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 Initiating and Terminating Systems Acess for Regular, Temporary, and Transferring Staff
 SYS002 New Hire Orientation
 SYS003 Applications Table Update Policy
 SYS004 VCQ - Visual CyberQuery
 SYS006 HDM Installation Requests
 SYS007 Assessment Request: PFS Reps
 SYS008 Custom Report Request
 SYS010 Computer Usage Policy
 SYS012 Accessing Voice Mail
 SYS013 Demand Bill Process
 SYS014 GroupWise Guidelines
 SYS025 Medical Records Requests Procedures and Tracking
 SYS029 MRRS Management Procedures
 SYS031 Computer Software Policy
 SYS032 HIPAA Security - E-PHI
 SYS033 PFS Responsibility for Payer Website Access
SYS034 PFS Validation of Statement and Letter Processing

II. Collection  COL001 CDS Bad Address Flag Updates in Meditech
 COL002 Account Abbreviations Procedure
 COL003 Referring Accounts to Attorney's for Clinical/Administrative Denials
 COL004 Federal Medicaid Eligibility Process
 COL005 Patient Account Writeoffs for Risk Management (Request)
 COL006 Self Pay Collections Contact Script
 FIN033 Installment Payments
 FIN034A Financial Assistance - JHH & JHBMC
FIN034a Financial Assistance Application - JHH
 FIN034a Spanish-Financial Assistance Application - JHH
FIN034a Financial Assistance Application - JHBMC
FIN034a Spanish Financial Assistance Application - JHBMC
 FIN034B Financial Assistance - JHBCC & JHHCG
FIN034C Financial Assistance - JHCP
 FIN034H Financial Assitance - HGCH
FIN034h Financial Assistance Application - HCGH
FIN034h Spanish Financial Assistance Application - HCGH
 FIN041 Estimating Inpatient Payment Requirements
 FIN053 Financial Assistance - Pregnancy Care - JHBMC
 FIN063 Self-Pay Collections
 FIN065 Payment Denials
 FIN068 Write Off Process for Unbilled Medical Records
 FIN069 Special Collections Situations
 FIN070 Credit Balance and Refund Processing (Request)
 FIN076 Collection Agencies Performance Analysis
 FIN077 Selection of Collection and Other Agencies
 FIN094 Bad Debt Placement
FIN132 Clinical Research Prospective Reimbursement Analysis

III. Billing
 BIL002 Late Charge Procedure: Keane
 BIL002a Late Charge Procedure: Meditech
 BIL003 Medicare Billing Specifics
 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 Billing Practices
 BIL016 Medicare Credit Balance Reporting
 BIL018 Allowances/Adjustments/Agency Placements (Request)
 BIL020 Secondary 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 JHBCC 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
FIN128 Medical Identity Theft - Patient Billing Complaints (Requests)

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 Hierarchy for Posting Patient Accounts
 CAS002 Payment Processing
 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
FIN136 JHM Guidelies for Point of Service Cashiering
Central Scanning Unit  CSU001 Billing Records Retention
 CSU002 Attorney Request for Patient Bill
 CSU003 JHMCIS Reports Distribution
 CSU004 Patient Request for Billing Records(s)
CSU005a Incoming Mail
CSU005b Pre-Sort Outgoing Mail
CSU006 Imaging Billing Records
CSU007 Criminal Injuries Compensation Board Request for Itemized Bill and Notice
CSU008 Destruction of Billing Records
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 and Renal Transplantation
 TRA003 Pre-Authorization for Solid Organ and Bone Marrow Transplant Patients (Request)
 TRA004 Accounts Receivables Follow-Up Transplant Services
 FIN062 Granting Financial Clearance for Transplant Patients (Request)

VII. Miscellaneous  MIS001 Standards for Personal Appearance
  MIS001a Standards for Personal Appearance - Footwear Safety
 MIS006 Lateness and Kronos Timekeeping Guidelines
  MIS006a Acknowledgement of Lateness and Kronos Timekeeping Guidelines
 MIS007 Booking Conference Rooms
 MIS008 Inclement Weather
 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 Processing
RCD003 Turn Around Time For Adjustment Processing
RCD004 Clinical Research Billing
RCD005 A/R Reinstatement
RCD006 Validating Cash Received from Cash Applications Staff
 FIN072 Third Party Charge Audits
 FIN074 Revenue Control and Responsibility
 FIN112 Updating the Charge Master
  FIN112 Procedure Request Form
  FIN112 Pharmaceutical Request Form
  FIN112 Supply Request Form

|