Tribal Pride Consulting
- Expert consulting services to help increase your revenue.
- Hands-on approach to educate & train my award-winning processes.
Our Mission
To empower PL-638 Tribal and Indian Health Service Facilities
to effectively utilize the "right to recovery" law to
increase your revenue.
IHCIA 206, 25 U.S.C. 1621 e(a)
"The United States, an Indian tribe, or tribal organization shall have the right to recover from an insurance company, health maintenance organization, employee benefit plan, third-party tortfeasor, or any other responsible or liable third party … the reasonable charges billed by the Secretary … in providing health services through the Service … or, if higher the highest amount the third party would pay for care and service."
I'm a Tsimshian from Metlakatla Indian Community.
I have a Bachelor of Science degree in Health Management and Policy with a minor in business. I worked at an Indian Health Service Unit and during that time, I was awarded 2 National Indian Health Service Director's awards and 4 Portland Area Director's award.
Proven Process Results
I've improved the business office processes and successfully utilized the "Right to Recovery" law.
This resulted in an annual increase of several millions in revenue.
My dream is to pass on this knowledge to my people.
My father, Stan Patterson Sr, was a leader for decades in our tribe. I carry his passion to help our people in my heart.
We are one nation - Indian Country.
Debt Management - is a tool
Debt Letters
Business Office Manager
Unpaid Claims
- Send debt letters every 30 days after Date of Service
- Document in claim any communication from insurance company
- Send to collection after 120 days!
Unpaid Claims
Business Office Manager
Unpaid Claims
Each unpaid or paid at a lower rate is lost revenue to your facility.
Business Office Manager
Business Office Manager
Business Office Manager
The office of the Business Office Manager must work with the insurance companies to educate insurances on the law!
Federal Law
Revenue Cycle
Federal Law
Insurance companies must pay your facility the highest rate that they pay their contracted providers.
Review
Revenue Cycle
Federal Law
Each "Explanation of Benefits or Remittance Advice" must be analyzed to assure compliance.
Revenue Cycle
Revenue Cycle
Revenue Cycle
- Registration
- 3rd Party data
- Provider documented all services
- Coder coded - (no unspecified)
- Biller sends out claim
- Post only legal payments
- Accounts followed-up