Sponsored By: Strategies to Ensure Compliance with IRS-501(r) and Its Impact on Patient Responsibility Workflows
|
|
- Violet Beasley
- 5 years ago
- Views:
Transcription
1 Sponsored By: Strategies to Ensure Compliance with IRS-501(r) and Its Impact on Patient Responsibility Workflows Steve Warner, VP, Patient Responsibility, Adreima
2 Steve Warner, VP, Patient Responsibility Steve Warner is the VP of Patient Responsibility for Adreima, with responsibility for selected Early Out/Extended Business Office Clients and oversees all of Adreima s Bad Debt Services operations. Steve also serves as compliance manager for the Patient Responsibility service line and provides healthcare and account resolution compliance guidance both internally and for Adreima clients. Steve has worked with numerous clients on ensuring compliance with healthcare and account resolution/collections regulations on both a federal and state level. Prior to joining the Adreima, Steve helped to build a revenue cycle firm focusing exclusively on serving emergency medicine physicians. Steve holds a MBA from the University of Chicago and a B.S. in Finance from Northern Illinois University. Steve is a member of the HFMA and ACA International. 2
3 Agenda Regulatory Changes Impact of Changes 3
4 What is IRS Rule 501(r)? Language in ACA as a placeholder Final rule from the IRS with input from the CFPB Compliance affects the tax status of a hospital 501c hospitals are tax exempt (non-profit) Effective date varies based on: First tax (fiscal) year beginning after 12/29/15 4
5 Requirements for Tax Exempt Hospitals Financial Assistance Policy (FAP) Board approval Average Generally Billed (AGB) Two methods for calculating Extraordinary Collection Actions (ECA) What must happen prior to ECA? 5
6 Four Components of Rule (r)3: Community Health Needs Assessment (CHNA) (r)4: Financial Assistance Policy (FAP) (r)5: Limits on charges (AGB) (r)6: Reasonable effort to collect prior to Extraordinary Collection Actions (ECA) Note: when all are met = Tax Exempt hospital 6
7 Recommendations for Hospitals Form a 501(r) compliance team Develop timeline including Board approval and legal analysis or consultant support Conduct GAP analysis Develop tools and procedures to continually monitor Research state laws Evaluate reimbursement considerations 7
8 Elements to Financial Assistance Policy Eligibility Criteria Actions for Nonpayment Adoption by Board List all Providers Delivering Emergent/Medically Necessary Care Financial Assistance Policy Methodology for Limited Charges Policy for Emergency Medical Care Sources used to make FAP Determination 8
9 FAP Must Be Widely Publicized Rules do not list measures of wide publication But hospitals must do them. Billing statement must include a conspicuous written notice of the FAP and contact information Plain language summary must be offered as part of intake or discharge process Need for translation into multiple languages used within the community 9
10 Additional Documents Emergency Medical Service Policy If not included in the FAP: Billing and Collections Policy including Bad Debt determination Plain Language Summary 10
11 Plain Language Summary Must be offered during intake and/or discharge process Must be offered in translation when 5% (or 1,000 persons, whichever is less) of patient population uses a different language Must include contact information including hospital s website, physical locations, department name and phone numbers 11
12 Plain Language Summary (cont.) Must describe the basics how to apply Must include the time frames for application * Up to 240 days from the first post discharge billing statement. All required elements must be contained Hospitals may add additional information; e.g., a statement regarding patient s responsibility to pay 12
13 501(r)5 Limitation on Charges Hospitals must limit charges to the AGB for FAP eligible individuals Final regulations this limitation applies only to Emergency Medically Necessary care Emergency Medically Necessary care should be defined in: Emergency Services policy FAP 13
14 Limitation on Charges Average Generally Billed AGB Two Methodologies: LookBack or Prospective - May change method at anytime (must update FAP to include change prior to implementation of the change) - Different facilities in same system may use different methodology - Individual is considered charged after all discounts, deductions, payments, etc. have been applied 14
15 LookBack Methodology Can base AGB on one of these: Medicare FFS Medicare FFS + All Private Insurance Medicaid Medicaid in combination with Medicare and Private Insurance 15
16 Calculating AGB under LookBack Methodology IRS clarified, under the Look Back Methodology, the hospital must use the full amount of all claims that have been allowed (rather than paid) to ensure inclusive of amounts allowed by plans as well as amounts due from patients Additional clarification, the 12 months of allowed claims; NOT 12 months based on date of service. Must exclude those claims still outstanding May choose to include claims allowed for all medical care as opposed to just emergency and medically necessary care 16
