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开票、收款政策 & 过程

政策:

在我们的病人接受服务之后, 佛罗里达大学健康酷游九州真人的政策是准确和及时地为患者和适用的付款人开具账单 的方式. During this billing and collections process, staff will provide 优质的客户服务和及时的跟进,以及所有未结清的客户 will be handled in accordance with the IRS and Treasury’s 501(r) 《九州酷游官网》授权下的最终裁决.

目的:

It is the goal of this policy to provide clear and consistent guidelines for conducting billing andcollections functions in a 的方式 that promotes 依从性、患者满意度和效率. 通过使用计费 声明,书面通信和电话,佛罗里达大学健康酷游九州真人 是否会努力告知患者自己的经济责任 and available financial assistance options, as well as follow up with 未结清账目的患者. 此外,该政策要求 佛罗里达大学健康酷游九州真人作出合理的努力,以确定病人的 有资格获得佛罗里达大学健康酷游九州真人的财政援助 assistance policy before engaging in extraordinary collection actions 获得付款.

定义:

特别催收行动(eca): A list of collection activities, as defined by the IRS and Treasury, that health care organizations may only take against an individual to obtain payment for care after reasonable efforts have been made to determine whether the individual is eligible for financial assistance. 这些行动 在本政策下文第II节中进一步定义,并包括行动 例如向信用局/报告机构报告不利信息 along with legal/judicial actions such as garnishing wages.
经济资助政策: 一个单独的政策,描述UF健康酷游九州真人的财政援助 program—including the criteria patients must meet in order to be 有资格获得经济援助以及由个人办理的手续 可以申请经济资助吗.
合理的努力: 医疗保健机构必须采取的一系列行动来确定 个人是否有资格根据UF健康酷游九州真人的财政援助政策获得财政援助. 总的来说,合理的努力 may include making presumptive determinations of eligibility for full or partial assistance as well as providing individuals with written and 口头通报FAP计划及申请程序.

过程:

I. 计费实践

A. 保险账单

  1. 对于所有有保险的病人,佛罗里达大学健康酷游九州真人将向适用的第三方收费 payers (as based on information provided by or verified by the patient) 及时地.
  2. If a claim is denied (or is not processed) by a payer due to an error on 我们代表佛罗里达大学健康酷游九州真人不会向患者收取任何费用 in excess of what the patient would have owed had the payer paid the claim.
  3. 如果索赔被拒绝(或不处理)由付款人由于外部因素 of our organization’s control, staff will follow up with the payer and patient as appropriate to facilitate resolution of the claim. 如果分辨率 不发生审慎的后续努力,UF健康酷游九州真人可以 bill the patient or take other actions consistent with current regulations 以及行业标准.


B. 病人计费

  1. All uninsured patients will be billed directly and timely, and they will receive a statement as part of the organization’s normal billing process.
  2. 对于参保患者,在第三方支付者处理了索赔后, 佛罗里达大学健康酷游九州真人将为患者及时开出各自的账单 liability amounts as determined by their insurance benefits.
  3. 所有的病人都可以在任何时候要求一份详细的账单.
  4. 如果病人对他或她的说法有异议并要求提供有关的文件 对账单,工作人员将以书面形式提供所要求的文件 within 10 days (if possible) and will hold the account for at least 30 提款前的天数.
  5. 佛罗里达大学健康酷游九州真人可以批准支付计划安排的病人谁 表明他们可能难以在一次分期付款中支付余额.
    1. 病人 金融服务 Management has the authority to make exceptions to this policy on a case-by-case basis for special circumstances.
    2. UF健康酷游九州真人不需要接受病人发起的付款安排 and may refer accounts to a collection agency as outlined below if the 病人不愿作出可接受的付款安排或已违约 在一个既定的付款计划.

II. 集合行为

A. In compliance with relevant state and federal laws, and in accordance with the provisions outlined in this Billing and Collections Policy, 佛罗里达大学健康酷游九州真人可能从事收集活动-包括特别 collection actions (ECAs)—to collect outstanding patient balances.

