Third Party Third Party ReimbursementReimbursement

Third Party Reimbursement Third Party Reimbursement Survey 2006Survey 2006

Are you certified by the AAFCP?

62%

38%

Yes No

Where are we now? AAFCP Annual Meeting 2006

Are you a FCCA affiliate?

93%

7%

Yes

No

Where are we now? AAFCP Annual Meeting 2006

2423

19

15

11

86

21

0

5

10

15

20

25

Ho

sp

ital

Ch

urc

h

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er

Ph

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icia

n's

offic

e

Ho

me

Dio

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sa

n O

ffice

Me

dic

al C

linic

Priv

ate

Offic

e

Sc

ho

ol

Location of FCS

Where are we now? AAFCP Annual Meeting 2006

Hours worked per week

77%

23%20

less than20

or more

Where are we now? AAFCP Annual Meeting 2006

351

134

79 7450

050

100150200250300350400

ho

urs

wo

rke

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lien

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ing

How many hours are you working in Fertility Care Services per week?

Where are we now? AAFCP Annual Meeting 2006

Where are we now? AAFCP Annual Meeting 2006

Number of Co - Workers in Your Center

73%

15%

4%8%

1 worker

2 - 5 workers

6 - 10 workers

11-15 workers

teac

her

, 69

oth

er/

MD

off

ice

, 11

ho

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ita

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er,

1

0

10

20

30

40

50

60

70

1

How are fees collected?

teacher

other/MD office

hospital/Accounts Dept

parish/(arch)diocese

hospital/other

Where are we now? AAFCP Annual Meeting 2006

Where are we now? AAFCP Annual Meeting 2006

Does your client collect insurance reimbursement directly?

22%

78%

Yes

No

Where are we now? AAFCP Annual Meeting 2006

Do you collect 3rd Party Payment for FCS?

18%

82%

yes

no

Do you have funding sources that cover

charges not reimbursed by insurance?

15%

85%

Yes

No

Where are we now? AAFCP Annual Meeting 2006

Does your (Arch)Diocese provide insurance coverage for FCS or NFP for its employees?

17%

83%

Yes

No

Where are we now? AAFCP Annual Meeting 2006

The key to opening your program to The key to opening your program to recognition, growth, impact and accountability recognition, growth, impact and accountability

as a professional serviceas a professional service

Benefits of the Creighton Benefits of the Creighton Model FertilityModel FertilityCare SystemCare System

What significance does that What significance does that have?have?

Nothing, absolutely nothing!Nothing, absolutely nothing!

RecognitionRecognitionYour program – a quality Your program – a quality professional serviceprofessional service

That is how you want to view That is how you want to view your program so that others your program so that others recognize it in the same way.recognize it in the same way.

Growth Growth

When you have the attitude that When you have the attitude that your program is a professional your program is a professional service you open doors and help service you open doors and help to create opportunities for to create opportunities for growth.growth.

Impact and accountabilityImpact and accountability

Those providers and programs Those providers and programs that serve clients with expert that serve clients with expert knowledge and concern and can knowledge and concern and can demonstrate accountability for demonstrate accountability for what and how they provide their what and how they provide their services are the ones people services are the ones people ultimately turn to.ultimately turn to.

Impact and accountabilityImpact and accountability

The FertilityThe FertilityCare Care System System demonstrates its accountability demonstrates its accountability from the scientific, ethical, and from the scientific, ethical, and moral perspective.moral perspective.

Third party payorsThird party payors

Whether you are making a Whether you are making a request for coverage on behalf request for coverage on behalf of a client, or putting together a of a client, or putting together a proposal to a group that is proposal to a group that is setting up a self insured status, setting up a self insured status, the tool provides a comprehen-the tool provides a comprehen-sive picture of our services.sive picture of our services.

Media groupsMedia groups

Media groups need to understand Media groups need to understand who and what we are before they who and what we are before they can effectively market for us.can effectively market for us.

If the perspective of the person If the perspective of the person writing or speaking about you is that writing or speaking about you is that you are NFP and NFP is rhythm then you are NFP and NFP is rhythm then that is how it will come across, that is how it will come across, consciously or unconsciously, in consciously or unconsciously, in regard to tone and enthusiasm, as regard to tone and enthusiasm, as well as wording.well as wording.

Grants and fund raising Grants and fund raising partnerspartners

Grants, corporate sponsors, and Grants, corporate sponsors, and any potential funding sources any potential funding sources need to know who you are.need to know who you are.

The more completely, precisely, The more completely, precisely, and professionally you can do and professionally you can do that the greater your ability to that the greater your ability to compete for dollars.compete for dollars.

Establishment of a service or Establishment of a service or practitioner education programpractitioner education program

The “Benefits Booklet” is an The “Benefits Booklet” is an attractive and informative tool to attractive and informative tool to use as a basis for your use as a basis for your presentation to hospitals, presentation to hospitals, churches, health care or churches, health care or community agencies.community agencies.

