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MINUTES <br />ORANGE COUNTY BOARD OF HEALTH <br />June 26, 2013 <br /> <br /> Page 2 <br /> <br />V. Actio n Items (Non-Consent) <br /> <br />A. Medical/Dental Write-Off of delinquent and Uncollectable Accounts: Christy <br />Bradsher presented uncollectable Medical and Dental debts for fiscal years 2010 <br />and 2011. For 2010, the uncollectable Medicaid balance is $60,711, $146,294 for <br />Insurance, and $26,083 for Self Pay. The total uncollectable amount to be <br />transferred for 2010 is $233,088. For 2011, the uncollectable Medicaid balance is <br />$122,465, $6,447 for Insurance, and $53,380 for Self Pay. The total uncollectable <br />amount to be transferred for 2011 is $182,292. Dental and Medical are combined <br />due to both having the same NPI (National Provider Identification) number in the <br />old system. We have requested a separate NPI number for Dental to better <br />distinguish the balances going forward. <br /> <br />For fiscal year 2012 we currently have approximately $56,357 in outstanding self <br />pay balances that we are pursuing. <br /> <br />Ms. Bradsher reported that quality improvement measures have been put in place <br />such as internal reports to monitor claims submission, working with State <br />Consultants to improve processes, and additional trainings for staff have been set <br />up. <br /> <br />Question was asked how these uncollectable balances were created. Ms. <br />Bradsher’s response was that many of the Medicaid and Insurance claims simply <br />were not filed due to lack of adequate training given to staff and system <br />challenges during the initial roll out of HIS. This resulted in the timely filing period <br />expiring. <br /> <br />Board requested follow up quality assurance reports to monitor progress of new <br />system and processes that have been put into place. Dr. Bridger stated we will <br />start sharing billing dashboards with the board starting with the August Board of <br />Health meeting. <br /> <br />Tony Whitaker asked if there were benchmarks of other health departments that <br />we should be comparing to. Dr. Bridger responded that billing is a relatively new <br />concept for health departments, and that before the implementation of Patagonia <br />we were billing at 60-65% which identified that there was a problem. We now <br />have Standard Operating Procedures and ongoing Quality Assurance in place. <br />Our goal is to see a steady decline in recoupable claims. <br /> <br />Motion was made by Liska Lackey to transfer $415,380 in uncollectable Medical <br />and Dental Health accounts from “active” to “inactive” status. Motion was <br />seconded by Carol Haggerty and carried without dissent. <br /> <br />B. New Fee: Christy Bradsher requested to have the Health Check Autism <br />Assessment procedure (99420) added to the fee schedule. She stated the