SOUTHEASTERN REGIONAL MEDICAL CENTER PATIENT FINANCIAL SERVICES
|
|
- Noreen Powell
- 6 years ago
- Views:
Transcription
1 SOUTHEASTERN REGIONAL MEDICAL CENTER PATIENT FINANCIAL SERVICES TITLE OF PROCEDURE: ORGANIZATION CHARITY POLICY PURPOSE: To establish a policy to provide relief for medical expenses incurred by patients and families of patients who do not have the financial resources to pay for their medical care. PROCEDURE: 1. The Patient Financial Services will be responsible for adhering to this procedure during the normal course of daily work activities. 2. The Director of PFS or designee will be responsible for communicating with the staff any and all changes made to this policy. 3. Southeastern Regional Medical Center will offer Financial Assistance adjustments to families who meet the Charity Care Guidelines (see attached) as approved by the Board of Directors. 4. Family size and the Income Poverty Guidelines, published annually by the Department of Health and Human Services, will be used as Financial Assistance Guidelines by Southeastern Regional Medical Center to determine eligibility. 5. Applications for Financial Assistance should be complete and accurate and include verifiable proof of household income and/or assets (i.e. W-2 forms, tax returns, payroll check stubs, statements from employers, deeds, tax records, etc). 6. The household will be designated as any person living in the same residence for the purpose of shelter, Regardless of relationship status. 7. All other avenues to obtain financial assistance (Medicaid and third party payments) must be exhausted prior to receiving SRMC Financial Assistance consideration. 8. Financial Assistance adjustments will only apply to the remaining balance after all insurance and third party payments have been applied. 9. Financial Assistance applications may be accepted and considered for inpatient and outpatient services only, elective and cosmetic services will not be considered. CHARITY CARE 2009 PP (2).doc 1
2 10. The following sliding scale will be used in determining the eligibility of an applicant for Financial Assistance: FINANCIAL ASSISTANCE ADJUSTMENT CHART FOR INCOMES OVER 100% of Federal Poverty Guidelines ACTUAL % PATIENT LIABILITY OF POVERTY % OF CHARGES % 0% % 5% % 10% % 15% % 20% 11. Patients are expected to pay the remaining balance on their account that would not be eligible for Financial Assistance adjustment(s). Patients who fail to pay their remaining balance will become delinquent and be subject to normal collection procedures. The patient responsibility portion must be remitted before the Financial Assistance deduction will be posted to the patient s account. 12. Any applicant that has been denied either partially or fully may provide additional information and have their application reconsidered. 13. Once an applicant has been approved for Financial Assistance, all accounts held by the patient within the past three (3) years may be included in the charity care determination. 14. Any patient, approved for a Financial Assistance adjustment, who requires future services, will be re-evaluated for eligibility at the time services are rendered. 15. Financial Assistance applications and documentation will be kept on file for ninety (90) days after Financial Assistance adjustment approval. 16. The applicant s home site (including house and one (1) acre of land) may be exempt from inclusion of assets. Any additional real and personal property may be used in the evaluation to determine the adjustment. 17. The patient s assets and unusual expenses, and the dollar amount of any additional medical bills, will also be taken into consideration. 18. The balance of all liquid assets will also be factored in when determining the amount of the Financial Assistance adjustment. It is the responsibility of the applicant to provide adequate documentation of such liquid assets to include checking account(s), savings account(s), stocks, bonds, I.R.A., etc. 19. Southeastern Regional Medical Center reserves the right to reverse any and all adjustments for uncompensated services provided by the Financial Assistance Policy if the information provided on the application is CHARITY CARE 2009 PP (2).doc 2
