Minnesota Attorney General Agreement With Hospitals

In addition to these definitions, “Charity Care” has a slightly different definition for hospitals than for other health care providers. For hospital reports, the “charity-care” adaptation of a hospital added to the “amount that would have been charged… for the free or reduced care of people who cannot afford to pay and for whom the institution did not expect payment. Minn. Rules 4650.0102, Subp. 9. In contrast, “charity care” is defined as “the total amount of dollars depreciated for uninsured or underinsured persons who cannot pay the total fees that may be charged due to limited income or unusual circumstances.” Mr. Minn. Rules 4651.0100, Subp. 4. DEFINITIONS AND DISTINCTIONS: “bad debts” are defined differently for hospitals than for other health care providers. Hospitals must quantify the “bad cost of debt” as the amount charged when the hospital expects to pay and the patient was “not ready” to pay. Mr. Minn.

Rules 4650.0102, Subp. 7a. For other health care providers, “bad debts” are defined as the amount of fees not collected by patients considered solvent when a recovery attempt has been made (highlighted). Mr. Minn. Rules 4651.0100, Subp. (2) For reporting purposes, all institutions must include all responsibilities of unpaid patients (e.g. B, deductibles, co-payments, co-insurance) as “error expenses.” Mr. Minn. Rules 4650.0117 (B).

Hospitals. As part of their annual reporting obligations, hospitals are required to report financial information about the community services they provide, including services provided free of charge or at a reduced fee for patients who cannot pay,” either directly to the Public Health Commissioner or to a recognized non-profit organization. Mr. Minn. Stat. All reports, with the exception of privileged medical information, are available to the public. Mr. Minn. Stat.

The Public Health Commissioner is required to publish a detailed annual report on the cost of municipal services and municipal care for each hospital that must report financial information under the law. Mr. Minn. Stat. These annual reports on services of general interest must contain both the dollars spent and the percentage of the hospital`s total operating expenses, estimated in the denda data, for “collective care” – which, by definition, includes charitable care and excludes rebates for the uninsured. Mr. Minn. Stat.

In addition, the Public Health Commissioner: Hospitals must include a copy of their charitable policies in their financial reports and describe the charitable services they provide. Mr. Minn. Rules 4650.0112, Subp. 3 (K). They must also include a description of their eligibility criteria and the timing of slippery fees, at least with respect to income and wealth guidelines and the impact of medical assistance status on eligibility (if any). Id. Others. Other health care providers are also required to provide the Commissioner of the Ministry of Health with annual financial reports that contain a statement on charitable care and debts paid. See Minn. Rules 4651.0120 (L). RELATED: Minnesota hospitals must provide comprehensive reports to the state on free care and other community services they provide.

Although there are no standard eligibility requirements, institutions must have a free care directive, which contains specific eligibility criteria, in order to declare a free amount. In addition, an agreement between the Attorney General and the Landeskrankenhausverband sets out guidelines limiting what hospitals can do to uninsured patients and describes how hospitals should manage bills and recoveries. Principles and policies for financial assistance and charitable care at the Minnesota Hospital. The Minnesota Hospital Association (MHA) has created a resource that establishes an interim framework of standards and rules for financial assistance and hospital billing practices.