[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-281567-105":53,"doc-detail-281567-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","collections-and-bad-debt-policy-policy-and-procedure-number-30-health-service-receivables","Collections and Bad Debt Policy - Policy and Procedure - Number 30 - Health Service Receivables","","Policy and procedure for the Health Service Receivables department covering collection of unpaid self-pay balances and classification of accounts as bad debt. Defines self-pay and sets criteria for placing accounts on payment arrangement plans and for referring accounts to external collection agencies after exhausting reasonable follow-up efforts. Includes payment arrangement thresholds by balance due, timing for bills, statements, Tele-Computer Systems outreach, third-party payer checks, Medicare bad debt categories, and rules for internal handling of early inquiries.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/collections-and-bad-debt-policy-policy-and-procedure-number-30-health-service-receivables/281567/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/collections-and-bad-debt-policy-policy-and-procedure-number-30-health-service-receivables/281567.png","ImageObject",442,249,{"name":88,"@type":89},"8796093062539","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",6,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What qualifies an account for a payment arrangement plan before it can be referred to bad debt?","Question",{"text":109,"@type":110},"An account may be placed on a payment arrangement plan if the requested and agreed monthly payment amount falls within the Health Service Receivables guidelines based on the balance due. Requests outside the guidelines require self-pay manager review and approval.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"When can a self-pay account be referred to bad debt?",{"text":114,"@type":110},"A self-pay balance may be referred to collection if it is unpaid 120 days after the bill date after reasonable follow-up efforts are exhausted, if the patient/guarantor advises no intention to pay, or if mail/phone communication fails due to bad information.",{"name":116,"@type":107,"acceptedAnswer":117},"What collection steps must occur before classifying a Medicare account as bad debt?",{"text":118,"@type":110},"Associates must have attempted and clearly documented three prior collection efforts before classifying a Medicare account as bad debt. Medicare bad debt can include co-insurance, deductible, and life time reserve days.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},281567,1790925759,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":60,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":47,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":73,"preview_page_count":4},8796093062539,"SUBJECT: Collection Policy/Bad Debt  \nNUMBER: 30  \nOWNER: Health Service Receivables  \nEFFECTIVE REVISED SUPERSEDES: 07/15/11  \nDATE: 4/00 DATE: 09/25/12  \nMONTEFIORE MEDICAL CENTER  \nThe University Hospital for the Albert Einstein College of Medicine  \nPOLICY AND PROCEDURE  \nREFERENCE: Unpaid Claim Follow Up, Patient/Guarantor Billing Policies, Termination of Follow up.  \nOBJECTIVE: The Health Service Receivables Department is committed to assuring that after exhausting all reasonable follow-up efforts; unpaid self-pay claims are referred to external agencies for further collection effort and the account classified as bad debt.  \nSCOPE: HSR associates responsible for collection of self-pay balances.  \nDEFINITIONS: Self-pay refers to accounts for patients with no insurance, patients with a balance after insurance payment, or insurance denials where patient is made responsible for balance.  \n\n| Montefiore Medical Center\u003Cbr>111 East 210th Street Bronx, New York 10467 |  |\n| --- | --- |\n\nOPERATING PROCEDURE:  \nPayment Arrangement Plan Criteria-Prior to an account being referred to bad debt it may be placed on a payment arrangement plan if the monthly payment amount requested and agreed toby the patient/patient representative falls within H.S.R. payment arrangement guidelines which are as follows:  \nBalance Due Number of Months  \nLess than $100 1-3  \n$100 .01-$300 3-4  \n$300 .01-$500 4-6  \n$500 .01-$800 6-8  \n$800 .01-$1500 8-12  \n$1500 .01-$2500 12-16  \n$2500 .01-$4000 16-20  \nGreater than $4000 20-24  \nPayment arrangement requests made by the patient/patient representative which fall outside of the guidelines require review and approval by the self pay manager.  \nBad Debt Qualification Criteria – An account may be referred to collection if it meets one or more of the following criteria:  \n􀁸 Self-pay balance not paid 120 days after bill date when all reasonable follow-up efforts have been exhausted.  \n􀁸 Patient/Guarantor advises HSR associate that they have no intention of paying the bill  \n􀁸 Patient communication via mail and/or phone is unsuccessful due to bad information  \nPlease note that bad debt adjustments require adequate system notes to demonstrate justification, reconciliation and an audit trail before referring self-pay accounts to collection agencies.  \n1. If a self-pay account that has been billed remains unpaid for over 120 days and all reasonable collection efforts have been exhausted, the account will be referred to bad debt. Reasonable collection efforts include:  \nA. Sending an initial self-pay bill for the balance and subsequent statements at 21 and 42 days from bill date  \nB. Reviewing previous accounts in the Eagle and/or IDX billing systems to  \n| Montefiore Medical Center\u003Cbr>111 East 210th Street Bronx, New York 10467 |  |\n| --- | --- |\n\ndetermine if a valid third party payer exists for date-of-service.  \nC. Name search for Medicaid via Electronic Medicaid Eligibility Verification System (EMEVS) on Eagle to determine if patient has Medicaid coverage.  \nSelf-pay patients must always receive a bill prior to referring to collection.  \n2. Self-pay accounts are referred to Tele-Computer Systems (TCS) 45 days after bill date where follow-up takes place for 45 days. At least twice a week phone calls (by telephone representatives as well as automated outbound message campaign) [are made by H.S.R. in](are made by H.S.R. in)[an attempt to resolve the outstanding balance with the patient/patient representative.](an attempt to resolve the outstanding balance with the patient/patient representative.)[ ](an attempt to resolve the outstanding balance with the patient/patient representative.)[Twice a month TCS runs a query of accounts qualifying for collection. A Final Notice](Twice a month TCS runs a query of accounts qualifying for collection. A Final Notice)[ ](Twice a month TCS runs a query of accounts qualifying for collection. A Final Notice)letter is mailed to patients whose accounts appear on the query and if no re","cbCairbBtD8CIR6X","https://ap.wps.com/l/cbCairbBtD8CIR6X","pdf",134356,"English","# Operating Procedure\n## Payment Arrangement Plan Criteria - Prior to Bad Debt Referral\n## Bad Debt Qualification Criteria - Collection Referral Timing\n## Medicare Bad Debt Classification\n## Agency Referral Inquiry and Payment Handling","[{\"question\":\"What qualifies an account for a payment arrangement plan before it can be referred to bad debt?\",\"answer\":\"An account may be placed on a payment arrangement plan if the requested and agreed monthly payment amount falls within the Health Service Receivables guidelines based on the balance due. Requests outside the guidelines require self-pay manager review and approval.\"},{\"question\":\"When can a self-pay account be referred to bad debt?\",\"answer\":\"A self-pay balance may be referred to collection if it is unpaid 120 days after the bill date after reasonable follow-up efforts are exhausted, if the patient/guarantor advises no intention to pay, or if mail/phone communication fails due to bad information.\"},{\"question\":\"What collection steps must occur before classifying a Medicare account as bad debt?\",\"answer\":\"Associates must have attempted and clearly documented three prior collection efforts before classifying a Medicare account as bad debt. Medicare bad debt can include co-insurance, deductible, and life time reserve days.\"}]","Collections and Bad Debt Policy - Policy and Procedure - Number 30 - Health Service Receivables | PDF",1789566777]