UVA Culpeper Hospital s - Policy Number 245: Financial Assistance
|
|
- Merryl Welch
- 3 years ago
- Views:
Transcription
1 Policy Number 245: Financial Assistance Policy PURPOSE: UVA Culpeper Hospital s mission is to help people achieve and maintain optimal health by providing the best possible healthcare services. We always make the needs of our patients our top priority. Financial Assistance policies have been created to facilitate access to care based on county of residence, need and ability to pay. UVA Culpeper Hospital strives to ensure that an individual's financial capacity does not prevent them from seeking or receiving care. UVA Culpeper Hospital will provide, without discrimination, care of emergency medical conditions to individuals regardless of their eligibility for financial or government assistance. POLICY: Emergency Medical Care: UVA Culpeper Hospital will provide treatment services for all emergency medical conditions without regard to ability to pay. Payment is due after the service is rendered and UVA Culpeper Hospital will assist the patient in applying for uncompensated care (charity) and any other funding sources that may be available for which they may qualify. Pre-screening for charity care eligibility may be conducted at pre-admission or point-of-service for all private-pay accounts that cannot meet the deposit requirements. Eligibility Criteria: All patients of UVA Culpeper Hospital receiving inpatient or outpatient services, including freestanding facilities operating under the UVA Culpeper Hospital license, are eligible to apply for financial assistance. This policy does not cover elective services. Patients are expected to cooperate with UVA Culpeper Hospital s procedures for obtaining charity or other forms of payment or financial assistance, and to contribute to the cost of their care based on their individual ability to pay. Individuals with the financial capacity to purchase health insurance shall be encouraged to do so, as a means of assuring access to health care services, for their overall personal health, and for the protection of their individual assets. In order to manage its resources responsibly and to allow UVA Culpeper Hospital to provide the appropriate level of assistance to the greatest number of persons in need, UVA Culpeper Hospital provides charity and/or free care for patients whose annual household income falls at or below two hundred (200 percent) of the poverty level, as defined by the Federal Poverty Guidelines, and have no other sources of payment. Reduced fee services are provided to
2 self-pay patients (having no other insurance) whose resources and income are under 200 percent. Refer to supplemental table for current year rates. UVA Culpeper Hospital Guidelines for Medically Indigent Patients Annual Income Ranges for Fical Year 2016 July 1, 2015 to June 30, 2016 Payscale 1 Payscale 2 Payscale 3 Payscale 4 Payscale 5 Payscale 7 NO.OF 0% CO-PAY 5% CO-PAY 20% CO-PAY 45% CO-PAY 70% CO-PAY 100% CO-PAY DEPENDENTS RANGE RANGE RANGE RANGE RANGE RANGE OVER OVER OVER OVER OVER OVER OVER OVER FOR EACH ADDITIONAL DEPENDENT IN THE 0%, 5%, 20%, 45%, AND 70% COPAY RANGES ADD: 4,160 4,576 5,547 6,933 8,320 THE "MEDICALLY INDIGENT" PATIENT MAY BE RESPONSIBLE FOR A PORTION OF THE CHARGES RELATED TO THE SERVICES RENDERED BASED ON HIS INCOME AND AMOUNT DUE WITH THE FOLLOWING PERCENTAGES AND AMOUNTS: TOWARD BASIC OR ROUTINE MEDICAL EXPENSES 0% 5% 20% 45% 70% 100% THE MEDICALLY INDIGENT PATIENT WILL BE RESPONSIBLE FOR A CO-PAYMENT AMOUNT WHICH IS THE LESSER OF THE BELOW CO-PAYMENT AMOUNT, OR THE AMOUNT REMAINING AFTER APPLICATION OF THEIR RESPECTIVE ADJUSTMENT PERCENTAGE MAXIMUM CO-PAYMENTS DUE FROM MEDICALLY INDIGENT PATIENTS: 2,589 3,139 3,923 4,708 Patients who have no insurance coverage will automatically receive a 20 percent discount at the time of service. This discount is granted prior to any payment arrangements and/or financial assistance you may be qualified to receive. Uninsured patients who pay their account in full within 30 days of the date listed on the initial statement will qualify for an additional 15 percent discount. Financial counselors will make every effort to personally visit uninsured patients upon their admission to determine Federal / State financial assistance. Additional outreach will be made by written and telephone communication to outpatients whose balance meet the minimum threshold. In addition, financial counseling services will be available to all patients Monday through Friday from 8 a.m. to 5 p.m. Financial counseling staff will assist patients and prospective patients in determining whether they qualify for financial assistance from the hospital or from outside sources. Financial counselors are fully trained in hospital financial policies. Periodic audits will be conducted to ensure financial counselors and other authorized hospital management and staff are appropriately administering discounts consistent with this policy.
