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Iredell County Home Health Program
Fees for Service - Policies and Procedures
Page Four
2. Patients currently under care;
a. If full fee is in effect, new rate is applied to visits made on
and after the effective date or rate change.
b. If reduced fee is in effect, no change occurs in fee to be charged
unless fee exceeds total cost of the service.
V. Agency right to recovery of costs of services at a time subsequent to the delivery
of service:
A. The Iredell County Home Health Agency may exercise its right to bill and
collect for chargeable services rendered but not paid for in full by a
service recipient or third -party payor when an organization, body.or,person
is identified which/who has a liability for payment for or on behalf of
the service recipient or when the recipient, at a later time, has resources
to pay for services received in the past. An example of a situation where
this will pertain is:
The family or individual has not paid in full or part for services
because of financial inability but subsequently becomes eligible for
assistance with health care costs through coverage under Medicaid.
If the coverage is retroactive covering periods of service, the Agency
will bill the State(Divlsion of Medical Assistance) for services it
has provided within the covered period. In addition, the Agency will
supply clients with statements of unpaid services (based on its charge)
which have been provided by the Agency if such evidence is required
to assist in establishing indebtedness as part of the individual's
application to the State Division of Medical Assistance for Medicaid
coverage.
Home Health Policy Manual
October 14, 1982
- ave 26 aa182