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Patient Financial Responsibility Toolkit

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Patient Financial Responsibility Toolkit

Order the toolkit and membership combination here!

 

 

Toolkit Pricing:

$399 Toolkit
$449 Toolkit + Individual Membership
$599 Toolkit + Sober/Transitional Living Membership
$999 Toolkit + Addiction Treatment Center Membership

 

 

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 Included within the Toolkit:

  • Insurance companies’ arguments about discounts and waivers
  • Contrasting different states’ approaches
  • Recommendations for reducing risk
  • Prompt pay vs cash pay discounting
  • Debt collection practices & bad write-offs
  • Model policies
  • Talking points for staff
  • Sliding fee assistant charts
  • Application, and program policy
  • Invoice and prompt pay discount template
  • Sample promissory note
  • Strategies for reducing risk and much more!

The issue of “Patient Financial Responsibility,” or cost-sharing, presents widespread confusion and risk in the healthcare industry today. The central problem is different expectations on the part of patients, providers, and payors, about whether and how discounts and waivers of deductibles, copays, and co-insurance are permissible or, alternatively, whether they amount to a form of fraud or abuse.

This Toolkit seeks to clarify the issues and offer practical solutions to reduce risk, it addresses in detail, business practices in which healthcare providers are engaging that patients appreciate (at least at first) but that payors (i.e. private insurers and government) may find objectionable or even fraudulent. There are other practices that payors allege to be inappropriate, but that are in fact defensible as legally appropriate. It will illustrate to providers how to operate legally in actual and practical terms by offering a clearer understanding of the subject matter, and some suggestions for how to meet the underlying need in a legal manner.

The Toolkit is divided into three parts. In the Background Section, the problem and solutions are explained. In the Recommendations Section, we offer an overview of practices that are permissible and general strategies to avoid legal problems. In the Resources Section, we offer a series of model documents with instructions on how they should be used. Finally, in the Final Recommendations Section, we offer some thoughts on how to go about implementing the resources and what to look for ahead in the shifting “battle” over this issue.

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The American Addiction Treatment Association (AATA) delivers reliable information and resources on compliance and best practices to enable recovery industry professionals, owners, and operators to navigate the evolving clinical and regulatory landscapes.

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Disclaimer of Liability: ATAA presents the information on this web site as a service to our members & other Internet users. While the information on this site is about legal issues, it is not legal advice. Due to the rapidly changing nature of the law & our reliance on information provided by outside sources, we make no warranty or guarantee concerning the accuracy or reliability of the content at this site or any sites to which we link.