Sliding Scale Procedure
True/False: Applications are expected to be processed by PSR’s and reviewed by a designated approver within 14 business days.
False - 10 business days
How many FPL lines should a guarantor have attached to their profile?
1 FPL Line
Why do you offer the SSF Card?
To see if a patient is approved for discounted services.
When you have verified the application is complete, which FPL folder do you scan the application?
Scan application to the Billing FPL, FPL - Received at Site” folder in the Centralized Scanning (F:) drive.
Who can apply for the sliding scale?
Established/Establishing Patients
When do you complete Date Received line in the Office Use Only section of the application?
Once PSR ensures application has been filled out appropriately, has all necessary signatures and proof of income, is attached for all household member over 18.
Who is responsible to update an approved or over income FPL line?
Billing
True/False: The SSF Card is available in EForms
False
False: Title of the scanned application: Clinic-MRN FPL-Date
When providing the Patient the SS Application, what needs to be completed on the declaration page by the PSR?
On the Sliding Scale Eligibility Declaration page of the application, complete the Date Given and Date Due portion under the “Office Use Only” section.
Are you able to use an FPL Calculator saved to your H Drive to process a SS application?
No, Should always use the most current version on MM Share.
PSR
FPL Info for HRSA Reporting - Self reported annual income is on the PIF
One year after the effect date (Y+1)
True/False: If you receive more than one application on a day. You can scan them all together in the Billing FPL, FPL-Received at Site Folder.
False - Applications should be scanned separately and named appropriately.
When is the SS Application due back from Patient?
Due Date is Two weeks from the date the SS Application was given to patient.
What is the name of the procedure that you can use to help you calculate income to process your SS application?
Calculating Proof of Income Guide
If Patient does not provide us annual income when would we expire the FPL Line?
Expiration Date:
T+14 (Today + 14 Days)
Which FDS drive do you scan the SSF Card under?
FDS - Income Verification
Once your application is processed. Your application with attached FPL Calculator needs to be scanned into which Billing FPL Folder?
Billing FPL, “Ready for Approval” folder in the Centralized Scanning (F:) drive.
File Name: Clinic-MRN FPL-MMDDYY
Does every household member need an attestation form?
No, It's only required for household members over the age of 18.
If you need to mail a patient a SS application, is the employee able to sign the SSF Card?
If the patient is unavailable to sign SSF card, an employee may sign the card as a proxy. If staff signs as a proxy, this must be documented by noting “Employee Proxy” on the signature line.
Will an additional FPL Line be created for approved/over income SS applications?
No, the FPL line we use for HRSA will be converted to the active FPL
What should you type in to the description for an SSF Card?
MCH SSF Card
Who is the new approver of SS applications? What are their responsibilities?
Billing
Add Patient Message to every account on application.
Example: “Class B/$20 Fee, Exp. MM/DD/YY” “Class E/Full Pay, Exp. MM/DD/YY”
Send EMR message to appropriate front desk pool to inform them to create and print appropriate letter for the primary MRN.
Example: “Please create and print FPL Approved Notification letter for MRN for Class B/$20 fee, Exp. MM/DD/YY”
Should you be taking incomplete applications when they are dropped off?
No, When a Sliding Scale application is turned in, PSR’s must ensure it has been filled out appropriately, has all necessary signatures and proof of income is attached for all household members over 18. Incomplete applications will not be accepted.