Transcript Free Choice_PPT_ - the San Diego Imperial Chapter of HFMA
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Topics Covered Today Overview of Foundation Our Mission Focus Our Free Choice Outreach Program Our Patient Care Center Services Our Provider Network
Free Choice Healthcare Foundation today Not-for-Profit 501(c)(3) Charitable Organization Corporate Headquarters San Diego, CA Focused on helping patients with insurance needs Partnering with Providers and Payers to grow network 4
Mission Our mission is to connect patients to managed care networks in the local communities we serve. Free Choice Healthcare provides financial assistance to patients who would otherwise be unable to afford better access even with the provisions granted by the Affordable Care Act of 2010.
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CMS Medicaid Forecast 6 Federal 61% Source: CMS 2012 Projections
Free Choice Program Steps Pre-Screening Process.
Patient diagnosed Screened for Premium Assistance Program Application referred to Free Choice 7
Free Choice Program Steps Prior to medical services: Schedule procedure Enroll patient in plan Check for precertification 8
Free Choice Program Steps After medical services are performed: Capture Billing Data Ensure proper billing Capture Payment Data Determine contribution amount Assess patient needs Determine length of premium payment 9
Example EOB’s Check Amount: $146,429.95
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Example EOB’s 11 Check Amount: $45,226.40
Example EOB’s 12 Check Amount: $25,782.84
Free Choice Program Steps Remaining patient balance Any amount left over will either be written off to charity Patient Education Once the patient is no longer eligible for the program, the foundation will provide education on available marketplace options 13
Free Choice Program Steps National Patient Awareness Outreach Program Foundation will raise awareness in local communities Patients will be schedule in the facility best able to treat the patient Initial program guidelines Will be expanded as foundation continues to grow 14
Free Choice Program Costs Foundation covers: Call Center National Outreach Program Operational expenses Insurance Premium Treating facility covers: Contribution of percentage of payments received by the medical provider 15
Free Choice Healthcare Foundation 16 Website: http://freechoicehealthcare.org/ Phone: (800) 961-9659 Brian La Porta Email: [email protected]
Phone: (858) 335-3333