REPORTING INFORMATION ACCORDING TO THE LAW
Complete and accurate documentation is an important part of quality care. Our billing and accounting processes are established to ensure the accuracy and integrity of financial records and claims submitted for payment. We seek to be paid accurately for the care we have given. We report and refund overpayments. Establishing and maintaining accurate financial records is vital to our organizational integrity.
Medical Billing and Coding:
• We accurately report any services rendered and supplies utilized in compliance with applicable laws, rules, and insurance and government policies, as well as program requirements.
• We strive to be accurate and complete in our patient documentation.
• We provide private and government payors and insurers accurate billing information supported by proper medical documentation.
• We respond to patient and payer questions concerning our charges in an accurate and timely manner.
• We refund payments received in error in accordance with procedure, and we notify the payor of the reason for the refund.
• We comply with the government regulations regarding the discounting of outpatient deductibles and coinsurance amounts.
• We charge and bill only for services and care that is actually provided. We use the billing codes that accurately describe the diagnoses and services provided. We report any suspected inaccuracies to our supervisor.
Financial Records Audits and Investigations
• We notify the Compliance Department of all external requests and inquiries from government agencies.
• We cooperate with all government audits and investigations.
• We provide accurate and timely information to internal and external audits and investigations in accordance with legal requirements.
• We retain records in accordance with Hospital policy and do not destroy any documents which have been requested as part of an investigation or audit.
• We maintain financial accounting records and controls accurately and honestly to promote operational efficiency. We comply with all applicable laws, regulations, and standards of financial accounting.
• We pay our suppliers only after we receive the proper authorization for the disbursement and proper documentation indicating the services and supplies were received or will be received.
• We retain records for appropriate time periods in accordance with all applicable laws, regulations, guidelines, and NCBH & Subsidiaries policies, which ever is longer.
• We prepare all financial records accurately, reliably and honestly. We do not knowingly enter any false or misleading information into NCBH & Subsidiaries financial records.
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