Revenue Cycle
and Billing

Ohio Health Organizations Struggling With Covid-19 Billing Backlogs

by | May 11, 2021 | American Exchange News, Covid Vaccine Reimbursement, COVID-19, Insurance Discovery, main post, Medical Billing, Revenue Cycle Management

The Covid-19 pandemic is hitting County Health Departments, Federally Qualified Health Centers, and Community Based Organizations hard, especially within rural communities. Unsubmitted and unpaid Covid-19 claims are piling up and administration is finding it difficult to dedicate time to file for reimbursement. Facilities are struggling financially and staff is limited due to their efforts being focused on the Covid-19 vaccine rollout.

Covid-19 Vaccination in Ohio

Ohio, like many other states, is fighting hard to stay on top of the Covid-19 pandemic. As of May 9, 2021, the Ohio Department of Health announced that 41.36% of their total population has received at least one dose of the Covid-19 vaccine.  34.4% of Ohioans are fully vaccinated and that number is increasing daily.

The efforts put forth by healthcare entities are proving to be effective.  The number of new Covid-19 cases, as well as Covid-19 deaths, has decreased since the introduction of the vaccine to the state of Ohio.  A daily, updated breakdown of Covid-19 cases and deaths within each county of Ohio can be found by clicking here.

Vaccine Hesitancy

Although the Covid-19 vaccine has become more readily available and accessible, providers are encountering vaccine hesitancy within their communities.  Some Ohio residents are opposed to the Covid-19 vaccines due to a mistrust of pharmaceutical companies and fears of side effects, while others are undecided. Concerns about how the vaccine might impact fertility have been a common apprehension among females.  

According to the U.S. Centers for Disease and Prevention, one in four residents of 15 Ohio counties said they either probably would not or definitely would not receive a COVID-19 vaccine when it was available to them. The uptick in vaccine hesitancy is concerning and practices are having to use extra resources to help educate their community about the safety of the vaccine.  

Drowning in Backlog? American Exchange Can Help!

Public Health Organizations’ staff and resources have been stretched thin during the pandemic as priorities are shifted to assist in the vaccine rollout.  As the U.S. reaches the other side of the Covid-19 vaccine bell curve, many health departments are left with a pile of unbilled administration claims.  But backlogs could potentially get worse as the government increases promotional efforts to address vaccination hesitancy in rural areas.  The government is funding programs to address the vaccine accessibility and vaccine hesitancy crisis.  As hesitancy declines, and more people seek vaccines from your organization, the potential for revenue increases.  

At American Exchange, we stay abreast of the industry’s most current reimbursement news and tools.  We understand that health entities are overwhelmed by the pandemic and are able to assist with your reimbursement needs. Our experts have proven results in maximizing reimbursements for our clients. For example, we assisted a public health department by clearing a backlog of more than 40,000 claims in four months, accounting for $2 million in unclaimed revenue. Imagine what we could do for you! 

American Exchange’s American Academy of Professional Coders (AAPC) and billing specialists are supporting public health entities throughout the United States to get reimbursed for Covid-19 vaccination administration. Using our Insurance Discovery tool, American Exchange is able to retroactively pull insurance eligibility for patients that have been treated.  Our billing tools and services can help free up resources so your organization can focus on getting Ohio residents vaccinated.