17 Limitations Average Generally Billed AGB Recommendation: start with the Look back Methodology Conservative, defensible, and can be changed Less likely to draw scrutiny 17
18 Prospective Methodology Determine AGB, but do not include what was allowed forward-looking evaluation Use same billing and coding process Medicare FFS Medicaid Or both 18
19 Safe Harbor For certain charges in Excess of AGB If charge was not discounted or requested as a pre-condition of providing medically necessary care to FAP eligible person If complete FAP application has not been submitted or determination made. If FAP application is submitted later, individual is made eligible, and any excess collected is refunded unless amount is <$
20 501(r)6 Billing & Collections Must make Reasonable Efforts Must make FAP determination Must understand Extraordinary Collection Actions (ECAs) 1. Selling patient debt 2. Reporting debt to credit bureau(s) 3. Requiring payment prior to delivery of care 4. Legal actions (liens, garnishments, etc) 20
21 Reasonable Efforts Presumptive FAP Determination must be explained in the FAP Not required to offer most generous discount Must notify individual regarding basis for determination and way to apply for more Defined by the provider in the FAP Must give reasonable time to apply Must accept completed application within the period and determine eligibility 21
22 Reasonable Efforts Must refrain from engaging ECAs for a minimum of 120 days from first post discharge billing statement Must assist individuals, submitting incomplete applications, with instructions and reasonable opportunity to appropriately complete When aggregating multiple episodes of care, must wait 120 days from first post discharge billing for the most recent episode of care 22
23 Reasonable Efforts Obtaining a signed waiver from patient does not constitute reasonable effort Agreements with third parties must be legally binding regarding no ECAs to be initiated until reasonable efforts have been made Documents may be provided electronically to patients who request electronic communications 23
24 Application Period Begins on the date of service Ends on the 240 th day following first post discharge billing statement Some exceptions for incomplete applications, or presumptive determinations 24
25 Complete FAP Applications On receipt of a complete FAP application within the 240 day period from date of discharge Hospital must suspend all ECAs Make a determination on the FAP application if qualified provide new (adjusted) statement If paid refund excess up to $5.00 Take all efforts to reverse ECA May postpone FAP determination until after Medicaid eligibility is determined 25
26 Impact on Billing Cycle Workflows Impact on accounts once they have moved into the billing cycle: Timing: Ensure patients have been informed of the availability of the Financial Assistance Plan ( FAP ) Through multiple communication channels Extraordinary Collection Activities may not be taken during the first 120 days of the account s billing cycle Identify the ECAs give a deadline no earlier than 30 days after the notice is given 26
27 Impact on Billing Cycle Workflows Patient responsibility billing cycle impacts FAP information must be offered to the patient at least once during the intake / discharge process Inform patient of the availability of the FAP during any interactions the first 120 days Patient statements must inform patients that a FAP is available and how to learn more about the FAP Recommend that the patient receive a minimum of three statements during the first 120 days of the billing cycle 27
28 Extraordinary Collection Activities Placing liens on individual s real property Garnishing an individual s wages Taking any type of legal action to recover amounts due Reporting to credit agencies that the individual s accounts are delinquent Selling debt 28
29 Extraordinary Collection Activities (ECA) Patient responsibility billing cycle impacts Extraordinary Collection Activities The regulation prohibits the utilization of Extraordinary Collection Activities (ECAs) during the first 120 days from the date of first statement Extraordinary Collection Activities may be used during day 121 to day 240 from the date of first statement; However if the patient is determined to be FAP eligible the ECAs must be suspended / reversed We do not believe the regulation prohibits the timing of when accounts may be placed into collections (bad debt) 29