  1. General collection activities may include [follow-up calls on statements]
  2. 病人 balances may be referred to a third party for collection at the 佛罗里达大学健康酷游九州真人自行决定. 账户将被转到收款处 只有以下注意事项:
    1. There is a reasonable basis to believe the patient owes the debt.
    2. All third-party payers have been properly billed, and the remaining debt 是病人的经济责任吗. 佛罗里达大学健康酷游九州真人 不向病人开出保险公司有义务支付的任何金额的账单.
    3. 佛罗里达大学健康酷游九州真人将不转介帐户收集,而索赔 该账户仍在等待付款人付款. 然而佛罗里达大学健康酷游九州真人可能 classify certain claims as “denied” if such claims are stuck in “pending” mode for an unreasonable length of time despite 促进解决的努力.
    4. 佛罗里达大学健康酷游九州真人将不转介帐户收集凡索赔 因为佛罗里达大学健康酷游九州真人的失误而被拒绝了吗. 然而,佛罗里达大学健康酷游九州真人 是否仍可将这类申索的病人责任部分转介收取 如果无薪.
    5. 佛罗里达大学健康酷游九州真人将不转介帐户收集哪里的病人 是否已申请经济资助或其他UF健康酷游九州真人 佛罗里达大学健康酷游九州真人尚未通知患者 of its determination (provided the patient has complied with the timeline and information requests delineated during the application process).

B. Reasonable Efforts and Extraordinary Collection Actions (ECAs)

  1. 在参与eca以获得护理付款之前,UF健康酷游九州真人必须 make certain reasonable efforts to determine whether an individual is eligible for financial assistance under our financial assistance policy:
    1. ECAs只能在第一次出院后120天开始 提供声明.
    2. 然而, 在启动eca以获取付款前至少30天, 佛罗里达大学健康酷游九州真人将做以下工作:
      1. 向个人提供一份书面通知,表明该职位的可用性 of financial assistance, lists potential ECAs that may be taken to obtain payment for care, and gives a deadline after which ECAs may be initiated (no sooner than 120 days after the first post-discharge billing statement (书面通知后30天内)
      2. 提供FAP的简单语言摘要以及上述通知
      3. Attempt to notify the individual orally about the FAP and how he or she 在申请过程中可以得到帮助吗
  2. 在做出合理的努力后确定经济援助资格 如上所述UF健康酷游九州真人(或其授权的业务合作伙伴) 可采取以下ECA方式取得医疗费:
    1. 向信用报告机构和/或信用局报告不利信息
  3. If a patient has an outstanding balance for previously provided care, 佛罗里达大学健康酷游九州真人 may engage in the ECA of deferring, 否认, 或者要求付款 before providing additional medically necessary (but non-emergent) care 只有在采取以下步骤时:
    1. UF健康酷游九州真人为患者提供FAP应用程序和平原 FAP的语言摘要
    2. UF健康酷游九州真人提供书面通知,表明可用性 财政援助和指定任何期限后,完成 application for assistance for the previous care episode will no longer 被接受. This deadline must be at least 30 days after the notice date or 240 days after the first post-discharge billing statement for prior 关心——以较晚者为准.
    3. 佛罗里达大学健康酷游九州真人作出合理的努力口头通知个人 关于财政援助政策,并说明如何获得援助 在申请过程中.
    4. UF健康酷游九州真人处理在加速的基础上任何FAP申请 在规定期限内收到的先前护理
  4. 病人 金融服务 is ultimately responsible for determining if 个人有资格获得经济援助. 这个机构也有 final authority for deciding whether the organization may proceed with 本政策中概述的任何eca.

3. 金融援助

所有帐单患者将有机会联系UF健康酷游九州真人 regarding financial assistance for their accounts, payment plan options, 以及其他适用程序.

  1. 佛罗里达大学健康酷游九州真人’s financial assistance policy is available free 电荷.

索取副本:

  • In person at any registration location at 佛罗里达大学健康酷游九州真人
  • 通过致电账单部/金融倡导者904-819-4539或邮寄 2155 Old Moultrie Rd Suite 103, St. 奥古斯丁,佛罗里达州32086
  • 在网上 http://www.flaglerhospital.org/
    • 个人对用友健康酷游九州真人的财务问题 assistance policy may contact the financial counseling office by phone 电话:904-819-4539或亲自到400健康公园BLVD, St. 奥古斯丁,佛罗里达州32086

IV. 客户服务

A. 在计费和收款过程中,UF健康酷游九州真人将提供 quality customer service by implementing the following guidelines:

  1. 佛罗里达大学健康酷游九州真人将对虐待,骚扰, offensive, deceptive, or misleading language or conduct by its employees.
  2. UF健康酷游九州真人将保持一个简化的过程,为病人的问题 and/or disputes, which includes a toll-free phone number patients may call and a prominent business office address to which they may write. This information will remain listed on all patient bills and collections 语句发送.
  3. After receiving a communication from a patient (by phone or in writing), UF健康酷游九州真人的工作人员将返回电话给病人及时 尽可能(但不超过接到电话后一个工作日) 并将在10天内回复书面信函.
  4. 佛罗里达大学健康酷游九州真人将保留患者投诉日志(口头或书面)。 这将供审计使用.