3 determined to be falsified or if proof that the applicant has received compensation for services from another source is obtained. 20. Any applicant who is denied Medicaid due to personal asset limits ($ per household) will be denied indigent. 21. The amount of the patient account(s) may be considered in relation to all other criteria outlined above, when eligibility relates to patient meeting criteria at the time of service is rendered. The history of service and the need for future services may be considered. Patients with catastrophic hospitalization charges, including verifiable debts with other medical providers and above average net worth, may be considered for Charity Care adjustments. (Amended 07/15/10) If the patient s liability exceeds 50% of the prior year s annual family income and/or assets, the following guidelines will be used for catastrophic charity care determination. Income Payment Required Up to $50K 15% of Annual Gross Income $50K to $75K 20% of Annual Gross Income $75K to $100K 25% of Annual Gross Income Over $100K 30% of Annual Gross Income 22. If there is no income a notarized statement will be required from the person who pays the household bills or helps the applicant financially. A UIB is required for all applicants receiving unemployment. 23. Medicare accounts are under special requirements regarding Charity Care applications and adjustments. A Medicare account cannot be written off to bad debt prior to one hundred twenty (120) days from bill date. Income documentation, verifying medically indigent status and compliance with the stated Charity Care Guidelines in this policy, must be obtained and made a part of the Charity Care documentation package if the account is to be written off prior to one hundred twenty (120) days from bill date. 24. Southeastern Regional Medical Center reserves the right to reverse any and all uncompensated services provided by the Charity Care Policy if the information provided on the application is determined to be falsified or if proof that the applicant has received compensation for services from another source is obtained. 25. Southeastern Regional Medical Center reserves the right to request any and all documentation deemed necessary to support any application for Charity Care. 26. A designated employee will meet with the patient, either in office, by telephone or via U.S. Mail and review qualifications for eligibility for Charity Care Guidelines and determine the amount/percentage applicable and other SRMC debts. 27. The designated employee will prepare the Charity Care application and attach all required documentation as outlined above. 28. The employee may send a standardized letter to the patient as needed in the case where a patient is denied or only partial approval is given. 29. Complete adjustment form and submit to appropriate Manager for approval. CHARITY CARE 2009 PP (2).doc 3
4 30. Verify adjustment has been completed and file application and attached documentation for the length of time specified above.. APPROVED BY: Director Patient Financial Services C. Thomas Johnson, III Vice President, Finance Date Implemented: _03/01/06 07/12/07 _ _ _ 03/22/11 CHARITY CARE 2009 PP (2).doc 4
5
6
7
8
9
10
11
12
13
14
Policy Name: Financial Assistance and Emergency Medical Care Policy
Key Points EFFECTIVE DATE: Revision Dates: 2/14/08; 8/1/08; 10/1/08; 1/23/09; 5/5/09; 11/22/2010, 12/21/2010; 1/20/11, 5/16/11; 1/26/12; 3/13/12; 1/24/13; 2/26/13; 3/7/13; 1/22/14, 5/28/14, 6/25/14, 1/27/15,
More informationOriginal Date. Policy & Procedure Manual Written/Reviewed By: VP, Chief Financial Officer. Date: Date:
Policy: Charity Care-Financial Assistance Policy Policy & Procedure Manual Written/Reviewed By: VP, Chief Financial Officer Approved By: Norman Regional Hospital Authority Date: 5/8/2017 Date: 5/8/2017
More informationHospital-Wide Policy Manual Section Leadership Page 1 of 6
Unique Identifier: HWP12027 TITLE: Financial Assistance Policy DAY KIMBALL HEALTHCARE Page 1 of 6 RESPONSIBLE PARTY (IES): Director of Revenue Cycle Vice President and CFO FORMERLY KNOWN AS: Charity Free
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 informationSt. Cloud Regional Medical Center
St. Cloud Regional Medical Center Subject: FINANCIAL ASSISTANCE/CHARITY CARE POLICY Originally Issued original policy date Date of This Page Revision 1-1-2016 1 of 8 No. POLICY STATEMENT: In order to serve
More informationTITLE: HOSPITAL FINANCIAL ASSISTANCE POLICY
TITLE: HOSPITAL FINANCIAL ASSISTANCE POLICY X ADMINISTRATIVE CLINICAL EFFECTIVE DATE: 05/15/2017* APPROVED BY: Premier Health Board X APPROVED DATE: 4/25/2017 *Previous effective dates of 5/22/1992,1/1/2011,
More informationI. Policy: Definitions:
Page(s): 1 of 12 Subject: Financial Assistance Policy (Non-Profit Facilities) Formulated: 01/2016 Manual: Patient Financial Services Reviewed: 11/2018 CRMC Governing Board Approval Date: Last Revised:
