue totaled $114k at the end of the first quarter. • Medical Earned Revenue by Source: Medical earned revenue is currently slightly below the budgeted projection for FY 16-17 ($58k/month) at $53k/month. Medical clinic revenue totals $319k for second quarter FY 16-17. C. FY 2016-17 Fee Schedule & Requested Changes Multiple procedures in Dental Health and labs in Environmental Health have increased in frequency of use this fiscal year and it is necessary to add them to our fee schedule in an effort to recover costs. Rebecca Crawford reviewed those proposed fee changes which were:  Dental Health • Dental Health requests the addition of two new fees for Provisional Splinting, intracoronal and extracoronal. These procedures have been used more frequently this fiscal year and are costly due to the supplies necessary to perform the procedures. Dental Health estimates performing 2-4 of each of these procedures per month for the remainder of FY 16-17. The fees were determined based on the Delta Dental and Cigna reimbursement rates for these procedures as the Usual, Customary, and Reasonable rates for this area for these fees were much higher ($252 and $316 respectively) and viewed as cost prohibitive for our 100% payers on the sliding fee scale. See chart below for proposed fee.