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Financial Management, Care Regardless of Ability to Pay and Billing Integrity

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.

Preview: full text with a package
About this policy
Policy number
FL-HSP-FIN-01
Version
1.0
Main rule
Rule 59A-38.004(3)(a)4., F.A.C.
Library
Florida hospice · 60 policies
Category
Business
Sections
17

In short

  • 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.

What's inside

17 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • 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

An inspector may ask

  • 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?

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