More informationLEGACY HEALTH SYSTEM. Next Revision Date: 01/2016 LHS Board Approval: 01/2010
Title: 400.17 Financial Assistance Revision: 1.5 LEGACY HEALTH SYSTEM ADMINISTRATIVE Policy #: 400.17 Origination Date: 12/94 Last Revision Date: 01/2013 Next Revision Date: 01/2016 LHS Board Approval:
More informationVOLUSIA ENDOSCOPY AND SURGERY CENTER. SUBJECT: PATIENT FINANCIAL COUNSELING & PAYMENT PLANS Page 1 of 2 POLICY: BO-28 EFFECTIVE DATE: APPROVED BY:
SUBJECT: PATIENT FINANCIAL COUNSELING & PAYMENT PLANS Page 1 of 2 POLICY: BO-28 EFFECTIVE DATE: APPROVED BY: DATE REVIEWED: DATE REVISED: PURPOSE To describe parameters for appropriate, adequate and timely
More informationIssue Date: 11/06/2000 Revised Date: 2/18/2016. Approved By: Compliance and Audit Committee
Policy: C12 A Financial Hardship Discounts / Prohibition Against Waivers of Co pays and Deductibles (LTACH, Inpatient Rehabilitation Hospitals, and Provider Based Outpatient Clinics, excluding Baylor Joint
More informationI. Policy: Definitions:
Page(s): 1 of 13 Subject: Financial Assistance Policy (Non-Profit Facilities) Formulated: 10/2016 10/2016, Manual: Patient Financial Services Reviewed: 12/2018 Corporate Board Approval Date: Last Revised:
More informationChart 4.1: Percentage of Hospitals with Negative Total and Operating Margins,
Chart 4.1: Percentage of Hospitals with Negative Total and Operating Margins, 1995 2014 45% 40% 35% Negative Operating Margin 30% 25% 20% 15% Negative Total Margin 10% 5% 0% 95 96 97 98 99 00 01 02 03
More informationRegulatory Compliance Policy No. COMP-RCC 4.53 Title:
I. SCOPE: Regulatory Compliance Policy No. COMP-RCC 4.53 Page: 1 of 10 This policy applies to (1) Tenet Healthcare Corporation and its wholly-owned subsidiaries and affiliates (each, an Affiliate ); (2)
More informationWilkes-Barre General Hospital
Wilkes-Barre General Hospital FINANCIAL ASSISTANCE/CHARITY CARE INFORMATION POLICY STATEMENT: In order to serve the health care needs of our community, Wilkes-Barre General Hospital will provide financial
More informationJACKSON GENERAL HOSPITAL FINANCIAL ASSISTANCE POLICY AND PROCEDURE
POLICY STATEMENT Financial Assistance / Charity Care is provided by Jackson General Hospital, a nonprofit organization, providing quality healthcare services as our communities provider of choice. Eligible
More informationMERCY MEDICAL CENTER CLINTON POLICY AND PROCEDURE GUIDE. CLASSIFICATION 7 pages DIRECTOR SIGNATURE. REVIEWED BY: Lisa Rogers
MERCY MEDICAL CENTER CLINTON POLICY AND PROCEDURE GUIDE TITLE: POLICY: C - 5 May 2, 2012 April 11, 2012 February 29, 2012 February 3, 2012 November 21, 2011 October 30, 2009 June 28, 2011 January 20, 2011
More informationPOLICY FINANCIAL ASSISTANCE FOR THE UNINSURED & UNDERINSURED PURPOSE MGH&FC POLICY
PURPOSE Mason General Hospital & Family of Clinics (the District ) is committed to the provision of emergency health care services to all persons in need of medical attention regardless of ability to pay.
More informationPatient Financial Assistance Program
Patient Financial Assistance Program Mary Washington Healthcare Level: Supersedes: Hospitals Mary Washington Hospital, Stafford Hospital Patient Financial Assistance Program (corporate); Patient Financial
More informationFinancial Assistance for Uninsured Patients (Discounted Care or Charity Care)
Financial Assistance for Uninsured Patients (Discounted Care or Charity Care) Purpose To provide guidelines and procedures for the identification, documentation and application for those needing financial
More informationSCOPE: This policy adheres to the common element Scope statement presented in Finance and Revenue Cycle Policy on Policies.
PURPOSE: To define eligibility, application and approval processes for Financial Assistance. Financial Assistance is offered to uninsured, underinsured, and medically indigent patients who indicate an
More informationFinancial Assistance Program Application
Financial Assistance Program Application Guidelines: 1. The hospital uses a sliding scale for Financial Assistance Program sponsorship based on annual income for all family members, residing in the same
More informationCook Children s Northeast Hospital Financial assistance policy
Cook Children s Northeast Hospital Financial assistance policy PURPOSE To describe how Cook Children's Health Care System (CCHCS) will allocate resources for emergency and other medical care provided at
More informationDocument Type. 1. Money, wages, and salaries before any deduction, but not including food or rent in lieu of wages.
