BHbusiness: Mastering Essential Business Operations offers targeted training and support for you:
behavioral healthcare executives, CEOs, and directors. Through participation you'll expand the skills you need to thrive in a
healthcare environment driven by changes in funding and regulations.
- Networks will participate in a range of educational activities, webinars, small group/individual consultation and online courses taught by expert faculty
- Learning networks are funded by SAMHSA and administered by The State Associations of Addiction Services in collaboration with the National Council, NIATx, and AHP
- BHbusiness networks will be formed from the applicant pool and consist of up to 30 organizations
- If you have a pre-formed network, please contact Becky Vaughn
- Limited number of slots available
- Applications close May 24 or when all available slots have been filled
- Please review Important Information for BHbusiness Applicants below before completing the application
Click here for BHBusiness Application
Strategic Business Planning:
The Strategic Business Planning Learning Network will teach participants how to develop a business plan that takes advantage of opportunities created by the Affordable Care Act. Participants will learn how to analyze their local healthcare market,
define their value in the market, and identify potential market needs that they can address.
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The course will include independent research, reading-learning, on-line discussions using social media tools, interactive webinars,
and participation in a one-day regional workshop.
View Course Syllabus
Business Modeling Tool
Lecture Samples:
Developing a Strategy ,
Flowcharting
Participant Outcomes
Mastery of business environment analysis and business planning using tools such as:
- Strengths, Weaknesses, Opportunities and Threats
- Market Analysis Plan
- Customer Value Proposition
- Financial Modeling
A Strategic Business Plan: Using the information identified in the analysis tools, participants will write a business plan that identifies three strategic business goals (short, medium, and long) and begin to develop strategies to enter new markets, develop new services, or increase market share.
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Third-party Billing and Compliance:
Participants in the Third-party Billing and Compliance Learning Network will learn how to implement third-party billing systems that are compliant with regulatory and funder requirements. Participants will also study the areas where billing systems function poorly and learn improvement techniques to improve collection rates.
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Participants will gain the skills required to design and implement a billing process, improve the billing process to increase collections, and develop a billing process and procedures manual. The course will include independent research, e-learning, on-line discussions using social media tools, interactive webinars,
and participation in a one-day regional workshop.
View Course Syllabus
Tool: Billing Guide
Lecture Samples:
Third Party Intro
Participant Outcomes
Mastery of
- Implementing a third-party billing system, using a simple 8-step process
- Improvement techniques to correct the most common areas where billing systems function poorly
- Core compliance measures and ways to design a system that will reduce risk
A Billing Policy and Procedure Manual
Using the information above, participants will conduct a change project, develop a table of contents, and create documents for a billing policy and procedure (P&P) on-line manual to include at a minimum the following:
- Flow chart of the patient and billing process in their organization
- A completed “Who does what chart”
- Templates and checklists for the following processes:
- Verifying insurance coverage
- Prior authorization
- Coding and clinical documentation
- Addressing denials
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Third-party Contract Negotiations:
The Third-party Contract Negotiations Learning Network will train participants on new reimbursement options such as: partnering with insurance networks, other community agencies, primary care, and employee assistance plans. Participants will develop the the skills to create an analysis of their local healthcare market,
define their value in the market and identify potential gaps that they can address and capture.
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The course will include independent research, e-learning, on-line discussions using social media tools, and interactive webinars.
View Course Syllabus
Tool: Value Worksheet
Lecture Samples:
Value Proposition
Participant Outcomes
Mastery of:
- Understanding the payer’s perspective
- The Business Market Analysis Packet, which includes identifying:
- Your organization's value
- Potential third-party payers
- Cost analysis for the organization's services
- A successful sales cycle
An Action Plan
Using the information outlined above, participants will create and execute an action plan for attracting new payers and increasing revenue.
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Eligibility and Enrollment:
The Eligibility and Enrollment Learning Network course is designed for providers who want to increase client access to health insurance coverage through Medicaid or premium-subsidized private health insurance (coverage affordability programs). It will cover eligibility criteria,
application, and enrollment processes. Participants will develop a process or improve their current processes for ensuring that patients are enrolled in the health care coverage that works best for them and their family.
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The course will include independent research, e-learning, on-line discussions using social media tools, and interactive webinars.
View Course Syllabus
Lecture Samples:
Health Insurance Exchanges
Participant Outcomes
Mastery of:
- Eligibility rules and application processes for Medicaid and coverage affordability programs and how they will change in 2014.
- Internal processes for assessing patient eligibility, enrolling eligible patients in appropriate coverage, and ensuring that currently enrolled patients can stay covered.
- Identifying and addressing issues in the enrollment process that reduce access to care and potential revenue.
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Meaningful Use of Healthcare Technology (HIT):
The Meaningful Use of Healthcare Technology Learning Network will teach participants how to assess how HIT will impact their organization’s functions. Participants will learn the requirements for the CMSH EHR Meaningful Use Incentive Program and how to determine provider eligibility for it.
They will also understand the business processes that would be affected by adoption of an EHR and assess their readiness for adoption of HIT.
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This course will prepare participants for assessing HIT options, but will not lead them through the selection process. It will include independent research, e-learning, on-line discussions using social media tools, and interactive webinars.
View Course Syllabus
Lecture Samples:
Overview of Meaningful Use
Participant Outcomes
Mastery of:
- The eligibility criteria for the Meaningful Use EHR Incentive Program.
- Key Health Information Technology (HIT) concepts, including Practice Management Systems, Electronic Health Records (EHR), Health Information Exchanges (HIE), and other HIT terminology
- Current opportunities for business process and healthcare quality improvement through HIT
Using the information above, participants will assess their readiness and needs for an HIT system and identify resources available to advance their HIT selection and implementation plans.
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