Kev Pab Nyiaj rau tus Neeg Mob Tsab Cai Xa Nqi thiab Sau Nyiaj
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1 System Fairview Health Services (Fairview tej Kev Pab Kho Mob) Tsab Cai Kev Pab Nyiaj rau tus Neeg Mob Tsab Cai Xa Nqi thiab Sau Nyiaj Patient Financial Services Billing & Collection Policy Lub Ntsiab: Tsab cai no piav txog Fairview tus txheej txheem xa nqi thiab kev sau nyiaj ntawm tus neeg mob uas tej zaum yuav ua yog tias tsis tau them rau txoj kev kho mob uas Fairview Health Services ua, xws li tej kev sau nyiaj txawv heev. Tej lub ntsiab cai uas coj tsab cai no yog ua rau txhua tus neeg mob thiab cov saib xyuas uas lav ris (tom qab yuav hais tias cov no yog neeg mob ) zoo ib yam nrog rau kev saib taus thiab kev zoo, ua tib zoo kom txhua tus ua raws li tej txheej txheem xa nqi thiab suav nyiaj, thiab ua tib zoo siv zog txaus kom txiav txim seb tus neeg mob puas tsim nyog txais kev pab raws li Fairview Financial Assistance Policy (Tsab Cai txog Kev Pab Nyiaj Txiag, tom qab yuav hu qhov no ua FAP ). Tsab Cai: Tom qab peb cov neeg mob tau txais kev pab, Fairview Health Services muaj tsab cai kom xa nqi rau cov neeg mob thiab cov uas yuav them nqi raws li qhov yog thiab sai li sai tau. Thaum tseem ua tus txheej txheem xa nqi thiab sau nyiaj, cov uas ua hauj lwm rau Fairview cog lus tias yuav pab cov tswv cuab kom zoo thiab yuav rov qab xyuas txhua tus account uas tseem tsis tau them sai li sai tau. Cov neeg ua hauj lwm rau Fairview kuj yuav saib zoo zoo seb puas muaj dab tsi uas qhia hais tias ib tug neeg mob tej zaum tsim nyog txais kev kho mob pub dawb raws li FAP thiab peb cov neeg mob pib tus txheej txheem ntawd. Tej Lus Txhais Tej ECA Extraordinary Collection Actions (Tej Kev Sau Nyiaj Txawv Heev: Xws li tej kev sau nyiaj nram qab no: Yuav luag txhua lub sij hawm thaum muag kev tshuav nqi ntawm ib tug neeg mob rau lwm pawg. Kev qhia xov xwm tsis zoo txog ib tug neeg mob kev tiv nqi rau ib pawg tiv nqi. Teem sij hawm kom lig los sis tsis pub tej kev kho mob uas yuav tsum tau vim muaj qhov account uas tsis tau them los sis hais tias yuav tsum them ib qho account uas tseem tsis tau them ua ntej yuav muab kev kho mob uas yuav tsum tau tam sim no. Tej yam uas yuav tsum muaj tus txheej txheem lij choj los sis txiav txim: xws li ntaus nqi rau vaj tsev, khaws nyiaj ntawm qhov chaw ua hauj lwm, khaws nyiaj ntawm lub tsev ceev nyiaj los sis nres nyiaj, pib rooj plaub neeg foob neeg, thiab lwm yam kev lij choj. Txheej Txheem: I. Xa Nqi rau Neeg Mob: Yog Fairview lub hom phiaj kom xa nqi rau qhov kev tuav pov hwm tej kev qhia teeb meem raws li qhov yog thiab xa nqi sai li sai tau. Txawm cov neeg mob thiab cov uas them nqi yuav tsum qhia xov xwm thiab sib tham, Fairview yuav pab rov qab xyuas txaus kom cov neeg mob paub xov xwm txog qhov account thiab
