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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