30 When to Commence ECAs After at least 120 days from the date of the patient's first post-discharge billing statement After the facility can demonstrate it has made reasonable efforts to determine whether an individual is eligible for assistance under the hospital s FAP Patient must be informed at least 30 days prior to any ECA being taken that ECA may be commenced Recommend language be included on written statement informing patient of ECA potential 30
31 When to Commence ECAs We recommend waiting until the 240 days from the first post-discharge statement and the FAP application period has ended Although ECAs may be commenced during day , the regulation specifies that the actions be suspended and any adverse impact to the patient be reversed 31
32 ECAs Credit Reporting Risk For ECAs such as credit reporting or initiation of legal action, disputes likely to arise over the impact to the patient Credit reporting, which is governed by the Fair Credit Reporting Act, allows for unlimited damages if an individual who was credit reported was inaccurately reported Until the regulation provides more specificity and/or the legal system provides clarity around how to reverse the impact of ECAs, we recommend ECAs should not be initiated until Day
33 Last Words If Billing and Collection policies are separate from the FAP, these must be approved by the appropriate governing authority (Board) Review billing statements to ensure FAP language is in place Review agreements with vendors/collection agencies Review P&Ps related to Bad Debt accounts Review ECAs 33
NewYork-Presbyterian/Lawrence Hospital Hospital Policies and Procedures Manual Number: Page 1 of 6
Page 1 of 6 TITLE: COLLECTION POLICY POLICY AND PURPOSE: The purpose of the Collection Policy (Policy) is to promote patient access to quality health care while minimizing bad debt at NewYork-Presbyterian/Lawrence
Requirements for Tax-Exempt Hospital Billing and Collection Practices Under the ACA
Requirements for Tax-Exempt Hospital Billing and Collection Practices Under the ACA Member Briefing, October 2016 Sponsored by the Tax and Finance Practice Group. Co-sponsored by the Academic Medical Centers
FINAL SECTION 501(r) REGULATIONS FOR CHARITABLE HOSPITALS
January 22, 2015 FINAL SECTION 501(r) REGULATIONS FOR CHARITABLE HOSPITALS AT A GLANCE The Issue On Dec. 29 the Internal Contact Revenue NAME, Service TITLE, (IRS) at and (202) the 626-XXXX Department
Methodist Billing and Collection Policy
Methodist Billing and Collection Policy Community United Methodist Hospital Inc., a Kentucky nonprofit, faith-based, and tax-exempt healthcare system, operates Methodist Hospital, Methodist Hospital Union
25th Annual Health Sciences Tax Conference
25th Annual Health Sciences Tax Conference Section 501(r) highlights and challenges: Consumer protection meets tax regulation December 7, 2015 Disclaimer EY refers to the global organization, and may refer
Tax News & Views Health Care Edition Final regulations under Section 501(r) for charitable hospital organizations
Special Edition Bulletin Final under Section 501(r) for charitable hospital organizations Overview On December 31, 2014, final (T.D. 9708) were released to provide guidance regarding the requirements for
Stewardship Policy No. 16
Page 1 of 16 REVIEW BY: 12/07/19 POLICY It is the policy of Catholic Health Initiatives (CHI), and each of its tax-exempt Direct Affiliates, 1 and tax-exempt Subsidiaries 2 that Operates a Hospital Facility
(4) FAP. RU Still. Compliant? By: Shawn Gretz. 501 r (5) AGB (6) ECA
501. RU Still (4) FAP Compliant? By: Shawn Gretz 501 r (6) ECA (5) AGB Who Me? I am not a lawyer, nor do I play one on TV, and I did not stay at a Holiday Inn last night. People seeking legal advice should
OASIS HOSPITAL GOVERNANCE POLICY AND PROCEDURE
OASIS HOSPITAL GOVERNANCE POLICY AND PROCEDURE FROM: SUBJECT: OASIS Hospital Board of Directors Financial Assistance Policy - Arizona EFFECTIVE DATE: REVISED: 7/16 REVIEWED WITH NO CHANGES: 7/16 ORIGINAL
501(r) 4, 5, 6 Pick Up the Sticks
501(r) 4, 5, 6 Pick Up the Sticks Shawn Gretz VP of Sales for Americollect and AmeriEBO I am not a lawyer, nor do I play one on TV, and I did not stay at a Holiday Inn last night. People seeking legal
Number RH-BP-AD25:00 15 Category Business Practices (BP) Effective Date
Subject Billing & Collections Policy Attachments Yes No Key words Admissions, Credit, Collection, Charity, Self Insured, Underinsured, Uninsured Number RH-BP-AD25:00 15 Category Business Practices (BP)
SUBJECT: Emerson Hospital Financial Assistance Policy (FAP) APPROVALS: Emerson Hospital Board of Directors. ORIGINATION DATE: September 27, 2016
SUBJECT: Emerson Hospital Financial Assistance Policy (FAP) APPROVALS: Emerson Hospital Board of Directors ORIGINATION DATE: September 27, 2016 REVIEW / REVISION DATE: September 27, 2016 POLICY Emerson
Financial Assistance for EMHS Hospital Services Policy (FAP)
DEFINITIONS Financial Assistance for EMHS Hospital Services Policy (FAP) Amount Generally Billed (AGB): The Amount Generally Billed for emergency or other Medically Necessary Care to individuals who have
The following definitions apply to such eligibility criteria:
PURPOSE The purpose of this policy is to define the charitable mission of Upland Hills Health Inc. (the "Hospital"), providing financially disadvantaged and other qualified patients with an avenue to apply
2016 Experian Information Solutions, Inc. All rights reserved. Experian and the marks used herein are service marks or registered trademarks of
2016 Experian Information Solutions, Inc. All rights reserved. Experian and the marks used herein are service marks or registered trademarks of Experian Information Solutions, Inc. Other product and company
DIGNITY HEALTH GOVERNANCE POLICY AND PROCEDURE
DIGNITY HEALTH GOVERNANCE POLICY AND PROCEDURE Dignity Health 9.101 FROM: Dignity Health Board of Directors SUBJECT: EFFECTIVE DATE: January 1, 2017 REVISED: January 1, 2016; (60.4.006) January 17, 2012
Genesis Health System Board Policy. Section: Board Policy Reviewed/Revised: 02/02/17
Genesis Health System Board Policy i Subject: Financial Assistance Effective Date: 02/15/17 Section: Board Policy Reviewed/Revised: 02/02/17 Responsibility: Genesis Health System Board of Directors Revenue
ADMINISTRATIVE/OPERATIONS POLICY FINANCIAL ASSISTANCE POLICY
ADMINISTRATIVE/OPERATIONS POLICY FINANCIAL ASSISTANCE POLICY Effective Date: January 1, 2017 Approval: CHRISTUS St. Vincent Regional Medical Center Board of Directors Policy Initiated by: Finance Department
ADMINISTRATIVE/OPERATIONS POLICY FINANCIAL ASSISTANCE POLICY
Effective Date: July 1, 2016 Approval: CHRISTUS Health President Policy Initiated by: Revenue Cycle Application: System Wide ADMINISTRATIVE/OPERATIONS POLICY FINANCIAL ASSISTANCE POLICY SCOPE: The provisions
DEPARTMENT POLICY FRANCISCAN CARE SERVICES ST FRANCIS MEMORIAL HOSPITAL, DINKLAGE MEDICAL CLINIC AND ASSOCIATED CLINICS WEST POINT, NEBRASKA
DEPARTMENT POLICY FRANCISCAN CARE SERVICES ST FRANCIS MEMORIAL HOSPITAL, DINKLAGE MEDICAL CLINIC AND ASSOCIATED CLINICS WEST POINT, NEBRASKA DATE ISSUED 01/01//16 POLICY # 910.005 REVISIONS 01/01/17 REVIEWED
JAMAICA HOSPITAL LAST REVIEW DATE 02/01/2017 FINANCIAL ASSISTANCE NOTIFICATION TO PATIENTS POLICY & PROCEDURE
JAMAICA HOSPITAL LAST REVIEW DATE 02/01/2017 FINANCIAL ASSISTANCE NOTIFICATION TO PATIENTS POLICY & PROCEDURE POLICY: To provide access to government assistance applications and/or Financial Aid for the
Are you the Ant. or the Grasshopper? 501r 4 - FAP - Learn the Requirements to stay Compliant. Shawn Gretz. Aesop Fable 10/6/2015
501r 4 - FAP - Learn the Requirements to stay Compliant shawn@americollect.com 800-838-0100 Shawn Gretz VP of Sales for Americollect and AmeriEBO I am not a lawyer, nor do I play one on TV, and I did not
Revised: April 2018 TITLE: CHARITY CARE POLICY
Revised: April 2018 TITLE: CHARITY CARE POLICY POLICY: New York State Public Health Law (Section 2807-k-9-a) and the Internal Revenue Code (Section 501(r)) require hospitals to provide free or reduced
Financial Assistance to Patients POLICY
Trinity Health Finance Policy No.1 AS0017FIS POLICY TITLE: Financial Assistance to Patients EFFECTIVE DATE: 3/1/2016 To be reviewed every three years by: Board of Directors/Executive Leadership Team/CFO
Stewardship Policy No. 15
Page 1 of 13 REVIEW BY: 12/07/19 POLICY It is the policy of Catholic Health Initiatives (CHI), and each of its tax-exempt Direct Affiliates 1 and tax-exempt Subsidiaries 2 that Operates a Hospital Facility
FINANCIAL ASSISTANCE BUSS_0040 Start Date: 3/1/2018 Approval Date:
I. PURPOSE: Bay Area Hospital is committed to providing charity care to persons who have healthcare needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay
NewYork-Presbyterian/Lawrence Hospital Hospital Policies and Procedures Manual Number: Page 1 of 6
Page 1 of 6 TITLE: CHARITY CARE POLICY POLICY AND PURPOSE: New York State Public Health Law (Section 2807-k-9-a) and the Internal Revenue Code (Section 501(r)) require hospitals to provide free or reduced
Hospitals. MERCY HEALTH SERVICES - IOWA, CORP Part I Financial Assistance and Certain Other Community Benefits at Cost
SCHEDULE H (Form 990) Department of the Treasury Internal Revenue Service 2 If "Yes," was it a written policy? If the organization had multiple hospital facilities, indicate which of the following best
Effective: December 29, For dates of applicability, see 1.501(r)-7(a); (k)(4); (b); and (i)(2).
Page 1 of 7 Checkpoint Contents Federal Library Federal Source Materials Code, Regulations, Committee Reports & Tax Treaties Final, Temporary, Proposed Regulations & Preambles Final, Temporary & Proposed
FINANCIAL ASSISTANCE POLICY
TITLE: FINANCIAL ASSISTANCE POLICY STATEMENT OF PURPOSE: This policy is intended to establish guidelines for a structured procedure so as not to exclude anyone from seeking medical services on the grounds
THE HEALTH CARE PLAYBOOK
THE HEALTH CARE PLAYBOOK Strategies for the 2018 Season March 28, 2018 Michael J. Engle Partner mengle@bkd.com Joseph M. Watt Partner jwatt@bkd.com 1 TO RECEIVE CPE CREDIT Participate in entire webinar
