{"ref":"FL-HSP-FIN-01","title":"Financial Management, Care Regardless of Ability to Pay and Billing Integrity","category":"Business","summary":"Sets the Florida financial policies a hospice must have (annual budget and audited financial statement approved by the governing body, bookkeeping, payroll, procedures for gifts and donations, and a fee schedule), the rule that the Agency never refuses or ends hospice care because a patient cannot pay, the record of requests for services and ability to pay, and billing integrity for Medicare, Florida Medicaid and other payers, including timely notices of election and termination.","inShort":["No one is refused hospice care, or has care reduced or stopped, because they cannot pay.","Write down every request for services, even if the person cannot pay.","If a family wants to give a gift or donation, refer them to the Administrator. Never accept it yourself.","Billing staff file the Medicare notice of election and notice of termination within 5 calendar days.","Bill only care that was given and documented."],"primaryCitation":"Rule 59A-38.004(3)(a)4., F.A.C.","citations":["Rule 59A-38.004(3)(a)4., 11.-12., F.A.C.","s. 400.6095(1), F.S.","s. 400.610(1)(a), (c), F.S.","s. 400.6085, F.S.","s. 400.609(4), F.S.","s. 409.913(9), F.S.","Rule 59G-4.140, F.A.C.","Rule 59A-38.007(2)(g), F.A.C."],"federalCitations":["42 CFR §418.100(d)","42 CFR §418.24(b)(5), (e)","42 CFR §418.26(e)","42 CFR §418.28","42 CFR §418.302","42 CFR §418.309","42 CFR §418.400","42 CFR §424.516(f)"],"surveyorAsks":["Show me the budget and the audited financial statement the governing body approved this year.","Show me your fee schedule. How do patients learn about charges?"],"forms":[{"ref":"FL-HSP-FIN-01-A","title":"Gift and Donation Acceptance Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Rule 59A-38.004(3)(a)4., 11.-12., F.A.C.; s. 400.6095(1), F.S.; 42 CFR §418.100(d))","5. Financial Management","6. Care Regardless of Ability to Pay","7. Gifts and Donations","8. Fee Schedule and Charges","9. Billing Integrity","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"fl-hospice","state":"Florida","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}