3 Contract Accounts Patients who cannot afford to pay the entire balance upon receipt of a bill may establish an interest free monthly payment plan. The patient must pay five percent (5%) of the total balance (the balance of all outstanding accounts combined) or twenty-five dollars ($25), whichever is greater. In circumstances where the patient is unable to pay, the Revenue Cycle Director will have the authority to reduce the patient s monthly payment to four percent (4%) of the total account(s) balance. In no circumstances should monthly payment amounts be less than four percent (4%) of the total balance unless approved by the Chief Financial Officer. No interest will be charged the patient, provided the patient continues to meet the minimum monthly payment requirements. If monthly payments are not made consistent with this policy, the account will age consistent with hospital bad debt policy. Method by Which Patients may apply for Financial Assistance 1. Financial need will be determined in accordance with procedures that involve an individual assessment of financial need; and may - Include an application process, in which the patient or the patient s guarantor are required to cooperate and supply personal, financial and other information and documentation relevant to making a determination of financial need; - Include the use of external publically available data sources that provide information on a patient s or a patient s guarantor s ability to pay (such as credit scoring); - Include reasonable efforts by UVA Culpeper Hospital to explore appropriate alternative sources of payment and coverage from public and private payment programs, and to assist patients to apply for such programs; - Take into account the patient s available assets, and all other financial resources available to the patient; and - Include a review of the patient s outstanding accounts receivable for prior services rendered and the patient s payment history. 2. It is preferred but not required that a request for charity and a determination of financial need occur prior to rendering of non-emergent medically necessary services. However, the determination may be done at any point in the collection cycle. The need for financial assistance shall be re-evaluated at each subsequent time of service if the last financial evaluation was completed more than a year prior, or at any time additional information relevant to the eligibility of the patient for charity becomes known. Income Verification Requirements In order to determine a patient s eligibility for charity care and/or the self-pay discount, UVA Culpeper Hospital will need to verify household income for the applicant. Charity care and discounts will not be
4 applied until all applicable income documentation is received from the patient based upon forms required by the hospital. The following information may be required; 1. Most recent pay stub from employer (within one month from date of request) for all members of the household who are employed 2. W-2 or copy of Federal tax filing from most recent tax year for all members of the household 3. Valid phone numbers for all employers for all members of household who are employed 4. Child support documentation 5. Unemployment benefits verification for all members of household who are unemployed 6. Passive income from trust funds, real estate holdings and other income producing assets. To the extent non-reported income is discovered by the Hospital or later disclosed by the patient, previously applied discounts may be revoked by the Hospital. The main criteria used in determining applicable discount levels will be annual household income as of the date services were rendered. However, real estate holdings, trusts and other passive income will also be considered in determining eligibility for discounts. To the extent income levels reported by patients are not consistent with Federal tax filings, employers for all household members will be contacted. Additional information may be required on a case-by-case basis. Collection Practices: UVA Culpeper Hospital management shall develop policies and procedures for internal and external collection practices (including actions the hospital may take in the event of non-payment, including collections action and reporting to credit agencies) that take into account the extent to which the patient qualifies for charity care or discounted care; a patient s good faith efforts to apply for governmental assistance programs or financial assistance from UVA Culpeper Hospital, and a patient s good faith effort to comply with his or her payment agreements with UVA Culpeper Hospital. UVA Culpeper Hospital will not impose extraordinary collections actions such as lawsuits, wage garnishments, arrests, body attachments, liens on residences or other similar legal actions against any patient without first making reasonable efforts to determine whether that patient is eligible for financial assistance under this financial assistance policy. Reasonable efforts include notifications by the hospital of this financial assistance policy upon admission and in written and oral communications with the patient regarding the patient s bill, including invoices and telephone calls before collection action or reporting to credit agencies is initiated. Bad Debt Once an account has been processed through the routine collection channels internally, it may be assigned to an attorney or collection agency for collection. Although the age will vary somewhat from
5 account to account due to the various elements contained in the patient billing file, the average period of time for in-house follow-up is not less than one-hundred twenty (120) days. In accordance with State and Federal Law, UVA Culpeper Hospital reserves the right to bill the customer for interest, late fees, finance fees and collection costs as they apply. Collection Agency Requirements All contracted collection agencies will receive a copy of the hospital s financial assistance policy and will be expected to follow the same guiding principles as the hospital s policy. All collection agencies will be expected to treat UVA Culpeper Hospital patients with courtesy, dignity and respect. UVA Culpeper Hospital management will approve all routine collection agency correspondence (form letters and telephone scripts) utilized by collection agencies to collect debts from hospital patients. Once an account has been sent to the agency and remains unpaid for a 90-day period after initial transfer, the account will be reported to the Credit Bureau. Accessibility of Financial Assistance Policy: UVA Culpeper Hospital will widely publicize this policy within the community served by the hospital. The hospital will notify all patients of this policy upon admission to the hospital. Signs will be posted strategically throughout the hospital (including all outpatient, ancillary and emergency department registration booths), which indicate the availability of financial counseling. Notifications regarding this policy and summary information shall be provided in both English and Spanish, the primary languages spoken by the population serviced by UVA Culpeper Hospital. The policy is published on the hospital s web site: Patients can also visit the UVA Culpeper Hospital Financial Counselor office or call or Confidentiality The staff of UVA Culpeper Hospital will always treat all customers with respect and dignity. All records and information, including knowledge of a debt, will be held in strictest confidence.
Original Date. Policy #: OP9100-435 Implemented: 2/1/10 Policy & Procedure Manual Effective Date: 10/1/14 Supersedes Policy Dated: 2/1/10.