Administrative Hospitalwide Policy and Procedure Policy: Charity Care and Financial Assistance Policy Number: Joseph S. Gordy, CEO Flagler Hospital
Administrative Hospitalwide Policy and Procedure Policy: Charity Care and Financial Assistance Policy Number: Joseph S. Gordy, CEO Flagler Hospital Originator: Coordinating Departments: Signature: Chief
1414 Kuhl Ave. Orlando, Florida Michele T. Napier, Chief Revenue Officer. Board
Page: 1 of 10 Developed By: I. POLICY: It is the policy of Orlando Health to establish Financial Assistance processes that assume proportionate responsibility in order to provide health care services to
Financial Assistance Policy. TITLE: Financial Assistance Program for Uninsured and Underinsured Hospital Patients
South Nassau Communities Hospital 1 Healthy Way, Oceanside, NY 11572 Financial Assistance Policy TITLE: Financial Assistance Program for Uninsured and Underinsured Hospital Patients I. Purpose/Expected
Patient Financial Services Policy
Patient Financial Services Policy Policy: Purpose: Billing & Collection Policy MaineHealth hospitals and physician practices are the frontline caregivers providing medically necessary care for all people
Guidelines for Charity Care/Financial Assistance Program
ROCHELLE COMMUNITY HOSPITAL Admitting Patient Accounting POLICY AND PROCEDURE MANUAL TITLE: Charity Care/Financial Assistance Page: 1-4 EFF. DATE: REVISION DATE: 05/01/93 08/17 Guidelines for Charity Care/Financial
Holy Cross Health: Patient Financial Assistance
Page 1 of 7 Holy Cross Health: Patient Financial Assistance Owner/Dept: JEFFREY KARNS, VP Revenue Cycle Operations/ Office of Chief Financial Offi Approved by: Anne Gillis (Chief Financial Officer, Holy
NewYork-Presbyterian Hospital Site: All Centers Hospital Policies and Procedures Manual Number: C106 Page 1 of 7
Page 1 of 7 TITLE: CHARITY CARE POLICY POLICY AND PURPOSE: New York State Public Health Law (Section 2807-k-9-a) and the Internal Revenue Code (Section 501(r)) require hospitals to provide free or reduced
St. Elizabeth Healthcare- Financial Assistance Policy
St. Elizabeth Healthcare- Financial Assistance Policy Objective Consistent with its mission to provide comprehensive and compassionate care that improves the health of the people we serve, St. Elizabeth
POLICY AND PROCEDURE
POLICY AND PROCEDURE POLICY #: 53.05 SUBJECT: FINANCIAL ASSISTANCE POLICY POLICY: It is a policy of The Valley Hospital to provide medically necessary healthcare services to all patients, while carefully
Disciplines / locations to which this multidisciplinary policy applies:
LEE MEMORIAL HEALTH SYSTEM POLICY & PROCEDURE MANUAL LMHS Financial Assistance Policy (FAP) LOCATOR NUMBER T Y P E System-wide - A formal statement of values, intents (policy), and expectations (procedure)
Executive Summary BERKELEY RESEARCH GROUP COMPLIANCE TRENDS WITH HOSPITAL CHARITY CARE REQUIREMENTS
Executive Summary Study Background: The Affordable Care Act (ACA) established new requirements for 501(c)(3) hospitals pertaining to their charity care policies. Hospitals self-report data related to these
Speare Memorial Hospital Plymouth, NH A Critical Access Hospital
Speare Memorial Hospital Plymouth, NH A Critical Access Hospital DEPT: Administration Title: Financial Assistance Policy (formerly known as Speare Charity Care, Community Care or Financial Assistance)
HB 254 AN ACT. The General Assembly of the Commonwealth of Pennsylvania hereby enacts as follows:
PUBLIC WELFARE CODE - DEPARTMENT OF PUBLIC WELFARE POWERS, DETERMINING WHETHER APPLICANTS ARE VETERANS, MEDICAL ASSISTANCE PAYMENTS FOR INSTITUTIONAL CARE AND STATEWIDE QUALITY CARE ASSESSMENT Act of Jul.
Financial assistance policies must balance a patient s need for financial assistance with the hospital s broader fiscal stewardship.
Page(s): 1 of 6 Section: PFS-A05 Saved As: Formulated: 7/08 DEPARTMENTAL POLICIES AND PROCEDURES Subject: Reviewed: 7/12,4/13, 1/14,10/15 Manual: Admitting Manual Revised: 7/12, 4/13, 1/15 Governing Board
Chapter 8: Options for Hospital Bills
Chapter 8: Chapter 8: A. The Hospital Fair Pricing Act 1. Bills that are Eligible for Financial Assistance 2. Charity Care and Discount Payment Plans 3. Minimum Standards for Financial Eligibility 4. Financial
FINANCIAL ASSISTANCE CHARITY CARE
NOTE: The electronic version of this document is the latest and only acceptable version. If you have a paper version, you are responsible for ensuring it is identical to the e-version. Printed material
Financial Assistance and Billing and Collections Policy
Mount Sinai Hospitals Group, Inc., The Mount Sinai Hospital, Beth Israel Medical Center, The St. Luke s Roosevelt Hospital Center, and The New York Eye and Ear Infirmary Statement of Purpose Financial
TLC Health Network BUS-F-001. Title: Financial Assistance Policy. Distribution: Business Office, Registration, Corporate Compliance.
