Financial Hardship

 

 HNS Policy 

 

Despite financial hardship, network providers may not waive or reduce co-payments, co-insurance or deductibles.

 

If true financial hardship exists, providers may reduce or waive their charges (but not copays/deductibles) provided financial hardship has been clearly established and supporting documentation is maintained in the health care record. 

 

If you plan to reduce or waive your charges, you must have policies addressing this included in your practice’s written compliance plan.        

  



A written Financial Hardship Policy should include:

  1. Written standards for providing reductions or waivers of your charges that indicate only objective, reasonable criteria are consistently utilized for every patient presenting a financial hardship.

  2. Written standards that the practice's financial hardship policies are consistent with community standards, HNS and HNS Payor Policies, the policies of applicable state licensing boards and all state and federal laws.

  3. A printed financial worksheet that such patient's must complete to provide the information needed to determine if the patient's financial position meets the criteria of your policy.

  4. A designated person in the practice who is the only person with authority to grant the discount.

  5. The provider should maintain a complete list of all patients who received discounts or waivers of charges.

    A sample financial hardship policy is available under HNS Forms, as well as a worksheet for determining financial hardship.