Policy: Charity Care-Financial Assistance Policy Original Date Policy #: Implemented: 2/1/10 Policy & Procedure Manual Effective Date: 10/1/14 Supersedes Policy Dated: 2/1/10 Written/Reviewed By: Date:
More informationII. Definitions: For the purpose of this policy, the terms below are defined as follows:
COMMUNITY MEMORIAL HOSPITAL DISTRICT POLICY & PROCEDURE TITLE: Charity Care 832.100.2 SCOPE: Revenue Cycle DEPARTMENT: Revenue Cycle REPLACES: 832.100, 832.100.1 DATE OF ORIGINAL POLICY: March 23, 2009
More informationMillcreek Community Hospital Erie, Pennsylvania. Hospital Policy
Erie, Pennsylvania Hospital Policy CATEGORY: Finance Hospital Policy No. 402 Effective Date: 11/2013 APPROVAL: Supersedes: 4/30/2009 Mary L. Eckert, President/CEO SUBJECT: CHARITY CARE PURPOSE: Millcreek
More informationBUSINESS OFFICE POLICIES Original: December 2009. Policy Name: Charity Care
Bennett County HOSPITAL and NURSING HOME Serving the Bennett County Community s Healthcare Needs PO Box 70-D Martin, South Dakota 57551 Telephone (605) 685-6622 Fax (605) 685-6915 Policy Name: Charity
More informationAdministrative Hospital-wide Policy and Procedure
Policy: Policy Number: Administrative Hospital-wide Policy and Procedure Charity Care and Financial Assistance Joseph S. Gordy, CEO Flagler Hospital Originator: Coordinating Departments: Signature: Chief
More informationFINANCIAL ASSISTANCE / UNINSURED DISCOUNT POLICY
Tuality Healthcare Corporate Operational Policy O-91 TITLE: FINANCIAL ASSISTANCE / UNINSURED DISCOUNT POLICY POLICY OBJECTIVE To ensure that Tuality Healthcare meets its community obligations to provide
More informationFinancial Assistance Program 100-18
GWINNETT HOSPITAL SYSTEM ADMINISTRATION Financial Assistance Program 100-18 Original Date Review Dates Revision Dates 04/1987 01/2004; 03/2007 03/1989; 09/1989; 06/1994; 04/1998; 04/2001; 01/2004, 03/2007;
More informationWillis-Knighton Health System. Financial Assistance Policy and Procedures
Willis-Knighton Health System Financial Assistance Policy and Procedures 1. Policy Willis-Knighton Health System is committed to providing financial assistance to persons who have healthcare needs and
More informationPatient Finance Services Policy
Patient Finance Services Policy CONEMAUGH HEALTH SYSTEM FINANCIAL ASSISTANCE POLICY I. PURPOSE Conemaugh Health System is a community of persons committed to being a transforming, healing presence in the
More informationThe Joint Commission Page 1 of 6
The Joint Commission Page 1 of 6 PURPOSE The Regional Medical Center recognizes that as part of its mission, there will be instances where care is provided to individuals that do not have healthcare insurance,
More informationPatient Care Financial Assistance
Friends Healing Friends FALLON MEDICAL PO Box 820 202 South 4 th Street West Baker, MT 59313-0820 (406) 778-3331 FAX (406) 778-2488 I. Policy Statement: Patient Care Financial Assistance It is the policy
More informationEL CAMINO HOSPITAL ADMINISTRATIVE POLICIES AND PROCEDURES
EL CAMINO HOSPITAL ADMINISTRATIVE POLICIES AND PROCEDURES 35.00 CHARITY CARE POLICY A. Coverage This policy applies to patients who have healthcare needs and are uninsured, ineligible for a government
More informationHENDRICKS REGIONAL HEALTH PATIENT FINANCIAL SERVICES POLICY
HENDRICKS REGIONAL HEALTH PATIENT FINANCIAL SERVICES POLICY TITLE: FOR: PURPOSE: POLICY: FINANCIAL ASSISTANCE FOR UNINSURED AND EMERGENCY CARE Patient Financial Services To ensure that as a charitable,
More informationGOV-11 Hospital Credit and Collection
GOV-11 Hospital Credit and Collection Key Points University Hospitals (UH) is a charitable organization that provides care to patients regardless of their ability to pay; all patients are treated with
More informationPolicy: Charity Care Application Policy # 4.70 Department: Patient Access Policy Manual: USMD Hospital Revenue Cycle Manual Effective date:
Approved by: Page: 1 SCOPE: This policy applies to USMD Hospitals. PURPOSE: USMD Hospitals will provide charity care to patients who incur a significant financial burden as a result of receiving medically
More informationCHARITY CARE. See Below to view the full policy;
CHARITY CARE If you do not have health insurance or you are unable to pay for your services, here at Eagleville, you may qualify for Medical Assistance, Medicare or our Charity Care Program. Charity Care
More informationPurpose Statement Outlines purpose of and guidelines for receiving charity care or financial assistance at Valley Children s Hospital.
