
National Council of Urban Indian Health
924 Pennsylvania Ave., SE
Washington, DC 20003
Phone: 202.544.0344
Urban Indian Organizations (UIOs) rely on reimbursement from third-party payers to sustain operations and provide necessary health services to American Indians and Alaska Natives (AI/ANs) living in urban settings.
With input from its membership, NCUIH
NCUIH is currently participating in a research project on third-party billing for UIOs. The project was commissioned by the Centers for Medicare & Medicaid Services (CMS). NCUIH participates in the project through a contract with NORC at the University of Chicago. In the past two years, the project has generated three reports on third-party billing, with areas focused on Medicaid, Telehealth, and Medicare.
NCUIH also provides policy analysis and data research on the Affordable Care Act (ACA) and the Indian Health Care Improvement Act (IHCIA), which both provide a number of important benefits for urban Indian health providers.
For more information on NCUIH’s projects on these topics see:
“Recent Trends in Third-Party Billing at Urban Indian Organizations: A Focus on Medicaid, Telehealth, and Pandemic Response.”
This report provides an overview of billing methods and payment methodologies that Urban Indian Organizations (UIOs) use for third-party reimbursement, with a special focus on Medicaid. The report includes analyses of UIO Medicaid claims from the Transformed Medicaid Statistical Information System (T-MSIS). The report uses data from calendar year 2018, which was the most current T-MSIS data available.
Findings:
A recording of a CMS Webinar presentation on the report is available on YouTube here.
A copy of the Webinar slideshow is available from CMS here.