Effective Financial Policies and Procedures

Topics: Policy, Hospital, Economics Pages: 1 (282 words) Published: May 7, 2013
Effective Financial Policies and Procedures

A medical financial policy outlines the goals set by the medical facilities to provide quality care. In having a financial policy, the facility is informing their patients of the financial obligation that the patient has to the facility. Some facility objective is to provide services that are cost-effective which is essential since society is affected negatively from the economy (Valerius, 2008). In the event that a patient is uninsured, the patient could request for a sliding scale payment, or make agreeable payment arrangement to fulfill the financial obligation owed to the facility. With some insurance, the patient may have a co-payment that is not covered by the insurance company. The co-payment may be required first before seeing the provider. The patient may also need a referral before seeing the provider or the provider could risk not being paid for the services conducted for that initial visit (Valerius, 2008).

Keeping in mind that a medical facility is a business and have paid contractual agreements and a financial obligation to employees, patients must be aware of procedures that is covered by their insurance company. As a courtesy to patients, some facilities print out a coverage list that highlights services the insurance company will pay and the remaining balance is the responsibility of the patient. If a medical facility fail to have a financial policy, patients can refuse to make payments since there was no guidelines to making payments. However, with such a policy in place, patients sign a form agreeing to the arrangement and in return receive quality care.


Valerius, J. B. (2008). Medical insurance: An integrated claims process

approach. Boston, MA: McGraw-Hill.
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