Document Title Owner Applicable Department(s) KIRBY FINANCIAL ASSISTANCE PROGRAM DIRECTOR OF PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES, PATIENT REGISTRATION Document Type POLICY Reviewed 3/14,
More informationPage(s): 1 of 13 Subject: Financial Assistance Policy (Non-Profit Facilities) Formulated: 07/2008
Page(s): 1 of 13 Subject: Financial Assistance Policy (Non-Profit Facilities) Formulated: 07/2008 Manual: Patient Financial Services Reviewed: 07/2012, 04/2013, 02/2014, 11/2014, 01/2015, 01/2016, 10/2018
More informationFINANCIAL ASSISTANCE POLICY
FINANCIAL ASSISTANCE POLICY I. PURPOSE/OBJECTIVE The mission at DeKalb Medical is to deliver high quality healthcare services that improve the health and well-being of the patients served by DeKalb Medical.
More information1, (SB1276)
Title: Charity Care, Discount Payment and Catastrophic Department: Patient Financial Services High Medical Expense Program Policy and Procedure Reviewer: Diana Guevara, Yvonne Uyeki Original Date: December
More informationUNITY HEALTH Policy/Procedure Manual
Manual Page: 1 of 14 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 informationSubject: FINANCIAL POLICY
and ER Physicians Group At also known as Page 1 of 6 STATEMENT OF PURPOSE; To ensure that (JH) and ER Physicians Group At (ERP Group) has financial stability and can meet its mission and continue to provide
More informationDEFINITIONS: a. Self-pay patients: Patients not classified as indigent but who demonstrate an inability to pay for services.
I. UHealth the University of Miami Health System has established uniform charity care provision criteria for patients treated at Anne Bates Leach Eye Hospital (Bascom Palmer Eye Institute), University
More informationFinancial Assistance Program and Collection Policy
Financial Assistance Program and Collection Policy GREAT PLAINS OF SMITH COUNTY, INC. /dba Smith County Memorial Hospital Date of Board Approval: 11-28-17 Purpose: To provide financial assistance for emergency
More informationWilliamson Medical Center Charitable Care, Prompt Payment, Uninsured/Underinsured Discount Policy
Williamson Medical Center Charitable Care, Prompt Payment, Uninsured/Underinsured Discount Policy 1. Policy: Effective January 1, 2013 Updated June 1, 2016 Williamson Medical Center is committed to provide
More informationCharity, Financial Assistance. Definitions The following definitions are applicable to all sections of this policy.
Title: Effective Date: 02/01/13 Distribution: Attachments: Formulated By: Keywords: Patient Business Services None Patient Business Services Charity, Financial Assistance I. Purpose: The purpose of the
More informationOCH REGIONAL MEDICAL CENTER FINANCIAL ASSISTANCE POLICY CHARITY CARE ALLOCATION
OCH REGIONAL MEDICAL CENTER FINANCIAL ASSISTANCE POLICY CHARITY CARE ALLOCATION POLICY: OCH Regional Medical Center will provide an annual allocation approved by the Board of Trustees from October 1 to
More informationFINANCIAL ASSISTANCE POLICYBUS - Financial Assistance Policy
STATEMENT OF POLICY: Peterson Regional Medical Center shall fulfill their charitable missions by providing health care services to all individuals in our community without regard to their ability to pay.
More informationCALVERT HEALTH SYSTEM PRINCE FREDERICK, MARYLAND 20678
CALVERT HEALTH SYSTEM PRINCE FREDERICK, MARYLAND 20678 Policy Name: Financial Assistance Policy Number: BD9 Category: Clinical Non- Clinical Review Responsibility: Director, Patient Financial Services
More informationENGLEWOOD HOSPITAL AND MEDICAL CENTER FINANCIAL ASSISTANCE POLICY. Plain Language Summary
ENGLEWOOD HOSPITAL AND MEDICAL CENTER FINANCIAL ASSISTANCE POLICY Plain Language Summary In accordance with our Financial Assistance Policy (see reference below), all uninsured patients who have not been
More informationNORTHEAST MONTANA HEALTH SERVICES, INC. d.b.a. Poplar Community Hospital and Wolf Point Hospital
NORTHEAST MONTANA HEALTH SERVICES, INC. d.b.a. Poplar Community Hospital and Wolf Point Hospital PATIENT ACCOUNTING FINANCIAL ASSISTANCE POLICY (CHARITY CARE) Policy Approval Date: September 27 th 2018
More informationSCOPE: PURPOSE: Policy: HOSPITAL-WIDE
SCOPE: HOSPITAL-WIDE PURPOSE: Consistent with its mission to provide high quality health and wellness services for the community, Uvalde Memorial Hospital is committed to providing financial assistance
More informationSan Juan Regional Medical Center Financial Assistance Policy
San Juan Regional Medical Center Financial Assistance Policy 1.0 Policy: San Juan Regional Medical Center s (SJRMC) mission is to personalize healthcare and to create enthusiasm and vitality in healing.
