Your hospital doesn't have to lose millions of dollars every year providing care to the uninsured. Charity care for the uninsured patient population is a universal problem for healthcare providers. Now you don't have to struggle through this controversial issue any longer. Charity Care: Tools for Managing the Uninsured Population provides strategies and case studies you can use to meet the challenges inherent in providing charity care. This comprehensive resource will help you assess risk and develop appropriate policies and procedures to educate your revenue cycle team. Healthcare financial management and consulting expert Sandra Wolfskill, FHFMA, provides best practices, case studies, and sample policies and forms to help you build or refine the foundation of your charity care program. All of the files are included on an accompanying CD-ROM so you can download, customize, and use the tools you need right away. Tools you need to get the job done Charity Care: Tools to Manage the Uninsured Population gives you contemporary insights into the charity care issues you face every day. It provides: - best practices - risk assessments - implementation guides to assist in redesigning your approach to charity-related activities - case studies that highlight what your peers have done to address charity care claim processing Table of Contents Chapter 1: Introduction to charity care issues The human equation Uncompensated care Changes in the charity-care arena Tax exempt status-federal level Chapter 2: Legal background Hospital charges Class action litigation and the uninsured The government reaction to the uninsured Knowing what information is public Chapter 3: Accounting principles and state programs Applicable accounting principles Accounting principles for charity care State laws and programs Chapter 4: Strategies to assess risk and identify opportunities for improvement Identify current charity care processes The risk assessment process Chapter 5: Best practices: The ideal revenue cycle and charity processing Pre-service processing: Scheduled patient workflow Time of service processing: Scheduled patient workflow Time of service processing: Unscheduled patient workflow Post-service processing Charity policies and procedures Charity eligibility processing: Eligibility scales and forms Chapter 6: Implementing contemporary financial assistance policies and procedures Getting started Pre-service process Time of service process Post-service process Communicating with patients and physicians Outsourcing charity processing Chapter 7: Case studies Case study 1: Camden-Clark Memorial Hospital Case study 2: "Hospital"-regional medical center Case study 3: West Virginia University Hospitals and University Health Associates You'll discover strategies to initiate and implement change in the way your hospital delivers charity care, improve operations, and increase patient satisfaction with the hospital's billing and collections operation. Chief financial officers, PFS directors, revenue cycle directors, billing and collection managers, and anyone involved in making decisions about your organization's charity care position will find Charity Care: Tools for Managing the Uninsured Population an invaluable investment.

Charity Care: Tools to Manage the Uninsured Population

Medical Books

HCPro Inc.

Sandra J. Wolfskill FHFMA

Administration & Medicine Economics

HCPro, Inc.

Take the lead to enhance your Patient Access department... a step-by-step guide on how to run an efficient department Patient Access managers set the tone for the entire hospital's success. A well-run department will ensure quality customer service, accurate registration and insurance verification, and appropriate financial counseling and recognition of charity care situations. Now everything you need to ensure your department's success is in one place: The Patient Access Director's Handbook. This comprehensive, step-by-step guide provides best-practices for everything from hiring the right staff to proper delivery of Medicare's notices of discharge appeal rights. Improve your organization with customizable tools The Patient Access Director's Handbook also features a number of relevant forms, scripts and worksheets you can use to make your department run more efficiently: - Sample job descriptions so you can target the most qualified candidates - Scripts for staff interaction with patients so your team can minimize registration errors and maximize reimbursement potential - Workflow diagrams to economize the scheduling and coverage of your key areas, especially when staff is low or traffic is high - Checklists so that important aspects of your department are not missed. - All of the tools are available on the companion CD-ROM so you can download and customize to fit your specific situation. Whether you are a new Patient Access manager, or simply need to reinforce your current operations, The Patient Access Director's Handbook provides an easy-to-follow blueprint for success. Among the topics covered by The Patient Access Director's Handbook are: - Introduction to the revenue cycle - Scheduling of staff - Patient identification and tracking - Insurance verification - Charge/service anticipation - Scheduled vs. unscheduled patients - Recording and tracking patient transfers/bed placement - Patient observation - Delivery of discharge notices as required by Medicare - Financial counseling including managing deductibles, co-pays and transparency of fees - Charity care - Self-assessment - Medical necessity

The Patient Access Director's Handbook

HCPRO

Marilyn Lipka

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Books by Sandra J. Wolfskill FHFMA