POLICY AND PROCEDURE
Highland Hospital’s charity care policy was developed to ensure that the financial capacity of people who need health care services does not prevent them from seeking or receiving care.
To provide charity care to qualified persons, who have healthcare needs and are uninsured, underinsured, or ineligible for a government program to assist with their health care expenses.
- If a prospective patient has no third party coverage or personal resources to cover the charges for care, the admission clerk on duty will advise the patient/guardian of the charity assistance program. The patient/guardian will then be offered a charity application as well as the services of Highland Hospital’s Financial Counselor to assistice them with completing the application. (See attachment 1 and 2.)
- Since income and other resources usually cannot be verified at the time of admission, a patient with no third party coverage will be admitted as Private pay and the patient/guardian will be allowed to return the application with proof of income at a later (reasonable) time. The patient will be given the opportunity to request a patient advocate, designee or family member to assist in the financial counseling discussions.
- Once the completed application with proof of household income is received, the application will be given to the Accounts Receivable Manager for review.
Acceptable forms of proof of income:
- A copy of the most recently income tax returns or W2 forms
- A copy of the last two employment pay stubs
- A copy of any Governmental documentation/letters indicating income
- Once the completed application and proof of income (and any other supporting documentation) is received, the Accounts Receivable Manager will review the information to determine whether or not the patient qualifies for charity assistance based on the US Department of Health and Human Services poverty guidelines.
- If qualifications for charity assistance are not met, the patient will be notified immediately by letter (Attachment 3)). If qualifications for charity care are met, the application will be forwarded to the CFO or President/CEO for final determination and signature. If a final approval for charity assistance has been obtained by the CFO or President/CEO, the patient/guardian will then be notified by letter (Attachment 4). The original approved or denied charity application will be filed in the Business Office Billing file and a copy will be sent to the patient/guardian with the final determination letter.
- If any portion of the application is incorrect/incomplete the application will be returned to the patient/guardian by mail for correction/completion. Incorrect/incomplete applications will not be processed or considered for charity assistance.
- If the application is complete but the patient/guardian fails to provide proof of income, it is at the discretion of the CEO and/or CFO to approve the application based on availability of funds.