BronxCare Health System

Billing and Collection

1. Billing Third Party Payors: The Institution makes efforts to maximize revenue from public and private third party payors and to collect appropriate reimbursement from Medicare, Medicaid, CHP and other public assistance programs, as well as private third party payors. Staff will educate patients on options available to them based on their eligibility for insurance and/or related third party coverage.

2. Waiving Charges: Charges may be waived in accordance with the Sliding Fee Discount Schedule.

Collection Proceedings

This policy will:

• Prohibit the forced sale of or foreclosure on the patient’s primary residence
Note: Liens on the primary residence would continue to be allowed

• Prohibit sending an account to collection if the patient has submitted a completed application for financial assistance, including any required documentation, while the application is pending.

• Provide written notification to a patient at least 30 days before an account is sent to collection. Written notice could be included on a bill.

• Require the collection agency to have the hospital’s written consent prior to starting a legal action for collection.

• Require general hospital staff that interact with patients or have responsibility for billing and collection to be trained in the hospital’s policies.

• Require any collection agency under contract with the hospital to follow the hospital’s financial assistance policy and provide information to patients on how to apply, where appropriate.

• Prohibit collection activity if the patient is determined eligible for Medicaid for the services that were rendered and the hospital is able to collect Medicaid payment.