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National School-Based Health Center Billing and Reporting Project

National School-Based Health Center Billing and Reporting Project. Lessons Learned Year 1 November 2010 – November 2011 Michele Strasz, SCHA-MI, mstrasz@scha-mi.org. TA to support states and SBHCs to effectively credential providers, bill and report data through a centralized system.

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National School-Based Health Center Billing and Reporting Project

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  1. National School-Based Health Center Billing and Reporting Project Lessons Learned Year 1 November 2010 – November 2011 Michele Strasz, SCHA-MI, mstrasz@scha-mi.org

  2. TA to support states and SBHCs to effectively credential providers, bill and report data through a centralized system. • TA that supports the implementation of EHR and positions providers to receive inventive funds • TA that supports SBHCs to participate in Regional Health Information Organizations National School-Based Health Center Billing and Reporting Project

  3. Each state association must conduct an environmental scan of the SBHCs to know what stage they are in. • Each state association and each SBHC are at various stages of capacity for billing and EHR. • SBHCs must move to billing, including Medicaid and third party payers, and EHR soon or they cannot compete in the marketplace or providers keep up with meaningful use requirements. Lessons Learned

  4. Each state has its own technical assistance structure under the Office of the National Coordinator that is available to support any SBHC who is interested in moving forward on EHR and to take advantage of the Medicaid provider incentives. • Each state association should be meeting with their TA entity to find out what support is available for SBHCs in their state. • Each state has its own regional Health Information Exchange structures (RHIOS). It is critical for the state association to be aware and involved. • Expense of linking to internet and maintaining HIPPA for HER connection. Lessons Learned cont.

  5. Centralizing and uniformity of billing and EHR is complicated for SBHCs because the decisions are often made by their larger sponsoring organization. • No comprehensive data including social, educational, • There are over 500 EHR vendors on the market currently. There is no one vendor that has emerged as the go-to for pediatrics. Success EHS is the one that SCHA-MI has the most experience with developing customized tools for SBHCs. • Interfaces and Data-warehousing are complex issues that are only beginning to take shape. Most costs associated are not well-known. This will need to be planned for financially by SBHCs and their sponsors. Lessons Learned cont.

  6. The state association can develop or contract for expertise on HIT and HIE. • The state association should utilize the TA of their state Regional Extension Center • http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__rec_program/1495 What can you do?

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