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COLLABORATION BUSINESS MODELS FQHC/CHC/RYAN WHITE/SUB-SERVICES

Organization (Overall Project/Service Fiscal oversight)
Specialized Services (Fiscal obligations)

Income/Billing/Grant funding

Expenses/Depreciation

Organization hires Specialized Services staff as organizational staff
Organization is paying for fringe benefits and indirect expenses.  Specialized Services though, will only have resources provided to them from the Organization or what they add in addition as related service grants or other funding sources

All service encounter billing is performed by Organization and third party reimbursements are incorporated into the overall service budget or into the overall Organization Budgets.

Service related expenses are submitted/approved by the organization and tracked and monitored by the organization.

Organization incurs loss of revenue if service is practicing at a financial loss/deficit
Specialized Service staff/managers will need to be aware of its business practices that can make it operationally/financially impossible for the agency to maintain

Added billing CPT procedure codes, ICD diagnosis coding, new billing reimbursing vendors proposed by the service are vetted through the overall Organization's Finance Dept. for approval/incorporation into their billing/reimbursement management processes.

The Organization adopts the full fiscal/operational liability for the Specialized Service

Organization performs fiscal management of Specialized Services and assists services to remain fiscally viable
Specialized Service staff/management use only the Organization's Finance services/department for all it's income/expense processing/management

All service proposed additional funding sources management processes are fully vetted/approved by the overall Organization including grants applications, grants management, soliciting for private/public dollars, donations income sources and financial management, fund raising management, and etc.

The Organization assumes full responsibility for the Specialized Service's marketing, operational, fiscal needs and incorporates these responsibilities into its overall strategic Corporate planning and evaluations.

** This model incorporates the Specialized Service as an overall part of its Corporate structure fully integrating all service components into it's fiscal, operational, strategic planning, marketing, management related operations (job descriptions, policies & procedures, intranet, etc. development/maintenance).