TLC Health Network Title: Financial Assistance Policy Distribution: Business Office, Registration, Corporate Compliance Department/Category: Business Office BUS-F-001 Policy Date: 8/03 Page 1 of 14 Document
January What You Should Do. Background
in the news Nonprofit Organizations January 2015 IRS Issues Long Awaited Final Regula ons for Charitable Hospitals In this Issue: What You Should Do Background... 1 Final Regula ons Hospital Facili es
KADLEC REGIONAL MEDICAL CENTER FINANCIAL ASSISTANCE POLICY Section: Revenue Cycle Operations
KADLEC REGIONAL MEDICAL CENTER FINANCIAL ASSISTANCE POLICY Section: Revenue Cycle Operations TITLE: Financial Assistance Program POLICY: X PROCEDURE: GUIDELINE: STANDARD: X NO. Key Words: aid, charity
Home Care and Hospice: Payment and Reimbursement Update: AHLA Institute on Medicare and Medicaid Payment Issues
Home Care and Hospice: Payment and Reimbursement Update: 2014 AHLA Institute on Medicare and Medicaid Payment Issues William A. Dombi Vice President for Law National Association for Home Care & Hospice
Original Effective Date: January Policy Number FIN-300. Page Last Revision Date: October of 7 Revision Effective Date: January 2016
Subject: Washington Charity Care Policy Original Effective Date: January 2000 Page Last Revision Date: October 2015 1 of 7 Revision Effective Date: January 2016 Authorization: VP Revenue Cycle Policy Number
BAPTIST HEALTH SYSTEM, INC. Community Benefit Report Year ended December 31, 2012
Community Benefit Report Year ended Contents Community Benefit Report... 2 Schedule A... 3 Page Community Benefit Report Year ended Princeton Shelby Walker Citizens 2012 2011 Baptist Baptist Baptist Baptist
Medicare Home Health Prospective Payment System
Medicare Home Health Prospective Payment System Payment Rule Brief Final Rule Program Year: CY 2013 Overview On November 8, 2012, the Centers for Medicare and Medicaid Services (CMS) officially released
GREENWOOD LEFLORE HOSPITAL FINANCIAL ASSISTANCE POLICY
GREENWOOD LEFLORE HOSPITAL FINANCIAL ASSISTANCE POLICY Scope: This Greenwood Leflore Hospital ( Hospital ) Financial Assistance Policy ( FAP ) applies to all charges for emergency and medically necessary
PROCEDURE #: M-1 SUBJECT: Financial Assistance for Those in Need
PROCEDURE #: M-1 SUBJECT: Financial Assistance for Those in Need EFFECTIVE DATE: July 01, 2004 DATES REVISED: April 23, 2007 June 9, 2010 March 3, 2016 April 26, 2016 May 27, 2016 Chief Operating Officer,
Original Effective Date: April Policy Number 0.0. Page Last Revision Date: October of 6 Revision Effective Date: January 2016
Subject: Alaska Charity Care Policy Original Effective Date: April 2011 Page Last Revision Date: October 2015 1 of 6 Revision Effective Date: January 2016 Authorization: VP Revenue Cycle Policy Number
Introduction. Background and Political Climate. White Paper Winter 2009
Winter 2009 Community Benefit Contributions and Reporting: Emerging Standards Present an Opportunity for the U.S. Nonprofit Hospital Sector to Articulate Benefits Clearly and with a Unified Voice Introduction
Effective Date: 6/06 Reissue Date: 2/18 Reviewed Date: 2/18 NYU Langone Hospitals
Charity Care and Financial Assistance Page: 1 of 6 I. POLICY (the "Hospital") strives to provide medically necessary care to patients of the Hospital s inpatient and outpatient facilities regardless of
Questions and Answers on the CMS Comprehensive Care for Joint Replacement Model
Questions and Answers on the CMS Comprehensive Care for Joint Replacement Model MEGGAN BUSHEE, ESQ. 704.343.2360 mbushee@mcguirewoods.com 201 North Tryon Street, Suite 3000 Charlotte, North Carolina 28202-2146
Division C: Increasing Choice, Access, and Quality in Health Care for Americans TITLE XV: Provisions Relating to Medicare Part A
Division C: Increasing Choice, Access, and Quality in Health Care for Americans TITLE XV: Provisions Relating to Medicare Part A Sec. 15001. Development of Medicare study for HCPCS versions of MS-DRG codes
Connecticut interchange MMIS
Connecticut interchange MMIS Provider Manual Chapter 7 Hospice August 10, 2009 Connecticut Department of Social Services (DSS) 55 Farmington Ave Hartford, CT 06105 DXC Technology 195 Scott Swamp Road Farmington,
DEPARTMENT OF HUMAN SERVICES AGING AND PEOPLE WITH DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 069 LONG TERM CARE ASSESSMENT
411-069-0000 Definitions DEPARTMENT OF HUMAN SERVICES AGING AND PEOPLE WITH DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 069 LONG TERM CARE ASSESSMENT Unless the context indicates otherwise,
Financial Eligibility
MassHealth Long Term Care Jan Stiefel, J.D. Community Legal Aid Financial Eligibility A. Assets: $2,000 limit 1. Excess assets may be offset by outstanding medical bills 2. Inaccessible assets: additional
Financial Eligibility
MassHealth Long Term Care Jan Stiefel, J.D. Community Legal Aid Financial Eligibility A. Assets: $2,000 limit 1. Excess assets may be offset by outstanding medical bills 2. Inaccessible assets: additional
NYACK HOSPITAL POLICY AND PROCEDURE
PP-NH-C104 Last Revision 03/16 Last Review: 08/13 Page 1 of 10 NYACK HOSPITAL POLICY AND PROCEDURE PREPARED BY: CONTACT PERSON: SUBJECT: Administrator of Patient Financial Services Administrator of Patient
ALABAMA MEDICAID AGENCY ADMINISTRATIVE CODE CHAPTER 560-X-45 MATERNITY CARE PROGRAM TABLE OF CONTENTS
ALABAMA MEDICAID AGENCY ADMINISTRATIVE CODE CHAPTER 560-X-45 MATERNITY CARE PROGRAM TABLE OF CONTENTS 560-X-45-.01 560-X-45-.02 560-X-45-.03 560-X-45-.04 560-X-45-.05 560-X-45-.06 560-X-45-.07 560-X-45-.08
JACKSON HOSPITAL & CLINIC, INC. POLICY AND PROCEDURE
JACKSON HOSPITAL & CLINIC, INC. POLICY AND PROCEDURE Name of Policy: Financial Assistance Policy Manual Section: Administration Fiscal Management Policy # JCAHO Section: Approved By: Board Of Trustees
Medi-Cal APR-DRG Updates. Medi-Cal Updates. Agenda. Medi-Cal APR-DRG Updates Quality Assurance Fee (QAF) Program
Medi-Cal Updates Amber Ott California Hospital Association Agenda Medi-Cal APR-DRG Updates Quality Assurance Fee (QAF) Program Current QAF Law (SB239) Prop 52 Medicaid Managed Care Final Rules QAF 5 Development
Farm Energy and Agri-Processing Program Terms and Conditions
Farm Energy and Agri-Processing Program Terms and Conditions 1. Purpose The Farm Energy and Agri-Processing Program shares costs with the agriculture and agriprocessing sector on energy efficiency investments.