More informationIt is determined that a patient does not have adequate financial resources to pay for services rendered at MGH.
POLICY: As part of the mission of Monongalia General Hospital (MGH), promotion of health, relief of burdens of government, and volunteer and community services shall be implemented in a reasonable manner
More informationSCOPE: Business Office Page 1 of 11
PARK PLACE SURGICAL HOSPITAL SUBJECT: Hardship Discount Cases POLICY NUMBER: BO.102 POLICIES AND PROCEDURES DEPARTMENT: Business Office EFFECTIVE DATE: 06/03 REVISION DATE: 08/10, 06/16, ORIGIN DATE: 06/03
More informationKIT CARSON COUNTY HEALTH SERVICE DISTRICT TH Street, Burlington, CO 80807
Department: District Wide Original Date: 01/01/2013 Review Dates: Effective Date: 01/01/2013 Revision Dates: 12/23/2015 Department Approval: Administrative Approval: Board of Directors Page 1 of 8 Title:
More informationWise Health System and Wise Health Clinics, Revenue Cycle
Title: Department/Service Line: Location: Document Location ID: Financial Assistance Wise Health System and Wise Health Clinics, Revenue Cycle WHS.SYS.PCP Origination Date: 5/2017 Last Review Date: 6/2017
More informationCHARITY CARE DISCOUNT POLICY
CHARITY CARE DISCOUNT POLICY POLICY STATEMENT The Hospital shall contribute appropriate resources, advocacy and community support to promote the health status of the community, which it serves, within
More informationDAYTON CHILDREN S HOSPITAL FINANCIAL ASSISTANCE POLICY
DAYTON CHILDREN S HOSPITAL FINANCIAL ASSISTANCE POLICY POLICY: Dayton Children s Hospital s (DCH) Financial Assistance Policy is consistent with DCH s mission and values and is reflective of the organization
More informationFinancial Hardship Policy
Financial Hardship Policy 2950 South Maryland Parkway, Las Vegas, NV 89109 2767 North Tenaya Way, Las Vegas, NV 89128 4 Sunset Way, Henderson, NV 89014 2850 Siena Heights, Henderson, NV 89052 9070 West
More informationFinancial Assistance Application
Financial Assistance Application Please complete the following application to determine eligibility for the Financial Assistance Program. If you have any questions, please call a Financial Counselor. Please
More informationPolicy & Procedure. Page 1 of 5 Revision #: 4 Authorized by: SHS Board of Directors Financial Assistance
Policy & Procedure X Corporate X SLCH X GSRMC X SNLH X SAGH X SPCH Page 1 of 5 Revision #: 4 Owner: Finance Authorized by: SHS Board of Directors APPLICATION All SHS entities (includes Good Samaritan Regional
More informationAdministrative and Operational Policies and Procedures
Policy 1.10 Original Date 01/15/2013 Number: Issued: Section: Finance Date Reviewed: 04/29/2013 Title: Financial Assistance Policy Date Revised: 01/01/2014 11/01/2016 08/01/2018 Regulatory Agency: Department
More informationPATIENT FINANCIAL ASSISTANCE INSTRUCTION LETTER
PATIENT FINANCIAL ASSISTANCE INSTRUCTION LETTER Dear Patient: You may qualify for Partial or Full Financial Assistance, a program provided by York General Health Care Services. If you are unable to pay
More informationCOMMUNITY MEMORIAL HOSPITAL INC. BUSINESS OFFICE POLICIES AND PROCEDURES
Document Title: Financial Assistance Policy Created: January 2016 Revised: I. Purpose: To establish policies and procedures necessary to ensure that patients of Community Memorial Hospital, who for economic
More informationSigns are posted throughout the facility to provide education about charity/fap policies.
