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"The medical care that Dad received at LifeCare was second to none. The staff maintained an aggressive approach to his recovery, which brought strides we couldn't have imagined just weeks before."
-Amy from Texas

AVISO DEL HOSPITAL SOBRE PRACTICAS DE PRIVACIDAD LIFECARE HOSPITALS

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LifeCare Hospitals of Chester County
400 East Marshall Street
West Chester, PA 19380-3314
484-826-0400

LifeCare Hospitals of Pittsburgh
225 Penn Avenue
Pittsburgh, PA 15221
412-247-2424

LifeCare Hospitals of North Texas - Dallas
1950 Record Crossing Road
Dallas, TX 75235
214-640-9600

LifeCare Hospitals of North Carolina
1051 Noell Drive
Rocky Mount, NC 27804
252-451-2300

LifeCare Hospitals of Dayton
4000 Miamisburg-Centerville Road
Miamisburg, OH 45342
937-384-8300

LifeCare Hospitals of North Texas - Plano
6800 Preston Road
Plano, TX 75024
214-473-8822

Colorado Acute Long Term Hospital (Denver)
1690 N. Meade Street - Attn: Reception Desk
Denver, CO 80204
303-264-6900

LifeCare Hospitals of San Antonio
8902 Floyd Curl Drive
San Antonio, TX 78240-1681
210-690-7000

LifeCare Hospitals, LLC (Shreveport)
9320 Linwood Avenue
Shreveport, LA 71106
318-688-8504

Tahoe Pacific Hospital Administrative Office
449 South Virginia, Suite 400
Reno, NV 89501
775-355-5970

LifeCare Hospitals of South Texas - McAllen
2001 South "M" Street
McAllen, TX 78503
956-688-4300

LifeCare Hospitals of Wisconsin
2400 Golf Road
Pewaukee, WI 53072
262-524-2600

Complex Care Hospital at Ridgelake (Sarasota)
6150 Edgelake Drive
Sarasota, FL 34240
941-342-3000

LifeCare Hospitals of North Texas - Fort Worth
6201 Overton Ridge Blvd.
Fort Worth, TX 76132
866-537-2273

LifeCare Hospitals of Mechanicsburg
4950 Wilson Lane
Mechanicsburg, PA 17055
717-697-7706

Complex Care Hospital at Tenaya
2500 North Tenaya Way
Las Vegas, NV 89128
702-562-2021

LifeCare Specialty Hospital of N Louisiana
1401 Ezell Street
Ruston, LA 71270
318-251-3126

LifeCare Hospitals of Pittsburgh-Monroeville
2380 McGinley Road
Monroeville, PA 15146
412-856-2400 or 877-937-7342

 

 

 

To learn more about Charity Care eligibility, please contact the Business Office at 303-264-6854.

I. Policy

Colorado Acute Long Term Hospital ("CALTH") is committed to providing care to persons in the community that have medical conditions that require long term acute care after illness, injury or disease. The hospital strives to ensure that the financial capacity of people who need health care services does not prevent them from seeking or receiving care. Accordingly, this written policy:

  • Includes eligibility criteria for financial assistance
  • Describes the basis for calculating amounts charged to patients eligible for financial assistance under this policy
  • Describes the method by which patients may apply for financial assistance
  • Describes how the hospital will publicize the policy within the community served by the hospital
  • Limits the amounts that the hospital will charge for medically necessary care provided to individuals eligible for financial assistance to amount generally billed (received by) the hospital for commercially insured or Medicare patients

Charity is not considered to be a substitute for personal responsibility. Patients are expected to cooperate with CALTH's procedures for obtaining charity or other forms of payment or financial assistance, and to contribute to the cost of their care based on their individual ability to pay. Individuals with the financial capacity to purchase health insurance shall be encouraged to do so, as a means of assuring access to health care services, for their overall personal health, and for the protection of their individual assets. In order to manage its resources responsibility and to allow CALTH to provide the appropriate level of assistance to persons in need, CALTH establishes the following guidelines for the provision of patient charity.

II. Definitions

For the purpose of this policy, the terms below are defined as follows:

Charity Care: Healthcare services that have been or will be provided but are never expected to result in cash inflows. Charity care results from a provider's policy to provide healthcare services free or at a discount to individuals who meet the established criteria.

Family: Using the Census Bureau definition, a group of two or more people who reside together and who are related by birth, marriage, or adoption. According to Internal Revenue Service rules, if the patient claims someone as a dependent on their income tax return, they may be considered a dependent for purposes of the provision of financial assistance.

Family Income: Family Income is determined using the Census Bureau definition, which uses the following income when computing federal poverty guidelines:

  • Includes earnings, unemployment compensation, workers' compensation, Social Security, Supplemental Security Income, public assistance, veterans' payments, survivor benefits, pension or retirement income, interest, dividends, rents, royalties, income from estates, trusts, educational assistance, alimony, child support, assistance from outside the household, and other miscellaneous sources;
  • Noncash benefits (such as food stamps and housing subsidies) do not count;
  • Determined on a before-tax basis;
  • Excludes capital gains or losses; and
  • If a person lives with a family, includes the income of all family members (Non-relatives, such as housemates, do not count).

Uninsured: The patient has no level of insurance or third party assistance to assist with meeting his/her payment obligations.

Underinsured: The patient has some level of insurance or third-party assistance but still has out-of-pocket expenses that exceed his/her financial abilities.

Gross Charges: The total charges at the organization's full established rates for the provision of patient care services before deductions from revenue are applied.