2 kev xa nqi txaus thiab muaj cib fim them nqi thiab/los sis sau npe kom txais nyiaj pab. Yuav ua tus txheej txheem xa nqi raws li tej lus qhia no: A. Rau txhua tus neeg mob uas muaj qhov kev tuav pov hwm, Fairview yuav xa nqi mus rau tag nrho lwm tus uas them nqi (raws li tus neeg mob qhia los yog pom zoo rau) sai li sai tau. Tsuas yog tsis ua yog muaj li no xwb: 1. Qhov kev tuav pov hwm uas tsis nyob hauv lub teb chaws no - Yuav muab ib daim nqi rau tus neeg mob kom xa mus rau lawv lub koom haum tuav pov hwm. Fairview yuav tos tus neeg mob them nqi ua ntej dhau 90 hnub. Tej zaum Fairview, nyob ntawm seb Fairview puas xav ua xwb, nyias muaj nyias kev txiav txim xaiv kom xa nqi rau ib lub koom haum tuav pov hwm uas nyob lwm lub teb chaws kom pab tus neeg mob. 2. Kev lav ris thaum raug xwm txheej ntawm khoom ntiag tug uas tsis yog Medicare - Tus neeg mob los sis nws tus kws lij choj lav ris sau nyiaj ntawm lub koom haum tuav pov hwm yus khoom ntiag tug. Thaum tus neeg mob thov, tus neeg mob txais tau cov ntawv xa nqi uas yuav tsum muaj los ntawm Fairview. Tus neeg mob lav ris kev them nqi ncaj qha rau Fairview txawm yog tus neeg mob yuav txais nyiaj los ntawm tej qhov chaw sab nraud. B. Raws li Fairview txoj kev pom zoo Attorney General Collection Standards Agreement (tej Kev Cai Sau Nyiaj uas Pom Zoo rau tus Kws Lij Choj Ua), txhua tus neeg mob nyob hauv Minnesota uas tsis muaj qhov kev tuav pov hwm uas txais kev pab kho mob uas yuav tsum tau nyob hauv lub tsev kho mob yuav txais ib qho kev txo nqi rau cov uas tsis muaj qhov kev tuav pov hwm. Kev txo nqi rau cov uas tsis muaj qhov kev tuav pov hwm los yuav loj npaum li qhov kev txo nqi uas peb muab rau lub koom haum uas tsis yog tseem fwv loj tshaj plaws thiab tshuav nqi npaum li cas los yuav xa nqi rau tus neeg mob sai li sai tau nrog rau ib daim uas qhia tias txhua nqi yog dab tsi uas yog ib feem ntawm Fairview tus txheej txheem xa nqi raws li ib txwm ua. Txhua tus neeg mob thov kom tau ib daim uas qhia tias txhua tus nqi yog dab tsi rau lawv qhov account thaum twg los tau. C. Yog tias tsis pom zoo rau ib txoj kev qhia teeb meem (los yog tsis tau ua) los ntawm ib tug uas them nqi vim Fairview ua yuam kev, Fairview yuav tsis xa nqi rau tus neeg mob tshaj qhov uas tus neeg mob yuav tsum them yog tias tus uas them nqi tau them nqi ntawm qhov kev qhia teeb meem. D. Yog tias tsis pom zoo rau ib txoj kev qhia teeb meem (los yog tsis tau khiav) los ntawm ib tug uas them nqi uas Fairview tswj tsis tau, Fairview yuav rov qab xyuas nrog tus uas them nqi thiab tus neeg mob tham raws li yuav tsum ua kom khiav tau kev kho txoj kev qhia teeb meem. Yog tias tsis kho qhov kev qhia teeb meem tom qab uas tau ua hauj lwm kom rov qab xyuas, tej zaum Fairview yuav xa nqi rau tus neeg mob los sis ua lwm yam raws li Fairview tej kev cai ua uas zoo tshaj plaws tam sim no. E. Txhua tus neeg mob uas tau xa nqi rau yuav muaj cib fim hu rau Fairview txog kev pab nyiaj txiag los sis sib tham txog kev teem sij hawm them nqi rau lawv cov account thaum twg los tau thaum ua tus txheej txheem xa nqi. II. Kev Sau Nyiaj ntawm tus Neeg Mob thiab Kev Sau Nyiaj ntawm tej lub Koom Haum: A. Yuav xa ntawv los sis xa rau qhov chaw nyob ntawm txhua tus neeg mob kom sau nyiaj ntawm qhov account uas yus them yus tus kheej tsawg kawg nkaus yog peb zaug: tiam sis, tsis tas
