Is it Time to Start Billing?

Is it Time to Start Billing Insurance? Questions and Considerations

This tool offers discussion prompts, considerations, and a SWOT analysis grid to guide decision-making teams to determining if they are ready to start billing. STD TAC Click here 

Organizational Self-Assessment Tool Identifying Opportunities to Expand Contracting and Reimbursement from Insurance Plans

This tool, designed for Ryan White HIV/AIDS contractors, is used for assessing strengths and gaps in areas that are important to insurers and that support maximizing revenue realized from contracting activities. Staff time is the principal investment in conducting the assessment. National Technical Assistance Center and Positive Outcomes inc. Click here

Nuts and Bolts of Billing: Key Considerations for Revenue Enhancement at CBOs/ASOs

This tool, designed for Ryan White ASOs and CBOs, reviews strategies for agencies to get ready to bill for their services in order to enhance their financial sustainability, including how to assess feasibility for billing, various billing models, and actions for organizations to take to put billing systems into place. CRE TA Center and National Center for Innovation in HIV Care Click here

Third Party vs. First Party Billing

Sample Payer Mix Surveys for Clinic Patients

A basic, short survey used to determine insurance mix of clients and a corresponding tracking sheet. STD TAC Click here

First Party Billing: Implementation Steps and Considerations

This document outlines steps and considerations for clinics that may not be ready for third-party billing, but want to start collecting a fee or billing patients (first-party billing). STD TAC Click here

Options for HIV Third Party Billing Services

The purpose of this manual is to provide guidance on billing for HIV testing and preventative services. This guide was created by the Illinois Public Health Association (IPHA) and the Illinois Department of Public Health (IDPH). Click here

In House vs Outsourced Billing

In House or Outsourced Billing

A decision-making tool that describes the pros, cons, and other considerations to explore before deciding to use in-house or outsourced billing services. STD TAC Click here

Considering an Outsourced Billing Company: Considerations and Tips

This tool provides a list of considerations and questions when considering outsourced billing companies, as well as tips for negotiating a contract with them. STD TAC Click here

Considering a Partnership?

Read about six types of partnerships that can support billing efforts and the suggestions for planning a partnership with another organization. STD TAC Click here

Hartford Case Study

This case study demonstrates how the Hartford STD Clinic reduced its dependence on diminishing federal and state funding by establishing third-party billing. Hartford STD Clinic and STD TAC Click here