Revenue Cycle Management

Increasingly, patients seen in safety-net settings are gaining health insurance coverage through Medicaid or commercial health plans. At the same time, insurance coverage for contraceptive services has expanded. An increase in insured patients presents an opportunity for publicly funded family planning providers to access new revenue streams for previously uncompensated care. As a result, safety-net family planning providers have worked to modernize the systems through which revenue is collected from sources of reimbursement – collectively known as revenue cycle management. Despite this progress, many safety-net family planning providers continue to face challenges to successfully collecting revenue from third-party payers. Insurers may be unfamiliar with safety-net providers, or may altogether resist working with them.

NFPRHA's Work

NFPRHA believes that family planning patients should be able to see their provider of choice regardless of their method of payment. To that end, NFPRHA works to ensure its members have the tools they need to strengthen their revenue cycle management processes, enter into contracts with third-party payers, as well as successfully collect revenue from these payers when patients wish to utilize coverage.