File #: 14-1347    Name: Clinic Services Write Off Authority
Type: General Agenda Item Status: Passed
File created: 12/3/2014 In control: Board of Supervisors
On agenda: 12/16/2014 Final action: 12/16/2014
Title: Approve the Health Department's Clinic Services Bureau, Billing and Collection of Self-Pay Account Policy and Procedure, which, among other things, would authorize either the Clinic Services Bureau Chief ("Bureau Chief") or the Monterey County Health Department Clinic Services Bureau Finance Manager II with the written concurrence of the Assistant Director of Health/Administration Bureau, to compromise patient debts and write off outstanding, self-pay guarantor accounts receivable in the amount up to two-thousand dollars ($2,000).
Attachments: 1. Board Report, 2. Policy_F001 Collection Write Off _FINAL 12022014, 3. p p Policy Collections Attachment A - Procedures, 4. Routing Approval Form P&P, 5. Completed Board Order
Title
Approve the Health Department's Clinic Services Bureau, Billing and Collection of Self-Pay Account Policy and Procedure, which, among other things, would authorize either the Clinic Services Bureau Chief ("Bureau Chief") or the Monterey County Health Department Clinic Services Bureau Finance Manager II with the written concurrence of the Assistant Director of Health/Administration Bureau, to compromise patient debts and write off outstanding, self-pay guarantor accounts receivable in the amount up to two-thousand dollars ($2,000).

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve the Health Department's Clinic Services Bureau, Billing and Collection of Self-Pay Account Policy and Procedure, which, among other things, would authorize either the Clinic Services Bureau Chief ("Bureau Chief") or the Monterey County Health Department Clinic Services Bureau Finance Manager II with the written concurrence of the Assistant Director of Health/Administration Bureau, to compromise patient debts and write off outstanding, self-pay guarantor accounts receivable in the amount up to two-thousand dollars ($2,000).

SUMMARY/DISCUSSION:
The Clinic Service Bureau (Clinic Services) is a safety net provider and the only source of health care for many Monterey County residents. Clinic Services provides health care regardless of a person's ability to pay. Staff seeks to link patients with governmental insurances such as Medicare and Medi-Cal, and checks to see if they have other sources for health insurance. The Health Resources and Services Administration (HRSA), which regulates the Health Departments Federally Qualified Health Clinic, Look-Alikes, requires that Clinic Services offer a Sliding Scale Discount Fee Schedule to eligible uninsured or underinsured patients whose incomes are at or below 200% of the Federal Poverty Level to assist with the costs of their medical care.

Clinic Services maintains a sound accounts receivable ...

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