Funding continues to be a critical issue for healthcare organizations serving Indian Country. The Indian Health Service is the main funding source for these providers, however IHS funds only cover between 50% and 70% of the services needed to provide healthcare to the people. The Indian Health Care Improvement Act (IHCIA) gave IHS and Tribal 638 facilities the ability to bill third party payers (Medicare, Medicaid, and Private Health Insurance).
This additional funding stream has become a critical component of funding healthcare in Indian country. These resources now make up between 30% and 50% of the funding for healthcare for the Native American people. The Centers for Medicare and Medicaid Services (CMS) is the federal agency that gives individual healthcare providers the ability to bill these third party payers.
This additional funding stream has become a critical component of funding healthcare in Indian country. These resources now make up between 30% and 50% of the funding for healthcare for the Native American people. The Centers for Medicare and Medicaid Services (CMS) is the federal agency that gives individual healthcare providers the ability to bill these third party payers.
Services
Native American Healthcare Group can work directly with your facility to evaluate the status of your compliance program, find areas where more work is needed, and work together with you to implement a living and vital compliance program. This is done through direct interaction with your staff. After your program is brought up to date, we work together to educate the staff on everything they need to know to be compliant.
Do I have a Compliance Program in place based upon the 8 Elements of Compliance as published by the OIG in the Federal Register?. Can I document that the FIRST USE of our Medicare and Medicaid reimbursement has been to implement a Compliance Program as required in the Indian Healthcare Improvement Act?.
Approximately half of our healthcare funding in Indian Country comes from third party collections. According to federal law, a Compliance Program is required under federal law for all healthcare providers who bill Medicare. Compliance Programs are mandated by the Indian Healthcare Improvement Act as well as the Affordable Care Act.
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