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 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

COL001 MPI Bad Address Flag Updates
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 - Prenatal Services - JHBMC
FIN063 Self-Pay Collections
FIN065 Payment Denials
FIN068 Write Off Process for Unbilled Medical Records
FIN069 Special Collections Situations
FIN070 Credit balances and Refund Processing (Request)
FIN076 Collection Agencies Performance Analysis
FIN077 Selection of Collection and Other Agencies
FIN094 Bad Debt Placement

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