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									                 PHOEBE PUTNEY MEMORIAL HOSPITAL
                             POLICIES AND PROCEDURES


DEPARTMENT: Business Affairs                     POLICY DESCRIPTION:
                                                 Georgia Indigent Care Trust Fund Financial
                                                 Assistance
PAGE: 1 of 6                                     REPLACES POLICY DATED:
                                                 12/21/89
APPROVED BY AND DATE:                            RETIRED:
AVP Business Affairs 08/01/00
EFFECTIVE DATE: 08/01/00                         NUMBER: BA.REG.507


SCOPE:
Financial Counseling and Customer Service representatives of the Business Affairs
Department at Phoebe Putney Memorial Hospital.

PURPOSE:

To provide guidelines and consistent criteria for use in determining the patient’s financial
status so that appropriate classification and distinction can be made between amounts
arising from a patient’s unwillingness to pay (bad debt) and those amounts arising from a
patient’s demonstrated inability to pay (Indigent Care). Indigent care is defined as a total or
partial write-off of patient account balances for individuals determined to be “Medically
Indigent ”. All patients will be given the opportunity to apply for financial assistance for
their eligible hospital charges.

POLICY:
The medical care which the hospital shall provide to patients determined to be Medically
Indigent shall consist of the same standard of medical care rendered to all other hospital
patients, including food, general (but not special ordered by a physician) nursing care and
supervision, semi-private rooms (unless otherwise ordered by a physician due to medical
condition), use of operating rooms and facilities, and other usual hospital care and services.
Medicine, drugs, and services of medical staff are included in medical care. Solely the
attending physicians in their medical judgment shall determine the extent of medical
treatment required for each patient. The hospital policy for use of Indigent Care funds shall
only provide for services, which are medically necessary and are not elective procedures in
nature. Patients will be informed at the time of Registration that assistance is available to all
qualified applicants. The Hospital follows the HIPAA regulations regarding privacy of
patient information.


The Financial Counselors will interview the applicant, complete both the application and the
approval process as indicated in this policy.

PROCEDURE:

Notice of Financial Assistance program shall be posted in all areas where patients may
present for registration prior to receiving medical services at Phoebe Putney Memorial
Hospital or any area where patient/patient representative may make inquiries about their
hospital bills. Information will be available in English and Spanish.
                     PHOEBE PUTNEY MEMORIAL HOSPITAL
                                POLICIES AND PROCEDURES


DEPARTMENT: Business Affairs                         POLICY DESCRIPTION:
                                                     Georgia Indigent Care Trust Fund Financial
                                                     Assistance
PAGE: 2 of 6                                         REPLACES POLICY DATED:
                                                     12/21/89
APPROVED BY AND DATE:                                RETIRED:
AVP Business Affairs 08/01/00
EFFECTIVE DATE: 08/01/00                             NUMBER: BA.REG.507

Content

I.   Guidelines for the Georgia Indigent Care Trust Fund Financial Assistance Program

     The intent of these guidelines is to provide all affected parties with definitions,
     interpretations, and standards for uniform administration of entitlement to treatment as
     an indigent / charitable patient under the Georgia Indigent Care Trust Fund Financial
     Assistance Program.

Definitions

     A.       Indigent / Charity Patient
              Patient who is a resident of the state of Georgia and whose annual family
              income does not exceed 200% of the Federal Poverty Levels (FPL) as
              established by the United States Department of Health and Human Services for
              1990 and subsequent years.

     B.       A patient must be a resident of the state of Georgia for six months to meet the
              residency requirements; however, if the patient can prove intent to remain a
              resident of the state of Georgia, this requirement will be waived.

