PFS Policies

Table of Contents

I. Systems
II. Collections
III. Billing
IV. Support
V. Admitting/Registration and Verification
VI. Transplants
VII. Miscellaneous
VIII. Finance Policies
IX. Compliance Policies
X. Revenue Control Department Policies

I. Systems

SYS001 Hiring and Termination Systems Security Access for Regular, Temporary and Transferring Staff Procedures
SYS002 New Hire Orientation
SYS003 Applications Table Update Policy
SYS003 Application Table Request Form
SYS004 VCQ Application Installation
SYS006 HDM Installation Requests
SYS007 Assessment Request
SYS008 Custom Report Request
SYS008a CQ Report Service Request
SYS010 Computer Usage Policy
SYS012 Accessing Voice Mail
SYS013 Demand Bill Process
SYS013a Demand Bill Printers
SYS014 GroupWise Guidelines
SYS015 Resident Account Management - Purge of Detail
SYS024 EPR Log-In Instructions
SYS025 Medical Records Requests Procedures and Tracking
SYS026 Medicare Remit for Care Medic
SYS029 MRRS Management Procedures
SYS031 Computer Software Policy
SYS032 HIPAA Security - E-PHI
SYS033 PFS Responsibility for Payer Website Access

II. Collection

III. Billing

BIL001 UB92 General
BIL002 Patient Late Charge Procedure JHH
BIL002a Patient Late Charge Procedure JHBMC & HCGH
BIL003 Medicare Billing Specifics
BIL004 Third Party Payers
BIL005 Accounts Receivable Follow-up Keane & Meditech & RAM
BIL006 Rebilling Accounts to Insurance Companies/KEANE
BIL006a Rebilling Accounts to Insurance Companies/MEDITECH
BIL006b Rebilling to Insurance Companies/Meditech Magic
BIL007 Managed Care Billing Procedures
BIL008 Patient Refunds Keane & Meditech (Request)
BIL009 Commercial Insurance Billing Practices
BIL010 Blue Cross Billing Specifics
BIL011 Medicaid Billing Specifics
BIL012 HMO Billing Specifics
BIL013A Procedure for Returned/Unidentified Checks - HCGH
BIL014 Worker’s Compensation
BIL016 Medicare Credit Balance Reporting
BIL018 Allowances/Adjustments (Request)
BIL018H Adjustments/Refunds Request Process (Request)
BIL020 Secondary Billing and Cross-Over Billing
BIL021 Rejection/Denial Processing and Follow-Up
BIL023 Clinical Research Billing Procedures (Under Revision)
BIL023a Clinical Research Code Application for JHH & BMC
BIL023b Clinical Research Code Application Directions
BIL024 Ongoing Review of the Hopkins Elder Plus Meditech Client Bill
BIL025 Ongoing Review of the JHGC Meditech Client Bill
BIL029 Completion of Denied/unauthorized admissions Form HCGH
BIL030 Combined Billing of Medical Admissions
BIL032 Procedure for Completion of Form 3808
BIL033 HCGH Inpatient Denials and Appeals
FIN064 Third Party Billing Practices
FIN111 Policy on External Focused Medical Review

IV. Support

Customer Service

CUS001 Processing Patient Complaints
CUS002 Patient Correspondence
CUS003 Telephone Etiquette
CUS004 Customer Service Phone Coverage
CUS005 HIPAA-Verifying Identification
CUS006 HCGH Employee Discount Requests
CUS007 Placing Accounts on Hold
FIN075 Handling Customer Communications

Cash Applications

CAS001 A/R Reinstatement
CAS002 Lock Box Processing
CAS004 Process for Validating Cash Received from Cash Applications Staff
CAS006 Entering Non-patient Cash (NPC) (service release 5.4)
CAS007 Safekeeping and (Disposition) of Patient Valuables
CAS008 Credit Card Procedures
CAS009 Retention of Patient Valuables
CAS011 Time of Service Cash Collections & Settlement
CAS012 Credit Card Refunds ( Request)
CAS014 Recording and Viewing BMC Keane Bad Debt Accounts (service release 5.4)
CAS030 Reconciliation of Daily Patient AR Cash/Deposits - HCGH
FIN043 Central Cashiering
FIN071 Returned Checks and Unidentified Payments
FIN073 Point of Service Cashiering

Central Scanning Unit

CSU001 Record Retention Schedule
CSU002 Attorney Request for Patient Billing
CSU003 Bill Distribution
CSU004 Patient Request for Itemized Bill
CSU005 Incoming and Outgoing Mail
    CSU006 Scanning Documents
    CSU007 Criminal Injuries Compensation Board Request for Itemized Bill and Notice
    FIN129 Criminal Injuries Compensation Board

V. Admitting/Registration and Verification

VER003 Medicare Exhaust Policy
FIN044 Inpatient Admissions & Financial Responsibility
FIN045 Verification of Insurance Benefits I/P and JHMSC
FIN054 Special Entitlement Advocacy Program
FIN055 Discharge Clearance
FIN056 Financial Clearance Hospital Transfers
FIN066 Census Accuracy and Recording
FIN067 Canceled Admissions/Registrations
FIN078 Accounts Receivable Management Reporting Standards
    FIN124 Registration and Scheduling EPIC & Meditech System Security Access - Training
        and Certification Requirements
    FIN125 Outpatient Operations and Daily Reconciliation

VI. Transplants

TRA001 Financial Policy for Live Liver Transplantation (Request)
TRA003 Pre-Authorization for Transplant Patients (Request)
TRA004 Accounts Receivables Follow-Up Transplant Services
FIN062 Granting Financial Clearance for Transplant Patients (Request)

VII. Miscellaneous

MIS001 Departmental Dress Code
MIS001a Departmental Dress Code - Footwear Safety
MIS006 Lateness and Kronos Timekeeping Guidelines
MIS006a Acknowledgement of Lateness and Kronos Timekeeping Guidelines
MIS007 Booking Conference Rooms
MIS008 Inclement Weather Policy
MIS009 Paid Time Off (PTO) Attendance Policy
MIS010 Alternate Work Schedule
MIS011 Radio Policy
MIS012 Code Yellow Bio (Formerly Known As Operation Orange), Bioterrorism Policy & Procedure
MIS013 Cell Phone & Other Devices Usage Guidlelines

VIII. Finance Policies

See Finance Policies Page

IX. Compliance Policies

FIN091 Medicare Secondary Payor Requirements
FIN113 Policy on Patient Waivers of Co-Payments and Deductibles
FIN118 Policy on Advance Beneficiary Notices

X. Revenue Control Department Policies

RCD001 Revenue Control Reconciliation
RCD002 Suspense Batch Balancing
RCD003 Turn Around Time For Adjustment Processing
FIN072 Third Party Charge Audit
FIN074 Revenue Control and Responsibility
FIN112 Policy on Updating the Charge Master
FIN112 Procedure Request Form
FIN112 Pharmaceutical Request Form
FIN112 Supply Request Form