501(r) Final Rule: Financial Assistance Programs for The Non-Profit Hospital Organization – Are You Ready?

Event Information
Product Format
Prerecorded Event
60 minutes
Product Description

Where is Your Charitable Hospital Organization on the Path to 501(r) Compliance? Find Out Here!

501(r) Final regulations for charitable hospitals under the Affordable Care Act (ACA) require charitable or non-profit hospitals to implement a number of policies and practices to comply with IRS requirements to maintain their tax-exempt status. Charitable hospital organizations must have a written financial assistance policy, specific limitations on charges, fulfil certain billing and collection considerations, and conduct a Community Health Needs Assessment (CHNA) as per 501(r).

Section 501(r) was added to the Internal Revenue Code by the Patient Protection and Affordable Care Act and imposes new requirements on 501(c)(3) charitable organizations that operate one or more hospital facilities. Organizations that do not implement the requirements under this rule are subject to tax implications.

In this webinar, expert speaker Christine M. Duprey will provide you with the information and guidance to comply with the 501(r) final rule requirements, including the CHNA. She will share examples of the financial assistance policy requirements and statement examples that must be incorporated in mailings, on patient statements, or as otherwise designated for communication of the financial assistance policy. In addition to covering the key topics above which are the regulation components of the 501(r), this session will cover the tax implications to the charitable hospital organizations if this rule is not implemented.

Session Highlights:

  • Get a review of the requirements for conducting the Community Health Needs Assessment (CHNA).
  • Insights on developing the written financial assistance policy and a policy for emergency medical care.
  • Identification of appropriate statement language for the billing and collection process.
  • Amounts generally billed (AGB) and how this total will affect the amounts billed to patients that qualify for financial assistance.
  • Reasonable efforts required to determine eligibility of a patient for the financial assistance program.
  • Extraordinary collection actions – what they are and when they can be enforced for a person that qualifies for the financial assistance program.

Additional Topics:

  • Defined entities affected and clarification of facilities
  • Consequences of compliance failure with 501(r)
  • 501(r) (3)- Community Health Needs Assessment
  • Points to be included in a CHNA report
  • 501(r) (4)- Financial Assistance Policy and Emergency Medical Care Policy
  • 501(r) (5)- Limitation on Charges
  • Methods for determining AGB
  • Explanation of Gross Charges and Safe Harbor
  • 501(r) (6)- Billing and Collections
  • Activities considered Extraordinary Collection Actions and those not considered ECAs
  • Eligibility requirements for Presumptive FAP
  • Notification Requirements
  • Incomplete and Complete FAP Application
  • Determining Medicaid eligibility

Who should attend

Billing or Finance Managers, Business Office Managers, Chief Financial Officers, billing vendors such as Clearinghouses, Billing Companies and Collection Agencies.

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

Order Below or Call 1-844-384-4744 Today

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About Our Speaker

Christine M. Duprey

Christine Duprey, owner of Caris Consulting has been assisting organizations with their compliance activities since 2000. From assessment of compliance practices, establishment of appropriate policies and procedures or the implementation of compliance programs, Chris has augmented compliance professionals to overcome the obstacles and challenges compliance has brought to health care and vendors that support health care organizations.  As a compliance professional, Chris has mentored others to apply a...   More Info
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