              Evidence of intent may be supplied by one or more of the following:

              i.     If receiving food stamps, show evidence of signing up in county of
                     residence.

              ii.    If school is in session and family has children, evidence of enrollment.

              iii.   Proof they are eligible to vote in the state of Georgia.

              iv.    Show telephone, gas, water and light bill indicating current address in
                     Georgia.

              v.     If renting, show evidence of rent receipt in the state of Georgia.

              vi.    If receiving Social Security check, show evidence of change of address.

              vii.   Furnish the name, address, and telephone number of two neighbors who
                     will be willing to verify that the patient or family lives at the address given.
                PHOEBE PUTNEY MEMORIAL HOSPITAL
                           POLICIES AND PROCEDURES


DEPARTMENT: Business Affairs                   POLICY DESCRIPTION:
                                               Georgia Indigent Care Trust Fund Financial
                                               Assistance
PAGE: 3 of 6                                   REPLACES POLICY DATED:
                                               12/21/89
APPROVED BY AND DATE:                          RETIRED:
AVP Business Affairs 08/01/00
EFFECTIVE DATE: 08/01/00                       NUMBER: BA.REG.507

           viii. Other appropriate evidence of residency may be considered in addition to
                 or in lieu of what is specifically listed above.

      C.   Gross Income
           The individual’s federal; adjusted gross income and includes income from
           wages, salaries, tips, etc.; interest and dividend income; unemployment
           compensation; and other taxable income.

      D.   Household

           Number of people claimed on income tax filing, or the ones the applicant is
           legally responsible for.

      E.   Guarantor
           Generally will include, but are not limited to, members of the immediate family,
           relatives, and other individuals involved in accidents or liability coverage.

II.   Georgia Indigent Care Trust Fund Financial Assistance

      Patients who live in the state of Georgia, whose income has been determined not to
      exceed 200% of the prevailing Federal Poverty Levels, are considered to be eligible for
      the Georgia Indigent Care Trust Fund Financial Assistance Program

      A.   Indigent Financial Assistance
           Patients whose income is below 125% of the Federal Poverty Levels are
           classified as DCFA Indigent.

      B.   Charity Financial Assistance
           Patients whose income level is between 126% - 200% of the Federal Poverty
           Levels will be classified as Charity. These patients will be responsible for a
           percentage of the hospital charges. This percentage will be based on
           calculations using the Federal Poverty Levels that are published in the Federal
           Registry each year. If it is determined the patient responsibility will be an undue
           hardship on the patient / guarantor, these cases will be reviewed on an individual
           basis with the Financial Counseling Supervisor for possible Catastrophic charity
           based on sliding scale guidelines. (See Sliding Scale)

      C.   Catastrophic Financial Assistance
           Patients whose income exceeds 200% of the Federal Poverty Levels and whose
           hospital charges exceed 25% of their annual income resulting in excessive
                 PHOEBE PUTNEY MEMORIAL HOSPITAL
                             POLICIES AND PROCEDURES


DEPARTMENT: Business Affairs                     POLICY DESCRIPTION:
                                                 Georgia Indigent Care Trust Fund Financial
                                                 Assistance
PAGE: 4 of 6                                     REPLACES POLICY DATED:
                                                 12/21/89
APPROVED BY AND DATE:                            RETIRED:
AVP Business Affairs 08/01/00
EFFECTIVE DATE: 08/01/00                         NUMBER: BA.REG.507

            hardship. The Financial Counselor will attempt to collect 25% of the balance or
            an amount that may be collected without undue hardship whichever is greater in
            24 months.

       D.   Before any patient can be considered for Georgia Indigent Care Trust Fund
            Financial Assistance Program, the patient or responsible party must complete a
            determination of Indigent Care Worksheet. (See attachment)

       E.   Financial Counselors will require disclosure of all circumstances concerning
            insurance, third party coverage, assets, liabilities, guarantors, and any other
            factors necessary.

       F.   If the patient is eligible but refuses to apply for any type of state or federal
            program he/she will not be considered for The Georgia Indigent Care Trust
            Fund Financial Assistance Program.