3 xa ntawv ntxiv tom qab ib tug neeg mob xa ib daim ntawv thov txais kev pab nyiaj txiag raws li FAP los sis tau them tag nrho lawm. 60 tawm hnub twb dhau lawm txij thaum tau xa ntawv zaum thib ib thiab zaum kawg ntawm peb zaug uas yuav tsum xa. Tus neeg mob yuav tsum muab ib qho chaw xa ntawv raug thaum nws txais kev pab los sis thaum tsiv tsev. Yog tias ib qho account tsis muaj qhov chaw nyob uas raug, cov neeg ua hauj lwm yuav sim seb puas muaj lwm tus txheej txheem nrhiav tus neeg mob. Tag nrho tej daim ntawv qhia txog account uas yus them yus tus kheej ntawm cov neeg mob yuav muaj li no, tiam sis tsis yog txhij txhua: 1. Ib zaj ntsiab lus tseeb txog cov kev pab hauv tsev kho mob uas duav. 2. Ib daim ntawv ceeb toom uas tau sau zoo uas qhia thiab ceeb toom cov neeg mob txog qhov uas muaj kev pab nyiaj txiag raws li lub tsev kho mob FAP, nrog rau tus xov tooj ntawm lub rooj tsav xwm thiab qhov chaw website uas lawv txais tau cov ntaub ntawv. B. Yog tias ib tug neeg mob xav tias nws qhov account tsis raug thiab/los sis thov kom tau ntaub ntawv txog tus nqi, Fairview yuav sau cov ntawv ntawd xa tuaj ua ntej dhau xya (7) hnub. Yog tias teb tsis tau ua ntej dhau xya (7) hnub, yuav xa ib tsab ntawv qhia tias tau txais ua ntej xya (7) hnub thiab yuav nres qhov account ntawd tau peb caug (30) hnub ua ntej rov qab pib sau nyiaj dhau hnub uas tau xa lus teb raws li Fairview tsab cai Complaint Grievance Policy (Tsab Cai Qhia Teeb Meem Tsis Txaus Siab). Cov kev cai hais txog kev teb uas tau hais tas lawm los kuj hais txog Fairview tej pawg sau nyiaj thiab cov kws lij choj sau nyiaj. C. Yuav xa cov neeg mob tej kev txhawj txog kev kho mob mus rau Patient Relations (Kev Sib Raug Zoo Nrog cov Neeg Mob) kom kho thiab teb tus neeg mob. Yuav nres (tej) qhov account raws li tsim nyog ua. D. Los ntawm kev xa nqi, xa tsab ntawv thiab kev hu xov tooj, Fairview yuav ua tej yam rov qab xyuas kom hais rau cov neeg mob thiaj kho tau cov account uas tseem tshuav nqi, tsis hais kev saib xyuas seb tus neeg mob puas tsim nyog txais kev kho mob pub dawb. Yog tias kho tsis tau tej qhov account thaum ua tus txheej txheem no, cov nqi uas tseem tshuav tej zaum yuav xa mus rau lwm pawg los sis tus kws lij choj kom sau nyiaj. III. Kev Sau Nyiaj Raug Cai thiab Extraordinary Collection Actions (Tej Kev Sau Nyiaj Txawv Heev): A. Yuav tsum ua raws li tej kev cai nyob hauv tsab cai no, Fairview Health Services tej zaum yuav tso tej qhov account uas raug kev sau nyiaj raug cai thiab siv txhua yam kev lij choj, tsis hais tej kev ECA, kom sau nyiaj rau tej kev pab kho mob uas tau muab lawm. B. Tej zaum yuav pib ua Extraordinary Collection Actions li no: 1. Tsawg tshaj yuav tos 120 hnub tom qab