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Tuesday, November 27 • 10:15am - 11:45am
A-21 - Fee for Service Model for Medical Case Management (CE)

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ActionAIDS, one of Pennsylvania’s largest AIDS Service Organizations, has been billing Managed Care Organizations and insurance companies for Medical Case Management services since 1992. This presentation will discuss how our model was established and grown. Through this program we have significantly increased revenue to support programs and services. In addition, our model helps us to meet the HRSA requirement of insuring that Ryan White Funds are the “funds of last resort”. This training will provide a general overview of the Pennsylvania Department of Public Welfare’s Targeted Case Management Program and the process by which to seek reimbursement for medical case management services provided by HIV/AIDS service organizations. We will discuss and brainstorm with participants to share marketing and branding strategies to work with Managed Care Organizations to contract with community based AIDS Service organizations for Medical Case Management.

Learning Objectives:

  • Increase awareness of fee for service models for Medical Case Management at a community based ASO.
  • Provide a framework to understand how to brand and market fee for service models for Medical Case Management at a community based ASO.
  • Develop strategies to initiate and grow a fee for service model for Medical Case Management services.

Speakers
KB

Kevin Burns

Executive Director, ActionAIDS
Kevin J. Burns is the Executive Director of ActionAIDS, one of the largest AIDS service organizations in the country. He received a BA degree in psychology from DeSales University in 1978 and a MSW from Rutgers, The State University of New Jersey in 1990. He is a Licensed Clinical... Read More →
KK

Kris Kershner

Finance Coordinator, ActionAIDS
Kris Kershner has been managing fee for service billing for the Medical Case Management services offered at ActionAIDS since 2009. She holds a BA degree in business and economics and a BA degree in environmental policy from Warren Wilson College located in Asheville, NC. Over the... Read More →


Tuesday November 27, 2012 10:15am - 11:45am EST
Wilson B
  Series A

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