Billing and Collections Policy and Procedure
(Hospitals and Health Systems)

Summary

This template provides a form policy and procedure document outlining billing and collections guidelines. It is drafted from the perspective of a non-profit hospital or health system. Although it provides standard provisions, terms, and conditions typical to this type of document, it will require modification specific to the drafting organization. This template includes practical guidance and drafting notes. For a full listing of related healthcare compliance content, see Healthcare Fraud and Abuse Compliance Resource Kit. For a checklist that outlines the required elements of a nonprofit hospital's Billing and Collections Policy under Section 501(r) of the Internal Revenue Service Code, see Billing and Collections Policy Compliance Checklist (Hospitals and Health Systems).. For related information on the legal and regulatory requirements regarding the political, campaign, and lobbying activities of a non-profit hospital or health system, see Political Activities Policy (Hospitals and Health Systems). For additional information on the structural elements of compliance programs and building successful healthcare compliance plans, see Compliance Programs for Healthcare Providers, Healthcare Compliance Plan Elements, and Implementing a Healthcare Compliance Plan. For a checklist guiding attorneys through key legal and business questions that healthcare providers should consider when building a compliance program, see Healthcare Compliance Program for Providers Checklist. To compare state and federal healthcare fraud and abuse laws, see the Healthcare State Law Comparison Tool.