Policy Manual sample

MDT Home Health Care Agency, Inc. REDUCED AND NO-FEE SERVICES The Agency will not discriminate due to a patient's financial status. If, at the time of admission, it is determined that the patient may be unable to meet their financial responsibility for payment for services, the patient will be consulted to determine their eligibility for reduced or no-fee services. If there are questions regarding eligibility, the Administrator may request a medical social work visit to verify the patient's situation. Approval from the Administrator for reduced or no-fee service will be required. If the Agency is unable to admit the patient, appropriate referrals will be made. BILLING FOR SERVICE Bills may be processed weekly, biweekly or monthly. Copies of all bills and supporting documentation shall be kept in a patient billing record. A monthly statistical report of billing activity will be maintained. A billing file shall be maintained in the Agency for each patient. The file shall include copies of each bill and supporting documentation including: Admission record UB-92/patient pay/third party bills/Standard Billing Form (HIPAA guideline) Insurance verification Insurance letter Assignment of benefits Denials Correspondence Discharge notices Hospital notices Debit/credit memos Home Health Agency Overall Plan and Budget F-12