Centralized Coding, Billing, and Revenue Maximization Project

Project Term: 24 months; Ended 2017
Grant Amount: $99,608

This project will strengthen the Rocky Boy health system by improving administration, coding, and billing through developing and implementing a centralized billing system. The project will begin by identifying current challenges in billing and collections and then develop a plan to address these issues and train staff in billing and coding.  The project will also focus on enrolling uninsured tribal members in Medicaid or Affordable Care Act (ACA) exchange insurance plans.  In addition, the project will begin a consideration of how to better serve the health needs of the community through, for example, providing reimbursable school-based services, and providing on-site services for tribal Temporary Assistance for Needy Families recipients. The overall goal of this project is to develop a sound administration and stable revenue base, which will allow the tribe to design and run effective, tribally-led health programs.

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