Billing and Collection Practices
Billing and Collection Practices Applicability: Hospital Date Effective: 12/2007 Department: Patient Financial Services Date Last Reviewed: 12/12/17 Supersedes: Billing and Collection Practices Administration
Grants and Per Capita Funding
HHS Joint Appropriations Subcommittee Implications of Possible Medicaid Block Grants and Per Capita Funding Steve Owen, Fiscal Research Division March 15, 2017 Presentation Objectives Federal Legislation
Hospitals. Internal Revenue Service Information about Schedule H (Form 990) and its instructions is at
SCHEDULE H Hospitals OMB No. 1545-0047 (Form 990) Complete if the organization answered "Yes" to Form 990, Part IV, question 20. Attach to Form 990. Open to Public Department of the Treasury Internal Revenue
Information about the District s financial assistance and charity care policy shall be made publicly available as follows:
SCOPE (choose from: District wide, Family Medicine, Home Health Hospice, Hospital): District Wide LEVEL (any departments within service areas that the procedure applies to): Patient Financial Services
POLICY and PROCEDURE
POLICY and PROCEDURE Policy Policy Number: FIN-1005 Finance Manual: Administration Reviewed/Revised: Effective: 3/17/2015 I. PURPOSE A. To provide guidance on eligibility criteria for indigent care, charity
RESIDENT PHYSICIAN AGREEMENT THIS RESIDENT PHYSICIAN AGREEMENT (the Agreement ) is made by and between Wheaton Franciscan Inc., a Wisconsin nonprofit
RESIDENT PHYSICIAN AGREEMENT THIS RESIDENT PHYSICIAN AGREEMENT (the Agreement ) is made by and between Wheaton Franciscan Inc., a Wisconsin nonprofit corporation ( Hospital ) and ( Resident ). In consideration
2017 Community Grant Guidelines $25,000 One-Year Grants
2017 Community Grant Guidelines $25,000 One-Year Grants Step 1 - Intent to Apply Form Deadline: March 15, 2017, by 6:00 PM Eastern Time Step 2 - Application Deadline: April 24, 2017, by 6:00 PM Eastern
Hospitals. Complete if the organization answered "Yes" on Form 990, Part IV, question 20. Attach to Form 990.
OMB No. 1545-0047 SCHEDULE H (Form 990) Hospitals 2015 Complete if the organization answered "Yes" on Form 990, Part IV, question 20. Department of the Treasury Attach to Form 990. Open to Public Internal
Hospitals. Complete if the organization answered "Yes" on Form 990, Part IV, question 20. Attach to Form 990.
OMB No. 1545-0047 SCHEDULE H (Form 990) Hospitals 2015 Complete if the organization answered "Yes" on Form 990, Part IV, question 20. Department of the Treasury Attach to Form 990. Open to Public Internal
PROCUREMENT AND PROPERTY SERVICES P. O. Box NACOGDOCHES, TX REQUEST FOR PROPOSAL RFP NUMBER REALTOR-2016
PROCUREMENT AND PROPERTY SERVICES P. O. Box 13030 NACOGDOCHES, TX 75962 REQUEST FOR PROPOSAL RFP NUMBER REALTOR-2016 PROPOSAL MUST BE RECEIVED BEFORE: 5:00PM, TUESDAY, FEBRUARY 2, 2016 MAIL PROPOSAL TO:
Financial Assistance Policy
Financial Assistance Policy POLICY TITLE: Financial Assistance Policy LAST REVISION/REVIEW DATE: July 1, 2018 PREVIOUS UPDATE: May 10,2018 DATE OF ORIGIN: April 1, 2007 Policy: Christiana Care is dedicated
Last Approval Date: January This policy applies to: Stanford Health Care
Stanford Health Care Page 1 of 13 I. PURPOSE A. The purpose of this Policy is to define the eligibility criteria and application process for financial assistance for patients who receive healthcare services
I. Purpose. II. Definitions
Financial Assistance Policy and Charity Care Policy EFFECTIVE DATE: 1/01/07 REVISED DATE: 3/01/12 REVISED DATE: 9/26/12 REVISED DATE: 12/26/12 REVISED DATE: 2/20/13 REVISED DATE: 4/1/13 REVISED DATE: 1/15/2014
Cape Cod Hospital, Falmouth Hospital Financial Assistance Policy
Introduction This policy applies to Cape Cod Hospital, Falmouth Hospital and any other specific locations and providers as identified in this policy. The hospital is the frontline caregiver providing medically
Hospitals. Complete if the organization answered "Yes" on Form 990, Part IV, question 20. Attach to Form 990.
