• The 501(r) regulations require not-for-profit providers
501(c) (3) to do whichof the following activities?
• Complete a community needs assessment and develop a
discount programfor patient balances after insurance
payment.
• Pursue extraordinary collection activities with all patients
eligible for finan-cial assistance.
• Implement a financial assistance program for uninsured
and underinsuredpatients.
• Discount all charges to self-pay patients to an amount
generally billed toall other patients.: A. Complete a
community needs assessment and develop a discount program
for patient balances after insurance payment
,• The accurate capture of charges remains critically
important because:
• Of the potential of fraud and abuse charges from
erroneous billing.
• Charges remain one of the few consistent indicators
available to monitorresource use.
• Charges are means of measuring physician productivity.
• Charges provide the data used in activity based costing.:
B. Charges remainone of the few consistent indicators available
to monitor resource use
• The ACO investment model will test the use of pre-paid
shared savings to:
• Invest in treatment protocols that reduce costs to
Medicare
• Attract physicians to participate in the ACO payment
system.
• Raise quality ratings in designated hospitals.
,• Encourage new ACOs to form in rural and underserved
areas.: D. Encouragenew ACOs to form in rural and
underserved areas
• Across all care settings, if a patient consents to a
financial discussion during a medical encounter to expedite
discharge, the HFMA best practice isto:
• Have a patient financial responsibilities kit ready for the
patient, containingall of the required registration forms and
instructions.
• Make sure that the attending staff can answer
questions and assist inobtaining required patient
financial data.
• Support that choice, providing that the discussion does
not interfere withpatient care or disrupt patient flow.
• Decline such request as finance discussions can disrupt
patient care and patient flow.: C. Support that choice, providing
, that the discussion does not interferewith patient care or disrupt
patient flow
• Activities completed when the scheduled, pre-registered
patient arrives forservice includes:
• Verifying insurance, activating the record and directing
the patient to the
service area.
• Scanning the driver's license or other phot identification
and directing thepatient to the financial counselor.
• Activating the record, obtaining signatures and finalizing
financial issues.
• Registering the patient and directing the patient to the
service area.: C.Activating the record, obtaining signatures
and
• The activity which results in the accurate recording of
patient bed and level of care assessment, patient transfer
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