January, 2013 CONSIDERING INSURANCE BILLING FOR COLLEGE HEALTH AND COUNSELING SERVICES By Stephen L. Beckley, Doreen Hodgkins, and Marc M. Tract Considering Insurance Billing for College Health and Counseling Services 1 ABLE F Abstract . T O Historical Values for Pre-Funding of College Health and CONTENTS Counseling Services . 2 The Shift Away from Pre-Paid Funding for College Health Services . 2-3 Increased Utilization of College Health and Counseling Services . 3 The ACA and Full Coverage for Preventive Care Services . 3 Increased Enrollment in Student Health Insurance/Benefit Programs . 4 Variable Success for Developing Insurance Billing Revenue . 4-5 Waiving Insurance Copayments, Deductibles, and Coinsurance Charges . 5-6 Understanding Coordination of Benefits . 6 Secondary Payor Status for Health Fees and Institutional Funding . 7 Common Components for a Secondary Payor System . 8-9 Secondary Payor System Example Charges and Out-of-Pocket Expenses . 9-10 Stephen L. Beckley, CEBS Secondary Payor System Example Communications . 10 Hodgkins Beckley Consulting, LLC Concerns for Adopting a Secondary Payor System . 11-13 3500 Carlton Avenue, #0-45 Fort Collins, CO 80525 Typical Steps for Considering a Secondary Payor System . 13-15 877-559-9800 toll free
[email protected] Summary . 16 Doreen Hodgkins, MBA Appendix A . N/A Hodgkins Beckley Consulting, LLC 5435 Klipsun Lane, SW Minnesota Medical Association – Waiving Copays and Reducing Fees Olympia, WA 98512 877-559-9800 toll free Appendix B . 21-22
[email protected] Excerpts from Coordination of Benefits Model Regulation, #120 Marc M. Tract, JD Appendix C . 21-23 Katten Muchin Rosenman, LLP Credentials for Authors 575 Madison Avenue New York, NY 10022-2585 212-940-8800 Endnotes .