BOH agenda 082218 - Laserfiche WebLink

Browse Search

Section II: ORANGECOUNTYHEALTHDEPARTMENT Administrative Policy and Procedure Manual Financial Practices Delinquent and Uncollectable Accounts Policy 15.0 Reviewed by: Approved by: Finance and Admjnistrative Services Director I . { 1 HealthDirector ~ Ai uf20fte6 f0.,212j19- Policy 15.0 Delinquent and Uncollectable Accounts The Orange County Health Department (OCHD) charges fees for its services. Many services are billed on a sliding scale. The sliding scale is a calculation based on economic unit and income. Most clients are assessed at less than 100% ofOCHD's regular fee; however, some are still unable to make payments. In order to have a better understanding of OCHD true accounts receivable amount, delinquent and uncollectible accounts shall be administratively written off the books. OCHD shall assure that all requirements for state, local and in-house budgeting, fmancial reporting and auditing are followed. As directed by the Orange County Board of Health at the October 23,2013 meeting, Orange County citizens will not be refused medical services provided by the department solely based on inability to provide verification of income or verification of permanent residence. This is to ensure a barrier is not created to Women's Health services, the homeless population, migrant workers, and other persons residing in the county who cannot provide verification of income or permanent residence. Purpose The purpose of this policy is to provide guidance regarding handling delinquent and uncollectible accounts. Procedures 15.1. Delinquent Accounts: defmed as an account with an outstanding balance that is 30 days past due. 15.2. Uncollectable Accounts: defined as an account having an outstanding balance where the client falls into one or more of the following categories: deceased, moved and cannot be found, or declared bankruptcy. Delinquent accounts that do not have a payment for more than 12 months shall be considered uncollectible accounts. For Enviromnental Health accounts, uncollectable accounts include those in which the property was owned by a corporation, trust or non-individual and has been sold to another party. There may be other definitions of uncollectible accounts. 15.3. Bad Debt Write-Off: Removing Delinquent and Uncollectable Accounts less than $50 from the Accounts Receivable system 15.3.1. For uncollectable account balances, a list will be prepared for the Health Director's review annually. For Medical and Dental, this Jist will be prepared by the Billing Manager or designee. The Jist ofuncollectable Environmental Health account balances will be prepared by the Enviromneutal Health Division Director or designee. 15.4. Debt Set-Off 15.4.1. For delinquent accounts more than $50 and over 60 days past due, all divisions will follow the County's NC Debt Set-Off policy and procedures. Original Effective Date: July 2006 Revisions: 11/2013,9/2014, 9/2015,9/2017 Page 1 of2