Pursuing Third Party Payments. The advantages of pursuing third party payment Improved ability to...

Pursuing Third Party Payments

The advantages of pursuing third party payment

• Improved ability to provide services • More likelihood that those in need will seek

services• An increase in the organization's control of its

finances• An opportunity to add staff and improve the

facility• Increased credibility

The disadvantages of pursuing third party payment

• Increased recordkeeping time• Increased bureaucracy• An extra administrative layer• The danger of decisions being driven by

money rather than mission• Discrimination against those without

coverage

Who is eligible for third party payments?

• Eligible services• Staff• Facility• Administration• Other possible requirements

How do you prepare your organization to become an approved

provider?1. Find out exactly what requirements you need to

fulfill2. Assess what the organization needs to do3. Develop a plan for making and maintaining the

necessary changes4. Carry out the plan5. Continue to assess and evaluate the effect that

third party payment is having on your organization

Communicating and maintaining relationships with third party payers

• Personal relationships are important • Designate someone to handle relations with

payer organizations• Things are constantly changing