tau xa nqi rau tus neeg mob tom qab tawm lub tsev kho mob uas ntej yuav pib ua tej ECA thiab Fairview yuav tos 240 tom qab hnub uas xa nqi ntawd cia tus neeg mob thov txais kev kho mob pub dawb raws li FAP qhia. 2. Yog tias ib tug neeg mob tau thov txais tau kev kho mob pub dawb raws li FAP qhia ua ntej tau pib sau nyiaj raug cai, Fairview yuav txiav txim seb tus neeg mob puas tsim nyog txais ua ntej pieb ua tej ECA. Yog tias tau txiav txim tias tus neeg mob tsim
4 nyog txais tau kev kho mob pub dawb ua ntej dhau rau hlis tas los lawm, yuav siv qhov kev txiav txim ntawd tsuas yog tus neeg mob lub neej tau hloov thiaj tsim nyog rov qab txiav txim. 3. Ua ntej yuav tso tej qhov account nrog rau kev sau nyiaj raug cai, Fairview yuav ua ib txoj kev ntsuas seb puas tsim nyog txais kev kho mob pub dawb kom txiav txim seb puas tsim nyog tsum tsis txhob tso tej qhov account rau kev sau nyiaj raug cai. Rau tej qhov account uas tso rau kev sau nyiaj raug cai, Fairview yuav sau ntawv ceeb toom rau tus neeg mob hais tias yuav pib ua tej ECA. Daim ntawv ceeb toom no yuav muaj ib zaj ntsiab lus uas siv lus yooj yim piav txog FAP thiab yuav muab ua ntej dhau 30 hnub ua ntej yuav pib ua tej ECA. Ua ntej dhau 30 hnub ntawd, Fairview kuj yuav ua hauj lwm raws li ua tau kom hais lus ncaj qha rau tus neeg mob hais tias yuav pib ua tej ECA thiab ceeb toom tus neeg mob txog Fairview txoj kev pab cuam kho mob pub dawb. Ib qho piv txwv txog kev ua hauj lwm raws li ua tau kom hais lus ncaj qha yog kev hu tus neeg mob thiab kaw suab. 4. Tom qab uas tso rau kev sau nyiaj raug cai, yuav tso cai rau cov kws lij choj sau nyiaj kom ua tej ECA xws li pib kev ua plaub ntug, khaws nyiaj los ntawm chaw ua hauj lwm thiab lub tsev ceev nyiaj, thiab siv lwm txoj kev raug cai sau nyiaj; tiam sis, ua tau tsuas yog Patient Financial Services tau pom zoo xwb ua ntej pib ua plaub ntug. Tej yam lawv ua yuav tsum yog ua raws li Fairview tej Attorney General Collection Standards Agreement raws li piav nyob hauv tej daim ntawv ntawm ob pawg ntawd. 5. Yog tias ib tug neeg mob xa ntawv thov txais kev kho mob pub dawb ntseeg tias nws yuav tau txais thaum tseem khiav tej ECA, Fairview yuav ua hauj lwm zoo npaum li ua tau kom nres tej ECA thaum tseem khiav daim ntawv thov thiab txiav txim kawg. IV. Kev Pab Rau cov Tswv Cuab: Thaum tseem ua tus txheej txheem xa nqi thiab sau nyiaj, Fairview Health Services thiab cov sawv cev yuav ua tib zoo pab cov tswv cuab vim ua raws li tej lus qhia no: Fairview Health Services thiab cov sawv cev yuav ua raws li kev cai kom yeej tsis pub cov neeg ua hauj lwm hais lus los sis ua tej yam uas cem, thab, ua rau neeg tu siab, ntxias los sis coj mus yuam kev. Fairview Health Services thiab cov sawv cev yuav ua raws li tus txheej txheem teb cov neeg mob tej lus nug thiab/los sis tej teeb meem xws li tus xov tooj hu dawb uas cov neeg mob hu tau thiab ib qhov chaw ua hauj lwm uas yooj yim pom uas cov neeg mob xa ntawv rau los tau. Cov xov xwm no los yuav sau rau txhua tus neeg mob daim ntawv nqi thiab sau nyiaj uas Fairview xa. Tom qab hnov xov ntawm ib tug neeg mob (ntawm xov tooj los sis sau ntawv) Fairview Health Services thiab cov sawv cev yuav rov qab hu tuaj rau cov neeg mob sai li sai tau (tiam sis tsis dhau ib hnub ua lag luam tom qab tus neeg mob hu tuaj) thiab yuav teb kev sau ntawv ua ntej