Establishing collaborative Establishing collaborative working arrangementsworking arrangements

Potential Referral agencies:Potential Referral agencies:

- county and state health - county and state health departmentsdepartments

- public health nursing - public health nursing departmentsdepartments

- clinics- clinics

- community family service - community family service

organizations organizations

A tool to assist and educate A tool to assist and educate agencies that provide family agencies that provide family planning educational materialsplanning educational materials

Public health nursing departmentsPublic health nursing departments County and state health departmentsCounty and state health departments ClinicsClinics Pregnancy Help centersPregnancy Help centers Prenatal and birthing centersPrenatal and birthing centers Community family service programsCommunity family service programs

Your program’s referral listYour program’s referral list

This booklet will help the people This booklet will help the people on your referral list understand on your referral list understand and support your program and and support your program and its philosophy in the best its philosophy in the best possible way.possible way.

Medical ConsultantsMedical Consultants

An excellent means for medical An excellent means for medical consultants to inform their office consultants to inform their office colleagues, as well as other colleagues, as well as other doctors about the program.doctors about the program.

Supportive church personnelSupportive church personnel

The use of the booklet is a great The use of the booklet is a great way to inform priests, pastors, way to inform priests, pastors, clergy, diocesan and church clergy, diocesan and church personnel about Fertilitypersonnel about FertilityCare Care and how it can benefit the and how it can benefit the people they serve.people they serve.

Potential contributors to your Potential contributors to your programprogram People can contribute to our People can contribute to our

programs and the building up of programs and the building up of the culture of life in many ways if the culture of life in many ways if we take the initiative to reach out we take the initiative to reach out to them and let them know who to them and let them know who we are. That is why the Third we are. That is why the Third Party Reimbursement Committee Party Reimbursement Committee has put their time and energy into has put their time and energy into creating this tool for you. We hope creating this tool for you. We hope you will use it to reach out to you will use it to reach out to many peoplemany people

Third Party Third Party ReimbursementReimbursement

(Arch) Diocesan / Catholic (Arch) Diocesan / Catholic Hospital Health Benefit PlansHospital Health Benefit Plans

The Time is Now!The Time is Now!

Investigate your hospital or Investigate your hospital or (arch) diocesan health care (arch) diocesan health care plan’s benefits.plan’s benefits. Sift through all the verbiage and Sift through all the verbiage and

fine print fine print Peruse the mounds of endless Peruse the mounds of endless

papers that make up the policypapers that make up the policy

Does the plan include or Does the plan include or exclude payable benefits for…exclude payable benefits for…

Contraceptive medications, Contraceptive medications, devices or appliancesdevices or appliances

Treatment of infertility – IVF or Treatment of infertility – IVF or artificial inseminationartificial insemination

Elective sterilizationElective sterilization Elective abortionsElective abortions

Or, does the plan include or Or, does the plan include or exclude payable benefits for…exclude payable benefits for…

Natural Family PlanningNatural Family Planning FertilityCare ServicesFertilityCare Services NaProTechnologyNaProTechnology

Covered PlansCovered Plans

Archdiocese of St. Louis, Archdiocese of St. Louis, St. Louis, St. Louis, MissouriMissouri

Diocese of Lincoln, Diocese of Lincoln, Lincoln, NebraskaLincoln, Nebraska St. John Mercy Medical Center, St. John Mercy Medical Center,

St. Louis, MissouriSt. Louis, Missouri St. Francis Medical Center, St. Francis Medical Center, Peoria, Peoria,

Illinois Illinois St Elizabeth Regional Medical St Elizabeth Regional Medical

Center,Center, Lincoln, Nebraska Lincoln, Nebraska

Challenge Powers at Be to Challenge Powers at Be to Adhere to Catholic Church Adhere to Catholic Church TeachingsTeachings

Request expenses Request expenses eligibleeligible for for reimbursement:reimbursement:

FertilityCare ServicesFertilityCare Services Natural Family PlanningNatural Family Planning

Request expenses Request expenses not eligiblenot eligible for reimbursement:for reimbursement: Anything that conflicts with Anything that conflicts with

Catholic Beliefs and PracticesCatholic Beliefs and Practices

Offer the Following:Offer the Following:

Letter to (Arch) Diocesan BishopLetter to (Arch) Diocesan Bishop Introduce CrMSIntroduce CrMS Illustrate system effectivenessIllustrate system effectiveness

Provide copy of Journal of Reproductive Provide copy of Journal of Reproductive Medicine article - June1998, Vol. 43, no. 6, Medicine article - June1998, Vol. 43, no. 6, pp. 495-502.pp. 495-502.

Explain Benefits of the CrMSExplain Benefits of the CrMS Provide booklet – Provide booklet – Benefits of the CrMSBenefits of the CrMS

Describe NaProTechnology Describe NaProTechnology Provide Provide Agents of ChangeAgents of Change article article Offer copy of Offer copy of Women HealedWomen Healed

Presentation PacketPresentation Packet

Sample letter to BishopSample letter to Bishop Exerts from Exerts from Ethical and Ethical and

Religious DirectivesReligious Directives from from USCCBUSCCB

Effectiveness Study of CrMSEffectiveness Study of CrMS Agents of ChangeAgents of Change article article Benefits of theBenefits of the CREIGHTON CREIGHTON

MODELMODEL FertilityFertilityCareCare™

SystemSystem

American Academy of FertilityCare ProfessionalsAmerican Academy of FertilityCare Professionals