PFS Policies
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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
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