Brand Name Identity/Welcome Letter

PacifiCare’s Welcoming Letter

HIPAA policies, procedures, resources, web links

Confidential, Privacy example policy

Access for Non-emergency Care

Access to Care and Access Time for Appointment Standards

After Hours Services

‘On Call’ Policy and Procedure

Telephone log

‘Walk-in’ Patient Triage

Address for All Adult Patients and Visitors

Chaperone in Exam Room for Pelvic Exams

Communication with Hearing Impaired Patients

Communication with Patients and Visitors – Limited English Proficiency

Transport of Patients to Area Hospitals

Admitting Process: Office to Hospital

Telephone Access and ‘Hold’ Time

Record for Telephone Calls from Patients

Smoke-free Environment Policy

Appointment Scheduling Policy

Missed or ‘No Show’ Appointment Policy

Reschedule Notification Letter format

Appeal process for missed appointment charge

Patient Registration

Registration Form

Payment Policy acknowledgment form

Insurance payment (or non-payment) release agreement form

Lien attachment form

Third party liability information sheet

Emergency ‘On-site’ Triage Policy

Emergency Telephone Triage

Office Emergency/Code Blue Policy and Procedure

Code Blue

‘Stat Nurse’ Call

Physical Abuse Policy

Patient Rights and Responsibilities

Advanced Directives, policy

‘Living will’ Declaration – example

Physician Request for Transfer of Care

Letter to patient – example

Discharge of terminated patients presenting for medical care, P&P

Nursing Services

Capitation fundamentals

Benefit and eligibility determination verification

Identification card

Financial Responsibility Guarantee Form

Eligibility FAQs

Eligibility and Benefits Verification – P & P

Waiver of Co-payments – P & P

Appeal of HMO Denial – procedure

Grievance tracking

Submission of encounter data and claims

Coordination of Benefits

Third party liability

Preadmission review

Sanctions and Fines – Utilization Management, P & P

Provider Sanctions and Fines: QI Committee

Fine Notification Form

  Record retention guidelines

Locum tenens - billing issues (Medicare guideline)

Credit cards

Site visit policy/procedure

Criteria/list examples

Authorization and release form for medical office site visits