Medical Services has partnered with Medlytix, Inc. to provide the best possible "means testing" available for identifying charity patients. The Charity Application/Processing Department helps identify true charity eligible patients for client hospitals. State verification guidelines and hospital charity policies and procedures are strictly adhered to in an effort to qualify the truly needy patient for partial or full charity. We provide the following services:
- Charity Counselors, trained to meet the needs and requirements of each hospital while providing compassionate interaction with potential financial assistance eligible patients.
- Special financial assistance communications and application letters.
- Use of the Scorer® / Medlytic, patient scoring system to help determine and identify charity eligibility and accuracy of information provided by the guarantor.
- Follow up on accounts that do no meet charity guidelines.
All accounts with balances over a specified dollar value are placed in a special charity file. The Charity Counselor will run the accounts thru Scorer® credit-scoring program to determine if the guarantors have other resources to pay their bill. If they do not, our Charity Counselor will send out a special letter encouraging them to contact our office for possible assistance. If they contact our office they will be sent the necessary paperwork to fill out and return with appropriate documents that verify their need for charity. Once the documents are completed and returned to our office, the Charity Counselor will review and send to management for approval. Management will determine if account should be forwarded to hospital for approval or denial.
The above procedures are also followed for patients who call in and request assistance with their bill.
This service can allow PFS employees additional time to focus on more productive endeavors.