Medically necessary: As defined by Medicare (services or items reasonable and necessary for the diagnosis or treatment of illness or injury).

III. Procedures

A. Services Eligible Under this Policy. For purposes of this policy, "charity" or "financial assistance" refers to healthcare services provided by CALTH without charge or at a discount to qualifying patients. The following healthcare services are eligible for charity:

  • Services for a condition which, if not promptly treated, would lead to an adverse change in the health status of an individual;
  • Non-elective services provided in response to life-threatening circumstances in a non-emergency room setting; and
  • Medically necessary services, evaluated on a case-by-case basis at CALTH's discretion.



B. Eligibility for Charity. Eligibility for charity will be considered for those individuals who are uninsured, underinsured, ineligible for any government health care benefit program, and who are unable to pay for their care, based upon a determination of financial need in accordance with this Policy. The granting of charity shall be based on an individualized determination of financial need, and shall not take into account age, gender, race, social or immigrant status, sexual orientation or religious affiliation.

C. Method by Which Patients May Apply for Charity Care.

1. Financial need will be determined in accordance with procedures that involve an individual assessment of financial need; and may

  • Include an application process, in which the patient or the patient's guarantor are required to cooperate and supply personal, financial and other information and documentation relevant to making a determination of financial need;
  • Include the use of external publically available data sources that provide information on a patient's or a patient's guarantor's ability to pay (such as credit scoring);
  • Include reasonable efforts by CALTH to explore appropriate alternative sources of payment and coverage from public and private payment programs, and to assist patients to apply for such programs;
  • Take into account the patient's available assets, and all other financial resources available to the patient; and
  • Include a review of the patient's outstanding accounts receivable for prior services rendered and the patient's payment history.

2. It is preferred but not required that a request for charity and a determination of financial need occur prior to rendering of non-emergent medically necessary services. However, the determination may be done at any point in the collection cycle. The need for financial assistance shall be re-evaluated at each subsequent time of services if the last financial evaluation was completed more than a year prior, or at any time additional information relevant to the eligibility of the patient for charity becomes known.

3. CALTH's values of human dignity and stewardship shall be reflected in the application process, financial need determination and granting of charity. Requests for charity shall be processed promptly and CALTH shall notify the patient or applicant in writing within thirty (30) days of receipt of a completed application.

D. Eligibility Criteria and Amounts Charged to Patients. Services eligible under this Policy may be made available to the patient on a sliding fee scale, in accordance with financial need, as determined in reference to Federal Poverty Levels (FPL) in effect at the time of the determination. Eligibility determination shall be made once all other funding sources such as Medicare, Medicaid, Commercial/Managed Care plans and third party reimbursement are exhausted and the patient continues to meet medical necessity and is unsafe to discharge to a lower level of care. Patients without an initial adequate funding source shall not be considered for admission under this charity care policy. Once a patient has been determined by CALTH to be eligible for financial assistance, that patient shall not receive any future bills based on undiscounted gross charges. The basis for the amounts CALTH will charge patients qualifying for financial assistance is as follows:

  • Patients whose family income is at or below 250% of the FPL are eligible to receive services at amounts no greater than the amounts generally billed to (received by the hospital for) commercially insured or Medicare patients; and
  • Patients whose family income exceeds 250% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of CALTH; however the discounted rates shall not be greater than the amounts generally billed to (received by the hospital for) commercially insured or Medicare patients.

E. Communication of the Charity Program to Patients and Within the Community.

Notification about charity available from CALTH, which shall include a contact number, shall be disseminated by CALTH by various means, which may include, but are not limited to, the publication of notices in patient bills and in the admissions packet, at the admitting and registration department, hospital business office, and patient financial services offices that are located on facility campus, and at other public places as CALTH may elect. CALTH also shall publish and publicize a summary of this charity care policy on the facility website and at other places within the community served by the hospital as CALTH may elect. Such notices and summary information shall be provided in the primary languages spoken by the population serviced by CALTH. Referral of patients for charity may be made by any member of the CALTH staff or medical staff, including physicians, nurses, financial counselors, social workers, case managers, chaplains, and religious sponsors. A request for charity may be made by the patient or a family member, close friend, or associate of the patient, subject to applicable privacy laws.

F. Relationship to Collection Policies.

CALTH management shall develop policies and procedures for internal and external collection practices (including actions the hospital may take in the event of non-payment, including collections action and reporting to credit agencies) that take into account the extent to which the patient qualifies for charity, a patient's good faith effort to apply for a governmental program or for charity from CALTH, and a patient's good faith effort to comply with his or her payment agreements with CALTH. For patients who qualify for charity, CALTH may offer extended payment plans and will not commence collection activities for at least thirty (30) days past the due date of any scheduled payment that is not paid in full for the first late payment. CALTH will not impose extraordinary collections actions such as wage garnishments; liens on primary residences, or other legal actions for any patient without first making reasonable efforts to determine whether that patient is eligible for charity care under this financial assistance policy. Reasonable efforts shall include:

  • Validating that the patient owes the unpaid bills and that all sources of third-party payments have been identified and billed by the hospital;
  • Documentation that CALTH has or has attempted to offer the patient the opportunity to apply for charity care pursuant to this policy and that the patient has not complied with the hospital's application requirements;
  • Documentation that the patient has been offered a payment plan but has not honored the terms of that plan.

G. Regulatory Requirements.

In implementing this Policy, CALTH shall comply with all other federal, state, and local laws, rules, and regulations that may apply to activities conducted pursuant to this Policy.

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