Page 1 of 12 I. PURPOSE UC Irvine Medical Center strives to provide quality patient care and high standards for the communities we serve. This policy demonstrates UC Irvine Medical Center s commitment
More informationMANUAL/DEPARTMENT ORIGINATION DATE DECEMBER 2015 LAST DATE OF REVIEW OR REVISION APPROVED BY
MANUAL/DEPARTMENT ADMINISTRATIVE POLICY AND PROCEDURE MANUAL ORIGINATION DATE DECEMBER 2015 LAST DATE OF REVIEW OR REVISION REVIEW: MARCH 2016 REVISION: JULY 2017, DECEMBER 2017 APPROVED BY TITLE: FINANCIAL
More informationFinancial Aid Program FSPA-03 Page 1 of 2
WENTWORTH-DOUGLASS HOSPITAL WENTWORTH-DOUGLASS PHYSICIAN CORP. Financial Aid Program FSPA-03 Page 1 of 2 Effective Date: 3-89 Last Reviewed: 08/06; 03/07; 04/08; 04/09; 09/10; 02/11; 06/12; 04/13 Function:
More informationNovant Medical Group Physicians Practices
TITLE Financial Assistance Policy NUMBER NMG-PC-CC-701 July 09 JCAHO FUNCTIONS APPLIES TO Continuum Of Care Novant Medical Group Physicians Practices I. SCOPE / PURPOSE / POLICY STATEMENT Novant Health
More informationStewardship (Finance) Procedure No. : URO EFFECTIVE DATE: (original date) PROCEDURE TITLE: Financial Assistance Policy
Stewardship (Finance) Procedure No. : URO-02-12-06 PROCEDURE TITLE: Financial Assistance Policy EFFECTIVE DATE: (original date) To be reviewed every three years by: URO Revenue Integrity Committee SPONSORING
More informationNotification of this Policy to our Patients and Community members
Title: Financial Assistance Policy Dept: Revenue Cycle Effective Date: 10/1/2018 Author: Serina Blackwell Approving Authority: Kendall Johnson Review Dates: PURPOSE: To define Financial Assistance guidelines
More informationDraft Recommendation for Adjustment to the Differential
Draft Recommendation for Adjustment to the Differential June 13, 2018 Health Services Cost Review Commission 4160 Patterson Avenue Baltimore, Maryland 21215 (410) 764-2605 FAX: (410) 358-6217 This document
More informationVan Diest Medical Center Standardized Financial Assistance Application (Page 1 of 2)
Patient Information Account # Name Social Security # Date of Birth Did you file taxes last year? Yes No Patient/Guarantor (Person responsible for bill) Information Name Social Security # Date of Birth
More informationADMINISTRATIVE POLICY COMPASSIONATE CARE
ADMINISTRATIVE POLICY COMPASSIONATE CARE I. Purpose Statement McLeod Health is committed to providing hospital-sponsored charity care (herein referred to as "Compassionate Care") to persons who have healthcare
More informationPOMERENE HOSPITAL CHARITY CARE PROGRAM REQUIREMENT LIST
POMERENE HOSPITAL CHARITY CARE PROGRAM REQUIREMENT LIST Name of Patient: Date of Service: Account Number: Dear Applicant, Enclosed please find an application for the Pomerene Hospital Charity Care program.
More informationAppendix 1 FY 2011 Community Benefit Report Filing Description of Financial Assistance Policy GBMC has designed its Financial Assistance Policy with the intention of ensuring free and/or reduced care is
More informationPHILIP HEALTH SERVICES. Financial Assistance
PHILIP HEALTH SERVICES Originating Department: Patient Financial Services Affected Departments/Employees: Patient Financial Services Financial Assistance Purpose: In accordance with our Mission, Vision,
More informationFISCAL DEPARTMENT Financial Assistance Policy POLICY NUMBER IN-25
FISCAL DEPARTMENT Financial Assistance Policy POLICY NUMBER IN-25 I POLICY: Financial Assistance Policy (referred to as FAP ) II DEFINITION: The purpose of this policy is to establish guidelines to properly
More informationLIBERTY HOSPITAL Liberty, Missouri
Page 1 of 15 GUIDELINE: New Liberty Hospital District Financial Assistance Policy DEPARTMENT: Hospital Wide EFFECTIVE DATE: July 1, 2016 REPLACES: NEW PURPOSE: Liberty Hospital is the name commonly used
More informationEffective Date: 3/2/2017. Eileen Pride
Title: Financial Assistance Originator: Patient Financial Services Approved by: Effective Date: 3/2/2017 Eileen Pride PFS POLICY AND PROCEDURE MANUAL Procedure Number: PFS.FIN.01 Review/Revision Date:
More informationTitle: Financial Assistance Policy and Procedure
0 Policy Saint Francis Hospital and Medical Center Mount Sinai Rehabilitation Hospital Johnson Memorial Hospital Saint Mary s Hospital Trinity Health Of New England P.N.O Franklin Medical Group Title:
More informationFinancial Assistance Policy
Financial Assistance Policy POLICY: Akron Children s Hospital (Children s) and its affiliates are committed to providing quality care to the patients we serve. Children s complies with the Emergency Medical
