Post on 02-Jan-2016
description
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Topics Covered Today
Overview of Foundation
Our Mission Focus
Our Free Choice Outreach Program
Our Patient Care Center Services
Our Provider Network
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Not-for-Profit 501(c)(3) Charitable Organization
Corporate Headquarters San Diego, CA
Focused on helping patients with insurance needs
Partnering with Providers and Payers to grow network
Free Choice Healthcare Foundation today
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Mission
Our mission is to connect patients to managed care networks in the local communities we serve. Free Choice Healthcare provides financial assistance to patients who would otherwise be unable to afford better access even with the provisions granted by the Affordable Care Act of 2010.
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CMS Medicaid Forecast
Source: CMS 2012 Projections
Federal61%
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Free Choice Program Steps
Pre-Screening Process.
Application referred to Free Choice Screened
for Premium Assistance ProgramPatient
diagnosed
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Free Choice Program Steps
Prior to medical services:
Schedule procedure
Enroll patient in
plan
Check for precertification
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Free Choice Program Steps
After medical services are performed:
Ensure proper billing
Capture
Billing Data
Determine contribution
amount
Capture Payment
Data
Determine length of premium payment
Assess patient needs
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Example EOB’s
Check Amount:$146,429.95
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Example EOB’s
Check Amount:$45,226.40
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Example EOB’s
Check Amount:$25,782.84
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Free Choice Program Steps
Remaining patient balance Any amount left over will either be written off to charity
Patient Education Once the patient is no longer eligible for the program,
the foundation will provide education on available marketplace options
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Free Choice Program Steps
National Patient Awareness Outreach Program Foundation will raise awareness in local communities Patients will be schedule in the facility best able to
treat the patient
Initial program guidelines Will be expanded as foundation continues to grow
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Free Choice Program Costs
Foundation covers: Call Center National Outreach Program Operational expenses Insurance Premium
Treating facility covers: Contribution of percentage of payments received by
the medical provider
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Free Choice Healthcare Foundation
Website: http://freechoicehealthcare.org/ Phone: (800) 961-9659 Brian La Porta Email: brian@freechoicehealthcare.org Phone: (858) 335-3333