       G.   In the event a patient is deceased and the Business Office has determined that
            there is no estate or moneys available, a family member may supply this facility
            with a copy of the death certificate and no application process needs to be
            completed. If it has been determined that there is no family available to present a
            death certificate and the patient expires in this facility, we can use the
            information provided by the hospital’s information system or medical
            information services documenting expiration. This account will then be handled
            through PPMH catastrophic charity.

III.   Instructions and Procedures for Completing a Determination of Indigence

       These instructions and procedures should be used in making determinations of
       indigent care under the financial assistance program. The patient and / or responsible
       party are required to provide the necessary information to complete a determination.

       A.   Income Information
            Obtain from the applicant information on the patient’s gross family income for
            the twelve (12) months preceding the determination of eligibility. Use the
            definition of gross income in the federal poverty guidelines. Food stamps do
            not count as income. Multiply the three (3) months figures times four (4) and
            compare the result with the twelve (12) months figure. Use the lesser amount to
            determine eligibility
                 PHOEBE PUTNEY MEMORIAL HOSPITAL
                           POLICIES AND PROCEDURES


DEPARTMENT: Business Affairs                   POLICY DESCRIPTION:
                                               Georgia Indigent Care Trust Fund Financial
                                               Assistance
PAGE: 5 of 6                                   REPLACES POLICY DATED:
                                               12/21/89
APPROVED BY AND DATE:                          RETIRED:
AVP Business Affairs 08/01/00
EFFECTIVE DATE: 08/01/00                       NUMBER: BA.REG.507

     B.   Any reasonable method to verify income information necessary to establish
          eligibility may be used. Examples of verification are:

                 •   W-2 withholding forms

                 •   Pay stubs

                 •   Income tax returns

                 •   Forms approving/denying unemployment compensation of workmen’s
                     compensation.

                 •   Written verification of wages from employer.

                 •   Written verification from public assistance agencies.

                 •   Food stamps certification letter or food stamp card (AFDC proof of
                     eligibility)

          ix.    A Medicaid remittance voucher which reflects that the patient’s Medicaid
                 benefits for the Medicaid fiscal year have been exhausted

     C.   Determination of Indigent Care
          The determination of the indigent care of a patient shall be made based on the
          definition of an “indigent/charity patient ” under definition “A ” above, and are
          based on current Federal Poverty Levels. Once determination has been made,
          the applicant will receive a letter or approval / denial within 5 working days if not
          given at time of application. Approval will be valid for 6 months, after which
          applicant may reapply. Letter of approval may be presented at Registration
          points in order to identify as a financial assistance account.

     D.   Charges which are not eligible for financial assistance:
          i.     Private room differences

          ii.    Elective plastic surgery

          iii.   Medicaid co pay
                 PHOEBE PUTNEY MEMORIAL HOSPITAL
                              POLICIES AND PROCEDURES


DEPARTMENT: Business Affairs                    POLICY DESCRIPTION:
                                                Georgia Indigent Care Trust Fund Financial
                                                Assistance
PAGE: 6 of 6                                    REPLACES POLICY DATED:
                                                12/21/89
APPROVED BY AND DATE:                           RETIRED:
AVP Business Affairs 08/01/00
EFFECTIVE DATE: 08/01/00                        NUMBER: BA.REG.507

           iv.    Accounts that are covered under liability or worker’s compensation with
                  no proof of denial of coverage

           v.     Accounts with an individual insurance policy unless money collected from
                  insurance company is paid on the account prior to assistance being
                  granted.

           vi.    Maternity accounts as patient can apply for Medicaid or other available
                  programs for pregnant women or Perinatal Grant for certain high risk
                  pregnancies

REFERENCES:
Federal Poverty Levels
Notice of Privacy Practices
Financial Aid Worksheet

CONTACT:
Financial Counselor / Cashier Team leader at 229-312-4220.
Registration Manager 312-4704

APPROVAL:

By:              _____________________________

Title:           ______________________________

Date:            _____________________________

								
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