Policy/Procedure Number AD-3004 Policy/Procedure Name Charity Care Financial Assistance Type of Policy/Procedure Administration Date Approved 12/14 Date Due for Review 12/17 Policy/Procedure Description
More informationUSC NORRIS CANCER HOSPITAL KECK HOSPITAL OF USC OPERATING POLICIES
MANUAL: Patient Access POLICY #: Financial Assistance and Discount Policy PERSONNEL COVERED: AUTHORIZED APPROVAL: PAGE: 1 OF 10 PURPOSE To strive to be the trusted leader in quality health care that is
More informationFinancial Assistance for Insured Patients with High Deductibles, Co-pays or Limited Coverage
Financial Assistance for Insured Patients with High Deductibles, Co-pays or Limited Coverage Purpose To provide guidelines and procedures for the identification, documentation and application for insured
More informationRAPIDES REGIONAL MEDICAL CENTER POLICY: DISCOUNT CHARITY POLICY POLICY #25 PAGES 1-8
PAGE 1 of 10 RAPIDES REGIONAL MEDICAL CENTER POLICY: DISCOUNT CHARITY POLICY POLICY #25 PAGES 1-8 FOR PATIENTS Department Affected: Hospital-Wide Effective: 01/14 Reviewed by: Policy & Procedure Committee
More informationARIA HEALTH SYSTEMS ADMINISTRATIVE POLICY
ARIA HEALTH SYSTEMS ADMINISTRATIVE POLICY SUBJECT: Charity Care and Financial Assistance DATE: January 2011 Purpose Consistent with its Mission and Values, Aria Health considers each individual s ability
More informationSUBJECT: CHARITY AND UNCOMPENSATED CARE 1 of 13 DEPARTMENT: BUSINESS OFFICE REVISED: 10/2012
REFERENCE # SUBJECT: CHARITY AND UNCOMPENSATED CARE 1 of 13 DEPARTMENT: BUSINESS OFFICE REVISED: 10/2012 CHARITY AND UNCOMPENSATED CARE Purpose To provide definition of health care assistance to eligible
More informationCarolinas HealthCare System Hospital Coverage Assistance and Financial Assistance Policy
Carolinas HealthCare System Hospital Coverage Assistance and Financial Assistance Policy Created: 10/1/2013 Approved Version: 5/11/2015 Revised: 5/7/2015 Objective The Hospital Coverage Assistance and
More informationPORTER HOSPITAL, INC.
PORTER HOSPITAL, INC. Subject: Financial Assistance Policy 2014 Department: Patient Financial Services Porter Hospital and Porter (Physician) Practice Management Original Effective: January 2012 Last Revised:
More informationResidency Status Not Required Residency status is not a consideration for eligibility in WFH s Community Care Program.
POLICY & PROCEDURE Subject: Patient Financial Assistance/Community Care Program Classification: Policy Owner: Illinois Regional CFO Approved Sr. VP, CFO Approved By: Regional CEO Effective: January 1,
More informationYou may disregard any bills sent by the hospital until a written decision is made.
Dear Patient and/or Responsible Party: Pursuant to Article II(a) of the Bylaws of South Nassau Communities Hospital, the Hospital provides care without regard to source of payment. To this end, the Hospital
More informationUninsured Patient Charity Care
Uninsured Patient Charity Care wwgh.com/financial-services Facility: Walla Walla General Hospital System-Wide Corporate Policy Standard Policy Page: 5 Total Department: Patient Financial Services Category/Section:
More informationFinancial Assistance Policy for Healthcare Services
Policy Title: Financial Assistance Policy for Healthcare Services Policy ID: 179 Keywords patient financial assistance, charity care I. Purpose of Policy To establish a policy for the administration of
More informationHartford Healthcare Financial Assistance Policy. Update Date: 12/16/2010
Hartford Healthcare Financial Assistance Policy Update Date: 12/16/2010 Purpose: The purpose of this Policy is to set forth the policy of Hartford Healthcare Corporation (sometimes referred to as the System
More informationPATIENT ACCOUNTING DEPARTMENT CHARITY CARE POLICY
PATIENT ACCOUNTING DEPARTMENT CHARITY CARE POLICY SCOPE: As part of our commitment to the health care needs of our community BMH has instituted this program designed to provide financial assistance to
More informationEISENHOWER MEDICAL CENTER Financial Assistance Program Full Charity Care and Discount Partial Charity Care Policies
EISENHOWER MEDICAL CENTER Financial Assistance Program Full Charity Care and Discount Partial Charity Care Policies PURPOSE Eisenhower Medical Center (EMC) serves all persons within Rancho Mirage and the
More informationADVENTIST MIDWEST HEALTH REGIONAL POLICY PROFILE Category Patient Financial Services
Page 1 of 8 This Charity Care Policy describes the charity care practices of the following Adventist Midwest Health entities: Adventist Bolingbrook Hospital, Adventist Hinsdale Hospital, Adventist GlenOaks
More informationMANUAL: TCH POLICY NO: GA303-01 SECTION: General and Administrative PROC. NO: GA303-01 TITLE: FINANCIAL ASSISTANCE/
TEXAS CHILDREN S HOSPITAL POLICY & PROCEDURE MANUAL: TCH POLICY NO: GA303-01 SECTION: General and Administrative PROC. NO: GA303-01 TITLE: FINANCIAL ASSISTANCE/ ORIG. DATE: 01/05/89 CHARITY CARE POLICY
More informationDocument Owner: Mary Ellen George Date Created: 08/27/2014 Approver(s): George, Mary Ellen Date Approved: 09/09/2014
POLICY STATEMENT Approximately forty-five million Americans lack basic health care coverage. In addition to the large number of uninsured, the number of underinsured has increased over the last decade.
