BOH minutes 102214 - Laserfiche WebLink

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MINUTES ORANGE COUNTY BOARD OF HEALTH October 22, 2014 S:\Managers Working Files\BOH\Agenda & Abstracts\2014 Agenda & Abstracts/ October Page 3 monthly revenue for the 1st Quarter is $174k/month, which represents 21% of our overall budgeted revenue for the year. Medical increased its billing accuracy by 11% from 73% in FY 12-13 to 84% in FY 13- 14. Dental earned revenue has consistently increased from year to year, and our current average monthly revenue ($31.5k/month) nearly meets our budget projection ($32.3k.month). She noted that our billing accuracy measure now includes both Medical and Dental claims. Coby mentioned it is difficult to see a trend so early in the year because of the lag in payments. Although our current billing accuracy measure is in the low 80% for the first couple months of this fiscal year, we expect that to increase as payments are made against claims. We are pleased to see that Medical’s billing accuracy for Medicaid and insurance is between 96 – 99% for these first months. The methods we use for calculating overall billing accuracy are fairly conservative, however, and 90% is an aggressive, but achievable goal for this year. The BOH members had several questions that were addressed by Coby Austin and Dr. Bridger. VI. Action Items (Non Consent) A. Board of Health Policy Review To meet accreditation standards, the Board of Health is required to review their Policies & Procedures each year. Coby Austin reviewed the recommended edits to the Fee and Eligibility Policy and Dr. Bridger summarized highlights of other proposed policy edits noted in the Board abstract and packet. The BOH members had several questions, suggestions and discussion that were addressed by Dr. Bridger. The BOH recommended that legal be consulted regarding one proposed edit to the policy: It has been proposed that clients with insurance who are eligible for the sliding fee scale (based on verified residency and income) have the appropriate sliding fee applied to payments against their deductible. Unless otherwise required, copayments will be collected in full. The BOH agreed that an updated version of the policy that incorporates input from the county’s legal counsel would be put on the consent agenda for the November meeting.