Policies and Processes
The purpose of this policy is to outline expectations of Ct Children's when establishing a payment plan for patients/parents who are unable to make complete payment at the time of service or admission and appropriately manage patient expectations regarding financial responsibility.
What is a Payment Plan Policy?
In this WQ tracker you will find accounts that are pending financial assistance.
What is wq 13802?
This policy describes the expected (OOP) responsibility at the time of service. It outlines how OOP responsibility is determined and how that balance will be collected prior to date of service or on dos.
What is Point of Service Collections Policy?
What is called under insurance verification when the insurance is verified until the visit being scheduled past the current month.
What is Elapsed coverage?
This id is assigned to the guarantor of an account for Billing purposes.
What is the Guarantor Id?
A payment plan can be done as long as the balance is greater then what amount?
What is balances greater then $200.00?
In this WQ tracker you will find accounts that are pending Medicaid.
What is WQ 13801?
This is available or offered to the family when they are paying in full.
What is a prompt pay discount?
A parent calls today to apply for Financial Assistance, and is a family of 4 annual income is $40,000. The patient only has a past appointment from 07/01/2023. What is your next step?
What is complete application for Financial Assistance since husky can only back date 3 months from today?
you select this code or this option from account activities from the guarantor account maintenance when patient or parent is requesting any undistributed credits to be applied to account.
What is SBO Guarantor Payment Redistribution Requested (344)
You are working wq 11432 for a newborn account and did not find (husky or commercial insurance), but you call mom to get legal name and complete registration, and unable to get a hold of mom. How many times should you attempt to call family?
What is 2x per day?
In this WQ you will find accounts that are pending surgery estimates.
What is WQ 11620?
What is called when at time of scheduling and/or check-in, the family will be asked to pay any previous balance due or set up a payment plan.
What is previous balance due?
under pos policy part III
This message pops up under the response history when the Payor has identified there are additional insurance(s) found on the RTE response. Review the response history to validate if additional
coverage’s are applicable.
What is other insurance exist?
you select this code or this option from account activities from the guarantor account maintenance when patient or parent is requesting a refund.
What is Patient/Guarantor Self pay Refund Requested(343)
This result will terminate payment plan agreement.
What is two delinquent payments?
You are working WQ 11432 and come across a newborn, and you find active husky coverage for mom. What type of tracker will you add in the account?
What is a pending medicaid tracker?
A balance from $1,000.00-$2,999.00 will fall in to what payment plan option?
What is 12 month payment plan?
A parent calls to apply for Financial Assistance, is a family of 4 annual income is $40,000. The patient only has future appointments. What is your next step?
What is to Refer family to apply for Husky since they meet husky guidelines?
What is the payment plan option for any balance over $5,000?
Who is up to the Finance Leader Discretion?
patient is 19 years old he lives at the home and parents do not claim him on the taxes. the patient is still under the parents insurance. Will we need family's size and income? or Individual income for the patient?
What is no; since the patient files his own taxes and we can check eligibility for either husky or PFA.
A parent calls you to apply for financial assistance. What tracker will you add to account?
what is a CCMC financial Assistance?
This refers to balance due at time of check
in/registration. This may include co-payments, deductibles, coinsurance and
previous balance due.
What is (POS) Collections?
There might be times when you suspect a patient has a duplicate record in the system. For example, if you find two patients with the same name and birthdate, with similar Social Security numbers, it's possible that two patients were accidentally created. What is your next step when you find a duplicate account.
What is Mark Patient for Merge?
By marking the two records for a patient merge, you can report this information to the HIM department and let them know they should investigate whether to combine the records
SAME DAY returns of patient payments may be made by any user who can accept payments, regardless of the payment source. Payments can ONLY be voided by the original user who posted the payment.
What will you type under search button to find this option.
What is Patient Refund?