Request for Bids: Consulting Support

The Get Healthy North Country! Community Integrated Health Network consists of medical and behavioral healthcare providers, public health units, area offices of aging, social care agencies, and other chronic disease prevention program stakeholders that collaborate to offer coordinated, comprehensive evidence-based prevention and self-management services designed to reduce the burden of chronic disease. In doing so, members of the network envision a health and social care delivery system that emphasizes prevention — not treatment — and one that offers every North Country resident equal opportunity to live their healthiest life. 

To advance and sustain this work, The Heart Network, lead entity for Get Healthy North Country, and its partner, Adirondack Health Institute (AHI), seek to understand options for entering into fee-for-service contracts with organizations that pay for health care services, including health insurance companies. The Heart Network is a nonprofit organization that does not render healthcare services and is not currently a billing entity; Adirondack Health Institute is an independent, non-profit organization supporting hospitals, physician practices, behavioral health providers, community-based organizations, patients, and others in our region to transform health care and improve population health. Partners offering evidence-based chronic disease programs through the Get Healthy North Country Network vary in size and scope of services and include billing healthcare entities and non-billing community-based partners. 

The Heart Network works closely with the Adirondack Health Institute on a HRSA-funded four-year grant designed to improve access to evidence-based Chronic Disease Self-Management Programs (CDSMP) through the creation of the Chronic Disease Care Coordination Network (CDCCN). The most recent Medicare Physician Fee Schedule includes a suite of health equity service codes that many of the CDCCN members are not aware of nor know how to bill for. AHI would like to bring a billing and coding expert to this network to help clinicians and care managers/care coordinators better understand how to bill for these services, as well as the existing codes for the National Diabetes Prevention Program, and what reimbursement is being “left on the table” if they don’t.

Click here to view/download a PDF of the full Request for Bids.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *