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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH August 26, 2015 S:\Managers Working Files\BOH\Agenda & Abstracts\2015 Agenda & Abstracts/ August Page 3 average billing accuracy rate for medical at the end of FY 14-15 is 91% as compared to 86% in FY 13-14 and the average rate for dental for FY 14-15 is 96% as compared to 73% in FY 13-14. Progress continues in refining our definition of billable claims, though the billing accuracy percent presented here always reflects a conservative estimate of accuracy. Though reducing the proportion of unpaid Self-Pay claims is a work in progress, it’s not likely we will ever recover 100% of those claims. Dental earned revenue has consistently increased from year to year, and FY 14-15 average monthly revenue ($35k/month) exceeded our budget projection ($32k/month). FY 14-15 dental revenue totaled $423k as compared to $317k in FY 13-14. Medical earned revenue has exceeded the budgeted projection for FY 14-15. The monthly average after the fourth quarter ($50k/month) is greater than FY14 ($44k/y) and FY13 ($25k/y), but slightly higher than our budget projection ($48k/month). Improved billing efforts (coding, payment collections, and debt set-off) contributed to the higher revenue collections for FY 14- 15. The BOH members had several questions that were answered by Dr. Bridger. D. Annual Bad Debt Write Off Dr. Bridger began by notifying the BOH members that per the department’s Delinquent and Uncollectable Accounts policy (15.0), uncollectible accounts are to be administratively written off the books. The purpose of this accounting function is to precisely account for and pursue funds which are truly unrecoverable. The last administrative write-offs were performed by the Board of Health in September 2014 (Personal Health, Dental Health, and Environmental Health) for FY 2012 and FY 2013 in the amount of $9,073.75. Personal Health, Dental Health, and Environmental Health continue to participate in the NC Debt Set-Off Program, which allows the county to collect debts on delinquent accounts with a balance between $50 and $4,000 through the customer’s tax refund. The Health Department anticipates collecting payments on delinquent accounts being pursued through the NC Debt Set-Off program; therefore, those accounts are not included in this write off request. This year, there were 157 uncollectable accounts with the total debt write off equaling $5,288.36. The motion to administratively write off a total of $5,288.36 in uncollectible debt from was made by Paul Chelminski, seconded by Sam Lasris and carried without dissent. The BOH members had questions that were answered by Dr. Bridger. E. NALBOH Meeting Susan Elmore, Chair, gave a brief summary of the National Association of Local Boards of Health 2015 Annual Conference that took place on August 5-7th in Louisville, KY. Ms. Elmore began by stating that the conference focused on the six functions of governance which are policy development, resource stewardship, legal authority, partner engagement, continuous improvement and oversight. She conveyed the effectiveness of the keynote speakers (Carter Blakey, James G. Hodge, Jr., Ali S. Kahn) as well as how great the breakout sessions were. The conference allowed an opportunity to meet and speak with other local boards and discuss the issues that they’re tackling and/or have found to be challenging. Ms. Elmore recommended that the Chair and/or Vice-Chair attend this annual conference.