{"ref":"NC-HC-BUS-01","title":"Charges, Billing, and the Written Statement of Services","category":"Business","summary":"Gives every client a written statement of the services the Agency will provide and the charges the client is liable for paying before services start, bills only for services actually provided and recorded, explains how charges and services change, and treats NC Medicaid payment as payment in full for covered services.","inShort":["Every client gets a written statement of services and charges before care starts.","The Agency bills only for services actually given and recorded.","Record your real times. Never record a visit or time that did not happen.","Medicaid clients are not charged for services Medicaid covers.","Send billing questions to the office."],"primaryCitation":"G.S. 131E-144.3(7)","citations":["G.S. 131E-144.3(7)","G.S. 131E-144.3(8), (9), (13)","G.S. 131E-144.4(a)","10A NCAC 13J .1101(7)","10A NCAC 13J .1402(a)(2)(C)","G.S. 108A-70.12","NC Medicaid Clinical Coverage Policy 3L, §6.1.4(o), §6.0"],"federalCitations":["42 CFR §447.15"],"surveyorAsks":["Show me the written statement of services and charges this client received, and when.","How do you make sure the hours you bill match the service records?"],"forms":[{"ref":"NC-HC-BUS-01-A","title":"Statement of Services and Charges"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (G.S. 131E-144.3(7))","5. Statement of Services and Charges","6. Billing","7. Changes in Charges or Services","8. NC Medicaid and Other Public Programs","9. Billing Questions and Disputes","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":"nc-hca","state":"North Carolina","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}