BC Advantage - 2025 Issue 2

Clinical Services Expansion Playbook Assists Illinois Community-Based Organizations With Implementation of Third-Party Billing

The Illinois Public Health Association (IPHA) and Medical Revenue Cycle Specialists (MRCS) have published a free playbook to help community-based organizations (CBOs) through the often time-consuming and cumbersome process of establishing third-party billing processes.   With the implementation of Illinois’ 1115 Waiver, CBOs will play a vital role in providing essential healthcare services to underserved populations. Many CBOs currently do not bill third-party payors, but they will now need to develop third-party billing procedures - quickly.   Funding for the playbook comes from the Illinois Department of Public Health (IDPH). Currently, many services provided by CBOs are funded by...

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