FAP English Patient Billing and Collection Guidelines

Renown Policy v2021 Page 1 of 4
Policy Title: Policy Owner Job Title:
Patient Billing and Collection Guidelines Director of Patient Revenue
This section to be completed by Compliance
Current Effective Date
7 / 2024
Last Review Date
12 / 2023
Committee Approved By:
Audit & Compliance Steering Committee
Additional Committee Approvals:
N / A
Scope: Renown Health and its affiliated entities, including Renown Regional Medical Center, Renown South Meadows Medical Center, and Rehabilitation Hospital, adopt the following policy and procedure.
Definitions:
1. Application Period means the period during which Renown must accept and process an application for financial assistance under the FAP. The Application Period begins on the date the care is provided and ends on the 365 th day after Renown provides the first billing statement or within 90 days of being sent to collections, whichever occurs first.
2. Billing Deadline means the date after which Renown may initiate an Extraordinary Collection Action against the Guarantor. The Billing Deadline must be specified in a written notice to the Guarantor provided at least 30 days prior to such deadline, but no earlier than the last day of Application Period.
3. Completion Deadline means the date after which Renown may initiate or resume an ECA against an individual who has submitted an incomplete Financial Assistance Application if that individual has not provided the missing information and / or documentation necessary to complete the application. The Completion Deadline must be specified in a written notice and must be no earlier than 30 days after Renown provides the individual with the notice: or the last day of the Application Period.
4. Extraordinary Collection Action( ECA) means any action against an individual related to obtaining payment of a Self-Pay Account that requires legal or judicial process or involves selling of Self- Pay Account to another party or reporting adverse information about the Guarantor to consumer credit reporting agencies or credit bureaus. Additional examples of ECAs include: placing a lien on an individual’ s property, commencing a civil action against an individual or garnishing an individual’ s wages. ECAs do not include an action to perfect the statutory lien on claims of liability or transfer of a Self-Pay Account to another party for purposes of collection without the use of ECAs, or the filing of a claim in any bankruptcy proceeding. Additional information regarding this definition can be found in IRS guidelines 1.501( r)- 6 Billing and collection.
These Policies and Procedures are guidance for the Organization. The Organization recognizes there may be specific facts and / or circumstances that warrant a departure from a specific policy provision. Nothing herein is intended to override an employee’ s ability to use good judgment in such circumstances.