More informationCHATUGE REGIONAL HOSPITAL AND NURSING HOME POLICY AND PROCEDURE FINANCIAL ASSISTANCE POLICY PURPOSE:
CHATUGE REGIONAL HOSPITAL AND NURSING HOME POLICY AND PROCEDURE FINANCIAL ASSISTANCE POLICY PURPOSE: It shall be the policy of Chatuge Regional Hospital, Inc. to establish a standard to determine the financial
More informationKERN MEDICAL CENTER. Department: Collections. Policy No. COL-IM-407
KERN MEDICAL CENTER Standard Structure Department: Collections Policy No. Effective Date: Review Date: Page COL-IM-407 March 2013 March 2016 1 of 18 Title of Procedure: Financial Screening Process I. PURPOSE:
More information1.1 Applicable Entities: This policy applies to Texas Health Rockwall. 1.2 Applicable Departments: This policy applies to all departments.
Policy Name: Charity Care Program Owner : President, VP Revenue Cycle Effective Date: 6/19/13 Approved By: Texas Health Rockwall Board of Trustees Last Reviewed Date: 10/16/2013 ; 2/4/14 Page 1 of 11 1.0
More informationPhoenix Children's Hospital
Revenue Cycle Revenue Cycle Financial Assistance Effective Date: December 2003 Updated 06/07,02/08,5/09,9/10,12/10,4/13,1/14,2/15,12/15 RELATED FORM(S) 1. Patient Financial Evaluation 2. Financial Assistance
More informationPolicy. Category: REVENUE CYCLE Effective Date: See footer. Description. Financial Assistance Policy. Policy
Owner: Executive Director, Revenue Cycle Title: PURPOSE: This policy outlines Hoag Memorial Hospital Presbyterian s operational guidelines on the Financial Assistance Program (FAP) in relation to the patient
More informationTo establish reasonable, interest-free payment mechanisms based on the patient s ability to make payments.
POLICY & PROCEDURE SCOPE St. John Medical Center (SJMC), in fulfillment of its mission and values, will serve those with limited or no capacity to pay for medical services with respect, compassion and
More informationBILLING AND COLLECTIONS POLICY
1st Effective 10-23-2015 BILLING AND COLLECTIONS POLICY Potomac Valley Hospital, Inc. is a not-for profit hospital committed to providing emergency and medically necessary, high quality healthcare services
More informationEAST TEXAS MEDICAL CENTER REGIONAL HEALTHCARE SYSTEM CHARITY CARE & UNINSURED PATIENT POLICY
EAST TEXAS MEDICAL CENTER REGIONAL HEALTHCARE SYSTEM CHARITY CARE & UNINSURED PATIENT POLICY I. POLICY By virtue of their exemption from federal and state taxes and as a part of their mission to serve
More informationPURPOSE: SCOPE: DEFINITIONS:
PURPOSE: To establish procedures regarding collection of patient accounts including external collection agencies and potential legal actions balancing the need for financial stewardship with needs of individual
More informationadministration All references to Policies must go to the BHSF Master Copy on the BHSF Intranet; do not rely on other versions / copies of the Policy.
Administrative Departmental POLICY TITLE: Charity Care SUMMARY & PURPOSE: To set forth guidance for providing charity care to patients, including guidance on communicating the availability of the program
More informationHackensack University Medical Center Administrative Policy Manual. Effective Date: January 2016 Page 1 of 11
Policy #: 1845 Hackensack University Medical Center Administrative Policy Manual Effective Date: January 2016 Page 1 of 11 Purpose: To identify the governing rules for the collection of all fees associated
More informationPOLICY ON Billing and Collections for Sutter Health Hospitals
Effective Date: 12/1/1998 Final Approved Date: 3/1/2007 Revised Date: 10/26/15 Next Review Date: 10/26/18 Owner: Patrick McDermott, Vice President Revenue Cycle Policy Area: Finance References: Patient
More informationCHARITY CARE AND PARTIAL CHARITY CARE Thomas Jefferson University Hospitals, Inc. Business Services, Compliance, General Counsel
Policy No: 106.14 Original Issue Date: 12/30/1998 Review Date: 04/01/2014 Revision Date: 04/01/2014 HOSPITAL POLICIES & PROCEDURES Category: Title: Applicability: Contributors/Contributing Departments:
More informationAdministration 1. Charity Care Policy. March 2014
Administration 1 Charity Care Policy Chapter: Administration Release Date: March 2014 POLICY It is the policy of InterMedical Hospital of SC, Inc. (the "IMH") to provide care to all patients regardless
More informationCharity Care Policy Page 1 of 6 Patient Business Services (PBS) Version: 3
Charity Care Policy Page 1 of 6 Revised: 02/09/2011 Original Creation Date:07/2008 Next Review Date: 02/09/2013 Printed copies are for reference only. Please refer to the electronic copy for the latest
More informationALBERT EINSTEIN HEALTHCARE NETWORK POLICY AND PROCEDURE MANUAL. Page 1 of 1. Subject: Charity Care
Page 1 of 1 PURPOSE: Albert Einstein Healthcare Network ( AEHN ) is a system of not-for-profit healthcare institutions that provides inpatient, outpatient, and emergency services whose mission includes
More informationEffective: October 1, 1991 Revised: October 31, 2012
Revenue Cycle Management Policy and Procedure Policy Number: D-10-08 Subject: Financial Assistance and Charity Care Policy Page: 1 Of: 6 Effective: October 1, 1991 Revised: October 31, 2012 Approved by:
More informationORIGINATION DATE: 11/01/86 TOMAH, WI 54660 PAGE: 1 of 6
POLICY AND GUIDELINES DIVISION: Business Management TOMAH MEMORIAL HOSPITAL, INC. ORIGINATION DATE: 11/01/86 TOMAH, WI 54660 PAGE: 1 of 6 Approved By: Author Administrative Team Leader Board of Directors
More informationCHARITY CARE and FINANCIAL AID GUIDELINES for PENNSYLVANIA HOSPITALS
CHARITY CARE and FINANCIAL AID GUIDELINES for PENNSYLVANIA HOSPITALS JUNE 2012 0 Background Pennsylvania hospitals and health systems have a long history of addressing charity care and financial aid responsibilities
More informationGranville Health System
Approved by: Granville Health System FINANCIAL POLICY Effective Date: Revised Date(s): FINANCIAL POLICY - DRAFT 09-16-2014 Granville Health System is a not-for profit hospital committed to providing quality
More informationAdministrative Policy and Procedure Manual. Financial Assistance Effective Date: 08/22/2013 Scope: Organizationwide Page 1 of 14.