5 dhau 10 hnub. Yog tias txiav txim tias kev hais lus los sis kev sau ntawv yog kev qhia teeb meem, Fairview Health Services thiab cov sawv cev yuav ua raws li tus txheej txheem qhia teeb meem tsis txaus siab. Fairview Health Services thiab cov sawv cev yuav muab txhua tus neeg mob txoj kev qhia tias tsis txaus siab sau cia (txawm hais lus los sis sau ntawv). V. Tau Tsab Cai No Li Cas: Cov ntawv Fairview tsab cai Billing and Collection Policy, Fairview tsab cai Financial Assistance Policy thiab peb daim ntawv thov Charity Care Application hauv lub koos pis tawj los yus nrhiav tau ntawm peb qhov website: Koj kuj hu tau rau peb Central Business Office ntawm los sis hu dawb ntawm thiab thov kom peb xa tej tsab cai rau koj los sis sib tham txog daim ntawv thov Charity Care thiab tus txheej txheem seb puas tsim nyog. Koj nqa tau cov ntawv txog peb tej tsab cai thiab daim ntawv thov Charity Care los ntawm peb hoob kas xa nqi nyob ntawm 400 Stinson Boulevard NE, Minneapolis, MN , thiab nyob hauv txhua lub tsev kho mob. Tau Fairview Range Medical Center Tsab Cai Li Cas: Cov ntawv Fairview tsab cai Billing and Collection Policy, Fairview tsab cai Financial Assistance Policy thiab peb daim ntawv thov Charity Care Application hauv lub koos pis tawj los yus nrhiav tau ntawm peb qhov website: Koj kuj hu tau rau peb Business Office ntawm los sis hu dawb ntawm thiab thov kom peb xa tej tsab cai rau koj los sis sib tham txog daim ntawv thov Charity Care thiab tus txheej txheem seb puas tsim nyog. Koj nqa tau cov ntawv txog peb tej tsab cai thiab daim ntawv thov Charity Care los ntawm peb hoob kas xa nqi nyob ntawm 750 E 34th Street, Hibbing, MN Tej lub Koom Haum uas Txais Yuav Qhov No los muaj cov nram qab no tiam sis tsis yog txhij txhua: Fairview Lakes Medical Center tau txais yuav tsab cai no. Fairview Maple Grove Ambulatory Surgery Center tau txais yuav tsab cai no. Fairview Northland Medical Center tau txais yuav tsab cai no. Fairview Range Medical Center tau txais yuav tsab cai no. Fairview Ridges Hospital tau txais yuav tsab cai no. Fairview Southdale Hospital tau txais yuav tsab cai no. University of Minnesota Medical Center tau txais yuav tsab cai no. Tus Sau Tsab Cai: Tus Coj Txheej Txheem, Keb Pab Nyiaj rau tus Neeg Mob Pom Zoo Los Ntawm:
6 Fairview Pawg Thawj Coj Hnub tim: Hnub Pib Ua: Hnub uas Muab Kho: 4/03/12; 6/27/13, 3/5/14. 3/1/15,1/1/16 Hnub Rov Xyuas: Pawg Fairview Rov Xyuas thiab Rov Qab Pom Zoo: 5/7/15 Hnub Tau Pib Tom Qab Tau Kho Dua: 4/24/14; 5/7/15, 1/1/16
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