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BILLING
Our billing office is a vital aspect of providing customer service.
Professional utilizes Zoll Data System's RescueNet Billing software.
This software assists our billing staff in providing timely response
to patient and third party payer inquiries regarding the submission
of insurance claims, dates and types of payments made, itemized charges
and other issues. All invoices are clearly explained and all services
and supplies charged to the patient are listed separately.
We've always been dedicated to humane billing and collection policies.
Professional will not engage in on-scene collections for services
at the scene, en route, or upon delivery of the patient. Professional
accepts assignment from Medicare, Medicaid, and most third party
payers for patients meeting applicable medical necessity requirements.
| The
following are the basic billing and collection policies of
Professional: |
| 1. |
Professional accepts assignment from most third
party payers. |
| 2. |
Professional will make every effort to bill, and
collect payment from, the patient's insurance companies directly. |
| 3. |
Professional will not utilize threatening letters,
billing tactics, or telephone collection methods to collect payment
for services rendered. |
| 4. |
The primary focus of all billing messages and telephone
contacts will be to secure patient insurance information. |
| 5. |
Professional utilizes an outside collection agency
only when all efforts fail in contacting a patient for insurance
information or to arrange for payment. |
| 6. |
Any outside collection agency utilized by Professional
will be held to the highest standard of accountability for its
customer service and collection tactics. Professional has a long-standing
relationship with First
Financial Resources and has received no significant
complaints from any patient regarding their collection tactics. |
| 7. |
Professional will address all cases of financial
hardship on an individual basis. Professional’s only basic
requirement of a patient with a financial hardship is that they
contact our office and work with us cooperatively before their
bill is sent to the outside collection agency. |
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(a) |
Any patient that contacts our billing office and states that
they have a financial hardship will be offered a payment plan
to meet their individual needs. |
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(b) |
Any patient that states that they are unable to meet the terms
of a payment plan for the full amount of the bill will be offered
a reduction in the bill to the current Medicaid rate of reimbursement
with the balance written off as a "financial hardship." A
payment plan for the balance due will be arranged if necessary. |
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(c) |
Any patient that contacts Professional and states that they
are unable to pay any amount of the bill may qualify to have
their bill written off as a "financial hardship." |
All such requests and determination of financial hardship are considered
on an individual case-by-case basis. Professional may request documentation
of the financial hardship in the form of hospital free care documentation,
a letter from a third party such as a social worker, or a letter
from the patient himself or herself stating that they have a financial
hardship.
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