Scope: Organizationwide Page 1 of 14 Table of Contents I. Purpose II. Policy Statements III. Definitions A. Amounts Generally Billed B. Application Period C. Completion Deadline D. Extraordinary Collection
More informationWilliamson Medical Center Charitable Care, Prompt Payment, Uninsured/Underinsured Discount Policy
Williamson Medical Center Charitable Care, Prompt Payment, Uninsured/Underinsured Discount Policy Effective January 1, 2013 1. Policy: Williamson Medical Center is committed to provide high quality patient
More informationEFFECTIVE DATE: 6/01/2015 LAST REVISED DATE: 06/01/2015
TITLE: Financial Assistance/Charity Care SEARCH WORD: Charity; Indigent; Assistance DEPARTMENT: Patient Access Services, Business Office, Accounting, Administration, Mission Services VP APPROVAL: Marty
More informationPolicy: Financial Assistance Policy
Policy: Financial Assistance Policy Division: Corporate Finance Original Date: August 2003 Department: Corporate Finance Review/Revision Effective Date: Category: Compliance Adopted September 2015 By:
More informationPOLICY AND PROCEDURE POLICY NUMBER: CHS-RMC-03 POLICY LEVEL: CHS
Payment and Healthcare Assistance Policy RESPONSIBLE DEPARTMENT: Finance PREPARED BY: Scott Kitchen Director Clinical and Business Intelligence POLICY NUMBER: CHS-RMC-03 POLICY LEVEL: CHS APPROVED BY:
More informationHAM POLICY: APPROVAL:
POLICY: APPROVAL: BILLING AND COLLECTION PRACTICES CHAIRMAN OF THE BOARD; PRESIDENT & CEO; VICE PRESIDENT OF FINANCE EFFECTIVE DATE: 2/1/2016 CURRENT REVIEW/ REVISION DATE: 12/15 SUPERSEDES: 4/92, 12/92,
More informationDepartment: Finance Effective Date: 04-01-1999 Dates Reviewed: 6-18-2015 Dates Revised: 6/18/2015
Financial Assistance Policy Manual Policy Title: Charity Care Department: Finance Effective Date: 04-01-1999 Dates Reviewed: 6-18-2015 Dates Revised: 6/18/2015 CHARITY CARE POLICY: Buchanan County Health
More informationCHAPTER 17 CREDIT AND COLLECTION
CHAPTER 17 CREDIT AND COLLECTION 17101. Credit and Collection Section 17102. Purpose 17103. Policy 17104. Procedures NOTE: Rule making authority cited for the formulation of regulations for the Credit
More informationApproved By: President/CEO June 2014 Signature Title Date
Department 02 Financial Services Cost Center 907 Patient Billing Policy 07 Charity or Discounted Care Submitted By: Thomas Garvey, Senior Vice President, Chief Financial Officer Approved By: President/CEO
More informationTo provide collection guidelines which are consistent with the St. Luke s mission and values.
DEPARTMENT: ADMINISTRATION NUMBER: C-32 Management Policy And Procedure EFFECTIVE DATE: 1/16 SUBJECT: Business Services Billing and Collections Policy SUPERSEDES: 6/14 PURPOSE: To provide collection guidelines
More informationScripps Health Financial Assistance Policy
Patient Accounts, Financial Assistance, including Charity Care, Hospital Services Purpose Scripps Health strives to provide superior health services in a caring environment and to make a positive, measurable
More informationI. POLICY: II. PURPOSE:
DEPARTMENT: Patient Financial Services SUBJECT: Financial Assistance POLICY: 8212-013 SCOPE: All Departments EFFECTIVE DATE: 03/21/2013 APPROVED: 03/21/2013 I. POLICY: In recognizing the medical needs
More informationFinancial Assistance: Defined as assistance available to persons who are 400% or below the Federal Poverty Level.
Financial Assistance CARONDELET HEALTH NETWORK POLICY & PROCEDURE I. POLICY STATEMENT In accordance with Ascension Health Policies 9 and 16, it is the policy of Carondelet Health Network (CHN), as a non-profit,
More informationCHARITY CARE AND FINANCIAL AID GUIDELINES FOR PENNSYLVANIA HOSPITALS
CHARITY CARE AND FINANCIAL AID GUIDELINES FOR PENNSYLVANIA HOSPITALS JULY 2004 Hospitals and the Uninsured: Statement of the Issue Pennsylvania hospitals and health systems have a long history of addressing
More informationUniversity Healthcare Administrative Policy
Page 1 of 6 APPROVED BY: Signatures on File FINANCIAL POLICY (UH) is a not-for profit teaching hospital committed to providing quality health care services. In order to provide necessary medical services
More informationApplications must be completed in full to be eligible, please read carefully.
