b. Guarantor co-pay amounts are to be paid in full at time of FAP application approval based on stated income. i. Payments can be delayed to a maximum of 90 days after submission, with approval by the Supervisor or above. ii. Application approval will be applied to all open and active accounts at time of application submission that meet FAP criteria. iii. All future guarantor financial responsibility that meets FAP criteria for 6 months from the date of the approval is also covered under the application. 1. The guarantor is to notify Renown Financial Assistance at 775-982-5747 to apply the FAP approval to additional accounts. 2. No additional copay is due for accounts that meet FAP criteria for 6 months from the date of approval. c. Guarantors approved for the FAP will not be responsible for more than the hospital specific AGB. Eligible patients will be responsible for the lesser of the co-pay based on the specific Federal Poverty Level or the hospital specific AGB. i. For questions regarding the AGB calculation, patients may contact our Self Pay
Contact Center at: a. Phone: 775-982-4130 b. In Person: 10315 Professional Circle, Reno, Nevada 89521 d. Guarantors will be billed for the remaining balance based on determination according to Renown’ s Self-Pay Billing and Collection Guidelines. i. A copy of these guidelines may be requested by contacting a Financial Assistance Specialist at 775-982-5747 or toll free at 855-951-6871 or Business office at 775- 982-4130 or toll free at 866-691-0284 or online at Renown. org e. If the guarantor made payments toward outstanding balances prior to FAP approval, refunds will be issued for amounts over the assigned copay determined by FPL. Payments will be processed according to the Renown Health Refunds and Credit Balances Policy, RENOWN. PRB. 005.
References / Regulations: Treasury Regulation 1.501( r)-6 for billing and collections
Treasury Regulation 1.501( r)-5 for limitation on charges information Treasury Regulation 1.501( r)-4 for reference to the financial assistance policy rules Annual Update of the HHS Poverty Guidelines: 85 FR 3060 Doc. 2020-00858
Federal Poverty Level https:// www. federalregister. gov / documents / 2020 / 01 / 17 / 2020-00858 / annual-updateof-the-hhs-povertyguidelines
BILLING CODE 4150-05-P Nevada Medicaid Manual – Medical Necessity Section 103.1 https:// dhcfp. nv. gov / Resources / AdminSupport / Manuals / MSM / MSMHome / Medicare Bad Debt Renown Policy 15952( RENOWN. CBO. 109) Refunds and Credit Balances Renown Policy 15958( RENOWN. PRB. 005) Adjustments to Accounts Receivable Renown Policy 15943( RENOWN. CBO. 024) Patient Billing and Collection Guidelines Renown Policy 1249( RENOWN. SPC. 005)