8. Medically Indigent: Are persons who do not have health insurance and who are not eligible for other health care coverage, such as Medicaid, Medicare, or private health insurance.
9. Medically Necessary: Means those services required to identify or treat an illness or injury that is either diagnosed or reasonable suspected to be Medically Necessary considering the most appropriate level of care. To be Medically Necessary, a service must: a. Be required to treat an illness or injury; b. Be consistent with the diagnosis and treatment of the patient’ s condition; c. Be in accordance with the standards of good medical practice; d. Not be for convenience of the patient or patient’ s physician; and e. Be the level of care most appropriate for the patient as determined by the patient’ s medical condition and not Guarantor ' s financial or family situation
10. Gross Charges – Charges that have not been discounted.
11. Actions in the event of nonpayment of an individual self-pay account are described in the Billing and Collection Self-Pay Policy( Renown. SPC. 005)
Policy: 1. Notification of Program
a. Information about Renown’ s Financial Assistance Program( FAP), including a plain language summary, is available to the general public at https:// www. renown. org / patients-andvisitors / billing / financial-assistance. b. The FAP policy and plain language summary will be translated into Washoe County populations age 5 + by language spoken at home that exceed 5 % per Nevada Tomorrow:: Demographics:: County:: Washoe:: Population. c. Guarantors can request a FAP application or plain language summary at any Renown Regional Medical Center, Renown South Meadows, and Renown Rehabilitation admitting location, the patient financial assistance office at Renown Regional Medical Center, or the Renown Health Business Office at 10315 Professional Circle Reno, Nevada 89521. d. Guarantors will be provided information on the Financial Assistance Program on the bottom of all patient statements requesting payment for services rendered.
2. Referral
a. Uninsured and underinsured guarantors will be identified as early as possible when no other payment source is available and referred to the FAP. b. Referrals can be made anytime a guarantor expresses a financial hardship and wishes assistance up to 12 months after first statement date. If no statements were sent, assistance can be provided up to 12 months from date of discharge. Exceptions may be requested and require approval from the VP of Revenue Cycle or above. c. Information pertinent to FAP referrals should be made prior to any planned procedure and at time of service.
3. Application
a. Applications may be completed and submitted by a patient, guarantor, designee indicated by the patient as eligible to discuss their billing, legal guardian or a person having Power of Attorney for the patient.