More informationFINANCIAL ASSISTANCE POLICY
FINANCIAL ASSISTANCE POLICY 1. PURPOSE UP Health System Marquette has developed this policy to outline the circumstances under which UP Health System Marquette will provide free or discounted care to uninsured
More informationInstitutional Handbook of Operating Procedures Policy
Section: Clinical Policies Subject: Financial Institutional Handbook of Operating Procedures Policy 09.08.02 Responsible Vice President: EVP and CEO Health Systems Responsible Entity: Admitting Services
More informationFinancial Assistance Sheena Olson (Managed Care Contracts Manager)
Title: Financial Assistance Owner: Sheena Olson (Managed Care Contracts Manager) Recommending Group: Patient Financial Services Oversight Group: Administrative Policy & Procedure Committee Oversight Review
More informationSummary of the Financial Reports for Hospital Corporation of America (HCA)
Summary of the Financial Reports for Hospital Corporation of America (HCA) By David Belk MD Definitions: Gross Patient Revenue is the total amount all hospitals issue in billed changes each year. Most
More informationSystem Administrative
System Administrative TITLE: Operations Financial Assistance (Charity Care) OUTCOME STATEMENT: SSM Health s Financial Assistance Policy identifies opportunities for financial assistance to patients who
More informationDear Patient or Responsible Party,
1000 Bower Hill Road Pittsburgh, PA 1 tel 1.9.000 www.stclair.org Dear Patient or Responsible Party, In an effort to provide financial assistance to members of our community, St. Clair Hospital has a Financial
More informationFinancial Assistance Policy
Financial Assistance Policy Policy Owner: Patient Accounts POLICY STATEMENT To establish a systematic process for the provision and determination of indigent and charity care services commensurate with
More informationRochester General Hospital Affiliate Policy & Procedure
Purpose and Introduction Rochester General Hospital and Rochester General Medical Group recognizes the need in our community to provide financial counsel and assistance to those patients with limited income
More informationEdward Elmhurst Health System Policy
Edward Elmhurst Health System Policy www.eehealth.org Manual: Section: Policy #: ------------------------ Reviewer: System Finance FIN_011 ------------------------------------------ AVP, Revenue Cycle
More informationBoard NGHS Board X NGMC Barrow Board THC Board NGMC Barrow Medical Staff. Health Partners Board
Title Financial Assistance, NGMC Primary Reviewer System Director, Patient Receivables Reviewer(s) VP, Revenue Cycle and Chief Financial Officer 1. Applicability- Select all Entities that are covered by
More informationFLOYD MEDICAL CENTER POLICY AND PROCEDURE MANUAL PATIENT FINANCIAL SERVICES
Page 1 of 6 FLOYD MEDICAL CENTER POLICY AND PROCEDURE MANUAL PATIENT FINANCIAL SERVICES TITLE: Financial Assistance Policy (FAP) Purpose: To set forth the eligibility criteria and process relating to Floyd
More informationFLOYD MEDICAL CENTER POLICY AND PROCEDURE MANUAL PATIENT FINANCIAL SERVICES
Page 1 of 6 FLOYD MEDICAL CENTER POLICY AND PROCEDURE MANUAL PATIENT FINANCIAL SERVICES TITLE: Financial Assistance Policy (FAP) Purpose: To set forth the eligibility criteria and process relating to Floyd
More informationThe Future of Healthcare from a Public Health System Perspective. George V. Masi President and Chief Executive Officer
The Future of Healthcare from a Public Health System Perspective George V. Masi President and Chief Executive Officer Mission: We improve our community s health by delivering high-quality healthcare to
More informationPOLICY AND PROCEDURE. Policy # GA Financial Assistance Program Policy Page 1 of 6
Policy # GA-018-055 Financial Assistance Program Policy Page 1 of 6 Manual: General Administrative Section: Patient Accounting Services Sponsor: Vice President of Finance/Treasurer Approver: Regulation/Standards:
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, 2/16, 12/16, 2/17, 7/17, 8/17 RELATED FORM(S) 1. Patient
More informationCurrent Status: Active PolicyStat ID: Original Effective: 2/1/2010 Last Reviewed Or Revised: 9/28/2016
Current Status: Active PolicyStat ID: 2752848 Original Effective: 2/1/2010 Last Reviewed Or Revised: 9/28/2016 Responsible Party: Category/Chapter: Areas/Dept: Applicability: Michael Humphrey: DIR PATIENT
More informationUnion General Hospital. An Equal Opportunity Employer
