HomeMy WebLinkAboutC.054.93008_0366Iredell County Home Health Program t�� 4343
Fees for Service - Policies and Procedures
Page Three go 26 PA6f181
During the time period needed to carry out assessment of ability to
pay, daytime nursing and home health aide services will be the only
services supplied as required by patient need - Institution of other
services should be delayed until fee arrangements have been finalized.
B. Steps taken in adjusting fees:
1. The nurse requests that the patient or the family complete the
Request for Financial Information form and return it to the Agency
via the nurse or direct mail within a week.
2. Upon receipt of the patient's financial data, the Finance and
Business Services Department will determine a visit fee utilizing
the Computation of Fee form.
3. The patient or family will then be informed in writing by an
Agency representative of the fee(s) to be charged for the Agency
services.
4. Arrangements should be made for payment by the patient/family
at the time of each visit whenever possible. Or the Finance
and Business Services Department will mail a monthly statement
to the patient or family.
5. After a fee is established, it will be reconsidered whenever there
is a significant change in a patient's financial situation or when
services needs increase or decrease in frequency or kind; the fee
charged should be reduced or increased as indicated by current
circumstances.
6. A new fee determination is not required for any patient who 1s
readmitted to service within the six month period immediately
following the date the Agency assessed his/her ability to pay.
IV. Practices Used When the Agency Changes its "Charges for Service".
A. If change reflects an increase in charge:
1. New rate goes into effect for allpatients newly admitted to service
on or after the effective date when "full fee" is to be applied.
2. Patients currently under care:
a. New rate goes in effect on date increase becomes effective.
b. If reduced fee is in effect, no change occurs in the fee.
However, ledger cards must reflect difference in new charge.
B. If change involves a reduction in charge:
1. New rate goes into effect for all patients newly admitted to service
,,,,: on or after the effective date when "full fee" is to be applied.