HomeMy WebLinkAboutC.054.93008_0365Iredell County Home Health Program
Fees for Service -Policies and Procedures 4342
Page Two
2. Families/Individuals are not charged or billed directly for services
if:
a. The individual is receiving public assistance funds.
b. The individual is covered by the medical assistance program of
the State Division of Medical Assistance - Medicaid or Title XIX.
c. The individual is eligible for benefits through the Medicare program.
d. Third party payment mechanisms other than Medicare or Medicaid
are in effect which pay on behalf of the individual being served;
e.g., Veteran's Administration, etc.
e. Through assessment of ability to pay, it is determined that financial
resources of the family and patient preclude the possiblity of
any payment toward the cost of service.
3. Chargeable services, as set forth below, are supplied on a free or
parte -fee basis, according to financial need as determined by agency
personnel, and when no third party payments are available and
assessment of ability to pay indicates inability on part of patient
or family to fay full fee:
a. Nursing Visits.
b. Home Health Aide Visits.
c. Physical Therapy Visits.
d. Medical Social Worker Visits.
e. Speech Therapy Visits.
4. The Agency will deny service on a free or part -free basis under the
following circumstances:
a. Patient refuses to furnish requested financial information.
b. Patient is ineligible for services on a free or part -fee basis
by reasons of his/her or spouse's financial resources.
c. Patient or spouse agrees to pay for agency services and when bill
is received refuses - without justification - to make payment.
III. Assessment of Ability to Pay and Adjustment of Fees for Services Considered
Chargeable:
A. If payment for services is not covered by third party payment mechanism
as defined in II B2 above and the individual/family indicates an in-
ability to pay full fee for services, it is the responsibility of
the Finance and Business Services Department of the Agency to determine
what part of the fee, it any, the individual/family will be expected
to pay.
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