Policy Manual sample

MDT Home Health Care Agency, Inc. FEE SETTING AND COLLECTION POLICY Fees are reviewed at least annually by the Administrator. Fee adjustments are approved by the Board of Directors. When patients are liable for payment, a schedule of fees and fee adjustments shall be provided in writing to all appropriate persons or entities. Insurers, patients, and/or representatives will be billed for services at least once a month as long as service is rendered. The billing procedure and visit charges will be explained to the patient and/or representatives on the initial visit. A collection letter or query is sent if no payment is received by 90 days. A second collection letter is sent and a personal phone call is made if there is no response within 30 days of the sending of the second collection letter. Bills remaining unpaid after the collection process is completed are reviewed by the Administrator. Bad debts under $100 may be written off by the Administrator. For amounts in excess of $100, a decision will be reached regarding turning the account over to a collection agency, legal counsel or small claims, depending upon the amount owed. Claims denied by insurers shall be reviewed by the Administrator and supervising nurse who shall take such action as may be available from the insurer including an appeal for reconsideration. Home Health Agency Overall Plan and Budget F-19