Billing Procedures

1. All invoices will be generated by the use of time slips, documented by the patient or their guardian. If a time slip is not submitted on a timely basis, the coordinator may contact the parent to verbally confirm the hours that the health care worker provided care. Invoices may be generated by verbal confirmation.
2. Invoices will be generated with 30 days of the provision of care.
3. If an error is made itemizing the hours of service provided, a correction shall be made and resent to the payer. All corrections will be submitted to the President.
4. Monthly meetings will be held to review all current and outstanding claims.
5. Difficulties will be sent to and reviewed by the President. The President will then delegate to the Director.
6. DYFS invoices will be submitted within 15 days of provision of service.
7. Payments for payers that are incorrect will be acted upon when detected. All over payments will be repaid. These claims will be reviewed with the President. We may request the insurance company to write a letter.
8. All claims should be double checked by a co-worker for correct entries on claim forms to include coding and diagnosis.
9. All invoices outstanding more than 45 days should be reviewed with the President.
10. Billing staff will insure that the appropriate insurance carrier is billed for services.
11. Billing staff will make every effort to minimize the chance of duplicate billing and provide for rapid repayment if necessary.
12. Services will not be billed unless there is documentation that the service was provided and a physician order for the service.
13. Any concerns over the accuracy in billing procedures and/or potential fraud will be reported to the Compliance Officer.