A Survey of Texas HIV, Sexually Transmitted Disease, Tuberculosis, and Viral Hepatitis Providers' Billing and Reimbursement Capabilities

Am J Public Health. 2015 Nov;105 Suppl 5(Suppl 5):S686-9. doi: 10.2105/AJPH.2015.302734. Epub 2015 Oct 8.

Abstract

The Affordable Care Act presents financial challenges and opportunities for publicly funded service providers. We assessed billing practices and anticipated barriers to third-party billing among organizations in Texas that provide publicly funded HIV, sexually transmitted diseases, tuberculosis, and viral hepatitis services. One third to one half of the organizations did not bill for medical services. The most common barrier to third-party billing was lack of staff knowledge about billing and coding. Future research must evaluate options for organizations and communities to maintain access to infectious disease services for vulnerable populations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Clinical Coding
  • Community Health Centers / economics
  • Community Health Centers / organization & administration*
  • Financing, Personal / statistics & numerical data
  • Hepatitis, Viral, Human / economics
  • Humans
  • Insurance Coverage / statistics & numerical data
  • Insurance, Health / statistics & numerical data
  • Insurance, Health, Reimbursement / economics*
  • Medical Assistance / economics
  • Outpatient Clinics, Hospital / economics
  • Outpatient Clinics, Hospital / organization & administration*
  • Patient Protection and Affordable Care Act / economics
  • Patient Protection and Affordable Care Act / organization & administration*
  • Pilot Projects
  • Public Health Administration / economics
  • Safety-net Providers / economics
  • Safety-net Providers / organization & administration*
  • Sexually Transmitted Diseases / economics
  • Texas
  • Tuberculosis / economics
  • United States