Call Vicki or Terra NRMC Business Office 406-873-2251 NORTHERN ROCKIES MEDICAL CENTER COMMUNITY CARE FINANCIAL ASSISTANCE PROGRAM Applications must be completed in full to be eligible, please read carefully.
More informationAltru Health System Collection Policy
Altru Health System Collection Policy PHILOSOPHY Altru Health System (AHS) is committed to improving the health of our patients and the health of the region it serves. In support of our social mission,
More informationBAYSTATE MEDICAL CENTER BAYSTATE FRANKLIN MEDICAL CENTER BAYSTATE MARY LANE HOSPITAL FINANCIAL ASSISTANCE AND PATIENT CREDIT AND COLLECTION POLICY
BAYSTATE MEDICAL CENTER BAYSTATE FRANKLIN MEDICAL CENTER BAYSTATE MARY LANE HOSPITAL FINANCIAL ASSISTANCE AND PATIENT CREDIT AND COLLECTION POLICY TABLE OF CONTENTS I. PATIENT COMMITMENT... 3 II. SUMMARY
More informationUNIVERSITY OF ILLINOIS HOSPITAL MANAGEMENT POLICY AND PROCEDURE. Objective
APPROVAL DATE: December 18, 2013 EFFECTIVE DATE: January 1, 2014 UNIVERSITY OF ILLINOIS HOSPITAL MANAGEMENT POLICY AND PROCEDURE SUBJECT: Hospital Financial Assistance for Uninsured Patients PAGE: Page
More informationWHITE COUNTY MEDICAL CENTER
Page: 1 of 15 PURPOSE: To assist patients who are uninsured or underinsured to qualify for a level of financial assistance, in accordance with their ability to pay. Financial assistance may be provided
More informationBusiness Office BO:14 10f8 06/13. Section: Policy No: Page: Effective: Revision: POLICY AND PROCEDURE MANUAL HENDRICKS COMMUNITY HOSPITAL ASSOCIA non
HENDRICKS COMMUNITY HOSPITAL ASSOCIA non 10f8 06/13 I. INTRODUCTION 1.1 Hendricks Community Hospital Association is committed to providing healthcare services to all persons in need, without regard to
More informationDIMENSIONS HEALTHCARE SYSTEM AUGUST 7, 2013 DHS POLICY No. 210-01 Page 1 of 8 FINANCIAL ASSISTANCE PROGRAM
Page 1 of 8 FINANCIAL ASSISTANCE PROGRAM PURPOSE: To identify circumstances when Dimensions Healthcare System (DHS) may provide care without charge or at a discount commensurate with the ability to pay,
More informationMONROE CLINIC AND HOSPITAL, INC. BILLING AND COLLECTIONS POLICY TOPICS: EMERGENCY CARE, COMMUNITY CARE, AND FINANCIAL ASSISTANCE POLICY
EFFECTIVE DATE: January 1, 2016 MONROE CLINIC AND HOSPITAL, INC. BILLING AND COLLECTIONS POLICY TOPICS: EMERGENCY CARE, COMMUNITY CARE, AND FINANCIAL ASSISTANCE POLICY I. SCOPE This policy shall apply
More informationPOLICY ON FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS, INCLUDING CHARITY CARE
Sutter Health and Mills-Peninsula Health Services Administrative Policies and Procedures POLICY ON FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS, INCLUDING CHARITY CARE Finance Policy Number: 14-294 Supersedes
More informationHospital Policy Manual. Billing and Collection Policy
Page 1 of 5 Hospital Policy Manual Subject: Billing and Collection Policy Originator: Director, Revenue Cycle Approved By: Vice President/CFO Policy Coordinator: Vicki Salyer Scope: ALL CHA Effective:
More informationFinancial Assistance Evaluation and Eligibility
NorthShore University HealthSystem Area Affected Organization Wide Administrative Directives Manual Financial Assistance Evaluation and Eligibility 1. POLICY: Patients who are potentially eligible for
More informationDANA-FARBER CANCER INSTITUTE PATIENT CARE AND ADMINISTRATIVE POLICY MANUAL PATIENT FINANCIAL ASSISTANCE POLICY
DANA-FARBER CANCER INSTITUTE PATIENT CARE AND ADMINISTRATIVE POLICY MANUAL 1. Purpose PATIENT FINANCIAL ASSISTANCE POLICY This policy establishes Dana-Farber Cancer Institute s (DFCI s) commitment to a
More informationFinancial Assistance Policy
Subject: Financial Assistance Policy Issuing Department: Finance/Revenue Cycle Services File Under: Section - Original Date: 12/16/2010 Subject Matter Consultation: Legal Services Latest Revision Date:
More informationHOSPITAL CHARITY CARE: THE CURRENT STATE OF ILLINOIS LAW
HOSPITAL CHARITY CARE: THE CURRENT STATE OF ILLINOIS LAW Caroline Chapman January 2013 2 How do uninsured individuals currently pay for and access care? Self-pay CCHS County Care Free/Low Cost Care at
More informationPOLICY. Title: Financial Assistance (Charity Care/Uncompensated Care) Approver: Kootenai Health Board Date: 09/29/2014
Title: Financial Assistance (Charity Care/Uncompensated Care) Approver: Kootenai Health Board Date: 09/29/2014 Kootenai Health is committed to excellence in providing high quality health care services
More informationFinancial Assistance and Charity Care Policy CURAE HEALTH, INC. Scope, Parties, and Purpose
Financial Assistance and Charity Care Policy CURAE HEALTH, INC. This Financial Assistance and Charity Care Policy (this Policy ) has been adopted by the Board of Directors of Curae Health, Inc., and it