OMB No. 1545-0047 SCHEDULE H (Form 990) Hospitals 2015 Complete if the organization answered "Yes" on Form 990, Part IV, question 20. Department of the Treasury Attach to Form 990. Open to Public Internal
To provide access to government assistance applications and/or Financial Aid for the qualified uninsured.
Financial Aid for the qualified uninsured. To provide accessible and affordable care to uninsured patients and to identify methods by which patients and/or family members are notified of the Jamaica Hospital
Medicare Fee-For Service Provider Utilization & Payment Data Inpatient Public Use File: A Methodological Overview
Medicare Fee-For Service Provider Utilization & Payment Data Inpatient Public Use File: A Methodological Overview May 30, 2014 Prepared by: The Centers for Medicare and Medicaid Services, Office of Information
06-01 FORM HCFA WORKSHEET S - HOME HEALTH AGENCY COST REPORT The intermediary indicates in the appropriate box whether this is the
06-01 FORM HCFA-1728-94 3204 3203. WORKSHEET S - HOME HEALTH AGENCY COST REPORT The intermediary indicates in the appropriate box whether this is the initial cost report (first cost report filed for the
Federally Qualified Health Center and Rural Health Clinic Alternative Payment Methodology. Purchasing and Service Delivery April 1, 2016
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp Federally Qualified
Administrative Policies and Procedures UW Medicine CHARITY CARE. Effective Date: 4/27/15. Review Date: 4/15/15
Administrative Policies and Procedures UW Medicine CHARITY CARE Division: Effective Date: Administration 4/27/15 Review Date: 4/15/15 Reviewer: Jerry Brooks / Matt Lund / Cheryl Sullivan POLICY This Charity
Hospitals. Complete if the organization answered "Yes" on Form 990, Part IV, question 20. Attach to Form 990.
OMB No. 1545-0047 SCHEDULE H (Form 990) Hospitals 2015 Complete if the organization answered "Yes" on Form 990, Part IV, question 20. Department of the Treasury Attach to Form 990. Open to Public Internal
REQUEST FOR PROPOSALS STRATEGIC INITIATIVES FINANCIAL ADVISORY SERVICES CITY OF JACKSONVILLE, FLORIDA
REQUEST FOR PROPOSALS to provide STRATEGIC INITIATIVES FINANCIAL ADVISORY SERVICES to the CITY OF JACKSONVILLE, FLORIDA RFP ISSUE DATE: December 20, 2017 PROPOSAL DUE: January 15, 2018 I. Purpose The City
THE AMERICAN OSTEOPATHIC BOARD OF EMERGENCY MEDICINE APPLICATION FOR CERTIFICATION AND EXAMINATION (TYPE WRITTEN OR LEGIBLY PRINTED)
THE AMERICAN OSTEOPATHIC BOARD OF EMERGENCY MEDICINE APPLICATION FOR CERTIFICATION AND EXAMINATION (TYPE WRITTEN OR LEGIBLY PRINTED) I hereby make application to the American Osteopathic Board of Emergency
Participant Direction Option (PDO) Training Developed for the Statewide Medicaid Managed Care Long Term Care Plans
Participant Direction Option (PDO) Training Developed for the Statewide Medicaid Managed Care Long Term Care Plans Presented by: Danielle Reatherford 1 Purpose The purpose of this presentation is to: Introduce
Title: Financial Assistance Hospital Facilities
Effective Date: 09/09/05; Rev: 04/07, 12/07, 10/10, 08/11, 02/12, 01/16 POLICY: Iowa Health System, d/b/a UnityPoint Health (UPH) Hospitals and Hospital Organizations shall fulfill their charitable missions
Hospital Tax-Exempt Policy: A Comparison of Schedule H and State Community Benefit Reporting Systems
Frontiers in Public Health Services and Systems Research Volume 2 Number 1 Article 3 January 2013 Hospital Tax-Exempt Policy: A Comparison of Schedule H and State Community Benefit Reporting Systems Sara
PATIENT FINANCIAL ASSISTANCE PROGRAM
PATIENT FINANCIAL ASSISTANCE PROGRAM Policy: Any patient at SJHHC will receive medically essential services irrespective of their ability to pay. Financial Assistance is offered to patients who have urgent,
California Society of Pathologists Annual Report to the Membership. Submitted by. James B. Carry, MD. President. Prepared for.
California Society of Pathologists 2017 Annual Report to the Membership Submitted by James B. Carry, MD President Prepared for Members of the California Society of Pathologists December 2017 CALIFORNIA
Aligning State Health Planning and CON Regulation with Maryland s Hospital Payment Model. HFMA Fall Institute October 5, 2016
Aligning State Health Planning and CON Regulation with Maryland s Hospital Payment Model HFMA Fall Institute October 5, 2016 Health Care Service Capacity and Use Maryland and the U.S.A. 2 Service Capacity