Discounts on Patient Bills
Product Description:
AUDIO CONFERENCE ON CD OR AUDIO ON-DEMAND
Sponsored by PFS Director's Handbook
presented on May 21, 2009
How does your facility offer discounts, and is it compliant with federal standards?
Listen to HCPro's 90-minute audioconference Discounts on Patient Bills: Best Practices to Increase Collections. Healthcare attorney Robin Fisk, Esq., discusses the compliance issues associated with reducing patient bills, as well as methods you can incorporate to avoid compliance problems with federal regulations. Patient and physician access corporate director Ann Gilbert, MBA (Elliot Health System) details specific discounting practices she installed at the various facilities where she has worked, provide feedback on how hospitals have implemented each particular program, and explain what worked and what you should consider for your own operation.
AGENDA
- Overview of Discounting
- Discussion of the issues presented by the different types of payment discounts
- Prompt-pay discounts
- Discounts to the uninsured and underinsured
- Discounts based on financial need
- Red flag compliance issues
- Avoiding anti-kickback issues
- Billing Medicare "substantially in excess of charges"
- Uniformity between charity care policies for Medicare beneficiaries and other patients
- Implications of waiving patient payments on payment from private payers
- Hospital Case Study
- How to put a policy in place
- What's been tried and what's worked
- Working with patients on payments
- Guidelines to process applications
- Tips to maximize use
- NH Health Access program
- How program developed (state-governed policy discounts)
- Portable NH Access card function
- Training and working with your hospital's association
- Seek involvement with state organizations
- Consistency throughout state reference manual
- Achieve portable access
- Non-portable institutions only
- Utilizing best serve
- Identifying charity care against bad debt
- How to approach the patient
- Need good access up front
- Policies and procedures
- What is a household?
- How do you classify self-employed?
- Procurement of financial counselors
- Availability of implementation and simplicity in conveying information
- Use tax returns to learn true qualifications
- How to work with high-deductible plans
- How to put a policy in place
- Question & Answer session
BONUS TOOLS
In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials and:
- Sample policy
- Sample brochures on charity and underinsured
- Sample application – NH Health Access and cover letter
- "Script" samples working with patient
- NH Access' application for discounting qualifications
These materials are provided with PDF links.
LEARNING OBJECTIVES
At the end of this audioconference, your staff will be able to:
- Evaluate what you currently have, distinguish between true bad debt and charity care and maximize the information
- Develop a training program for staff
- Determine how to create a book of business consistent with relationship of payers
FEATURED SPEAKERS
Robin Fisk, Esq. represents healthcare providers, practitioners, and insurers and managed care organizations. Ms. Fisk advises clients on regulatory compliance and negotiates managed care contracts – for payers and providers. Prior to forming her own practice, she served as in-house counsel to Healthsource, Inc., now CIGNA Healthcare Corporation. Ms. Fisk is a frequent lecturer on managed care, Medicare and other health law topics, and is the contributing editor of Beyond the Contract: Managing your relationship with the healthcare payer, published by HCPro.
Ann Gilbert, MBA, is corporate director of patient and physician access for the Elliot Health System. She has more than 20 years experience in design, implementation, and operation of financial assistance programs for the uninsured and underinsured for hospitals and physician practices. Since 2000, she has been involved with the development and administration of the New Hampshire Health Access Network. In 1993, she participated in the developed of the HealthLink Program, a managed-care program for the uninsured and underinsured, for Lakes Region General Hospital in Laconia, NH.
WHO SHOULD LISTEN?
Employees in large physician practices and hospitals, including the following titles and departments:
- Patient Financial Service Directors
- CFOs, CEOs, COOs
- Revenue Cycle managers
- Patient Access managers
- Physician Practice managers
- Financial Counselor managers
- Compliance officers
- HIM professionals
- Case management
- Billing
- Managed care contracting staff
AUDIO ON-DEMAND
In addition to the regular purchase options for HCPro audio conferences, we are pleased to offer another option, audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or audio on-demand of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
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