More informationFinancial Assistance Program For the Uninsured & Underinsured
Our Call to Action Together we promise: Healthcare that works. Healthcare that is safe. Healthcare that leaves no one behind. Version Date: 05/18/2011 Table of Contents Mission Statement, Our Call to Action
More informationCalifornia Health and Safety Code. Chapter 2.5 of Division 107
California Health and Safety Code Chapter 2.5 of Division 107 AB 1503 (Chapter 445, Statutes of 2010) amended Hospital Fair Pricing Policies established by AB 774 (Statutes of 2006) and added Emergency
More informationRecommendations Regarding Hospital-Based Medical Debt and Collections
Recommendations Regarding Hospital-Based Medical Debt and Collections Champaign County Health Care Consumers 44 East Main Street, Suite #208 Champaign, IL 61820 Phone= (217) 352-6533 Email= cchcc@prairienet.org
More informationFinancial Assistance. System Version #: 4. Patient Financial Assistance Policy. PeaceHealth Operations
Financial Assistance Effective Date: 01/01/2014 System Version #: 4 Document #: SYS.19.3 Patient Financial Assistance Policy Next Review: 11/30/2016 Page #: 1 of 9 SCOPE: PeaceHealth Operations PURPOSE:
More informationFinancial Assistance Policy
REVENUE CYCLE MANAGEMENT Financial Assistance Policy Target Group: The Cleveland Clinic Foundation, its family health centers and its hospital affiliates in the Cleveland Clinic health system, collectively,
More informationVail Valley Medical Center & VVMC-Diversified Services Guideline
Vail Valley Medical Center & VVMC-Diversified Services Guideline Title: Status: Financial Assistance Guideline Final Effective: 10/01/2012 Replaced: 8241.09, PFS100 Financial Assistance Program/Charity
More informationSigns in both English and Spanish are posted in the operational areas indicated below:
THE UNIVERSITY OF CONNECTICUT HEALTH CENTER JOHN DEMPSEY HOSPITAL, UMG/UCHP ADMINISTRATIVE MANUAL SECTION: FINANCIAL MANAGEMENT NUMBER: 04-005 SUBJECT: CHARITY CARE PAGE: 1 0F 3 PURPOSE: To provide a policy
More informationNew. INHS will make best efforts to obtain cost reimbursement for any portion of uncollectible bad debt attributable to Medicare beneficiaries.
Subject: Collection Policy & Assignment Department: Revenue Cycle Executive Sponsor: Helen Andrus, CFO Approved by: INHS Leadership Policy Number: INHS-PFS-001 New Date: 12/01/2015 Revised Reviewed Policy
More informationBarton Memorial Hospital Financial Assistance Program
Barton Memorial Hospital Financial Assistance Program Barton Memorial Hospital's Charity Care and Discount Policy, also known as the Barton Memorial Hospital Financial Assistance Program, shall provide
More informationACA International www.acainternational.org October 2004. Demystifying the Healthcare Collection Process
ACA International www.acainternational.org October 2004 Demystifying the Healthcare Collection Process The following information is provided as a supplement to the ACA International White Paper titled,
More informationStanly Regional Medical Center. Billing and Collections Policy
Stanly Regional Medical Center Billing and Collections Policy Policy ID: SRMC*.PFSMAN.7130.101 Objective Created: 08/30/2013 Last Revised: 06/05/2015 Reviewed: 07/20/2015 Carolinas HealthCare System Stanly
More informationCurrent Status: Active PolicyStat ID: 2011742. Collection Policy
Current Status: Active PolicyStat ID: 2011742 Effective: 08/2005 Approved: 12/2015 Last Revised: 12/2015 Expires: 12/2018 Author: Manager of Revenue Cycle Policy Area: Patient Financial Services References:
More informationTHE UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS NO.: LD 3.07 Chicago, Illinois DATE: July 2016 PAGE: 1 of 17
THE NO.: LD 3.07 PAGE: 1 of 17 NO.: LD 3.07 APPROVAL DATE: June 15, 2016 EFFECTIVE DATE: July 1, 2016 SUBJECT: Financial Assistance Policy for Illinois Uninsured Patients PURPOSE The purpose of this policy
More informationhealthcare services, provided that a member, in good standing, of SJMH s medical staff determines the need for such medical care treatment.
St. James Mercy Hospital Policy Section: General Information Policy Name: Charity Care/Financial Assistance Developed by: Dave Capone Date: 2/1/07 Page 1 of 13 PURPOSE St. James Mercy Health (SJMH) is
More informationEffective Date: 7/10/2015. Title: Financial Assistance Policy. Document Owner: Jonathan Binder Approver(s):Professional Advisory Group
Title: Financial Assistance Policy Document Owner: Jonathan Binder Approver(s):Professional Advisory Group Effective Date: 7/10/2015 I. Policy: It is the policy of HomeCare Maryland (HCM) to adhere to
More information