Original Date: 02/19/2013 Title: Financial Assistance Policy Department: Patient Financial Services Union General Hospital An Equal Opportunity Employer Date Reviewed: 06/03/2015 Date Revised: 01/19/2016
More informationPatient Accounting Services, Patient Financial Assistance Program
Patient Accounting Services, Patient Financial Assistance Program Author: Executive Sponsor: David P. Johnson, VP Revenue Cycle David P. Johnson, VP Revenue Cycle Date: 10/4/2015 Policy Type Entity Governance
More informationPolicy Name and Number. MCP 750.3, Charity Care. Effective Date August 8, 2017 Original Approved Date. January 13, Revised Date(s) July 5, 2017
Policy Name and Number Effective Date August 8, 2017 Original Approved Date January 13, 2015 Revised Date(s) July 5, 2017 ABSTRACT: UC San Diego Health (UCSDH) strives to provide quality patient care and
More informationTitle: Financial Assistance - Clinic Based Services
Title: Financial Assistance - Clinic Based Services Scope: This policy applies to patients who qualify for Charity Care or Financial Assistance for qualifying services received at MultiCare Clinics. The
More informationPolicy Clara Barton Hospital and Clinics will provide an application for Financial Assistance:
Manual: Business Office Title: Financial Assistance Revised 08/30/2018 Effective Date: 07/2005 Policy #: 8900.115 Policy: Financial Assistance Purpose This program is designed to assist patients, insured\uninsured\under-insured,
More informationFINANCIAL ASSISTANCE POLICY
FINANCIAL ASSISTANCE POLICY 1. PURPOSE Wilson Medical Center has developed this policy to outline the circumstances under which Wilson Medical Center will provide free or discounted care to uninsured patients
More informationFinancial Assistance Policy Wheeling Hospital, Belmont Community Hospital, & Harrison Community Hospital
Financial Assistance Policy Wheeling Hospital, Belmont Community Hospital, & Harrison Community Hospital Responsibility Financial Assistance is not considered to be a substitute for personal responsibility.
More informationCurrent Status: Active PolicyStat ID: Financial Assistance: Illinois Hospitals (AC-29) DEFINITIONS:
Current Status: Active PolicyStat ID: 2743496 Original Effective: 6/1/2009 Last Reviewed Or Revised: 9/23/2016 Responsible Party: Category/Chapter: Areas/Dept: Applicability: Michael Humphrey: DIR PATIENT
More informationFINANCIAL ASSISTANCE POLICY
FINANCIAL ASSISTANCE POLICY 1. PURPOSE Fauquier Hospital has developed this policy to outline the circumstances under which Fauquier Hospital will provide free or discounted care to uninsured and underinsured
More informationFINANCIAL ASSISTANCE POLICY
FINANCIAL ASSISTANCE POLICY 1. PURPOSE Twin County Regional Hospital has developed this policy to outline the circumstances under which Twin County Regional Hospital will provide free or discounted care
More informationCurrent Status: Active PolicyStat ID: Health Services Discounting and Charity Program COPY
Current Status: Active PolicyStat ID: 2444495 Origination: 07/2012 Last Approved: 02/2016 Last Revised: 12/2015 Next Review: 01/2019 Owner: Policy Area: References: Mindy Smith: Business Office Director
More informationHealthSource Saginaw, Inc. ADMINISTRATIVE MANUAL FINANCIAL ASSISTANCE A-090
HealthSource Saginaw, Inc. ADMINISTRATIVE MANUAL FINANCIAL ASSISTANCE A-090 POLICY: PURPOSE: PROCEDURE: Healthsource Saginaw will grant financial assistance to patients/residents who cannot pay for services
More informationPhelps County Title: A R Management Reference Word: A R Regional Initiated: 01/99 Medical Center
Page 1 of 7 Purpose: Policy: Definition: To provide guidelines for managing patient accounts to minimize the number of accounts that result in Bad Debt or Financial Assistance write offs. It is the policy
More informationINANCIAL ASSISTANCE POLICY
INANCIAL ASSISTANCE POLICY 1. PURPOSE UP Health System Portage has developed this policy to outline the circumstances under which UP Health System Portage will provide free or discounted care to uninsured
More informationEFFECTIVE DATE: January 2000 REVISED: November 2015
TITLE: Patient Financial Services SELF PAY POLICY REFERENCE MANUAL: Patient Accounts Policy/Procedure Manual RECOMMENDED BY: Director of Patient Financial Services DISTRIBUTION: Departmental APPROVED BY:
More informationCreation Date: 12/17/15 Title: Financial Assistance Program Revision History: Revenue Cycle
Renown Health Policies & Procedures Current Version Effective Date: Page 1 of 9 6/18/18 Creation Date: 12/17/15 Title: Financial Assistance Program Revision History: Type: Number: Revenue Cycle Renown.SPC.6
More information