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Parkway Place        
Fee System and Collection Policy and Procedures        



POLICY
It is the policy of Parkway Place to collect payment for services rendered in a timely and consistent manner, billing only for services rendered.

PROCEDURE
Upon admission, the admission fee and first month’s residential fees are to be paid by any private pay clients. The person responsible for payment shall sign a financial cost agreement stating a commitment to pay monthly fees exactly one month from date of admission, and monthly thereafter.

The CEO has the authority to accept payment arrangements outside of the above-stated procedure; payment in advance is acceptable. A trained staff member shall fully inform the client and person responsible for payment exactly what is covered by the monthly residential fees.

Services Include:
Parkway Place will ensure provision of housing, meals, transportation, case management, drug and alcohol testing, counseling, gym membership, employment training, vocational rehabilitation assessment, 12-step meetings, comprehensive array of Life Skills Training, computer literacy, nutrition, health education (3 hours provided by a RN), 10-session financial management course, mentoring, character development, domestic violence counseling, sexual trauma counseling, case management (to provide 30-minute weekly consultations, updating to individual goals on a monthly basis, documentation of monthly progress, and assistance with daily life struggles), and other services as needed.


Costs: Client service fees shall not exceed the current maximum per diem rate under the VA GPD program. Steppingstones To Recovery clients shall be billed separately, in compliance with the financial management policy.

Once employment is obtained, Parkway Place residents under the VA GPD program are responsible for 30% of their income during months 1-3, 20% in months 4-6, 10% 7-9, and 0% thereafter.

Parkway Place reserves the right to deny services based on inability or refusal to pay. There are two exceptions to this policy:
(1) when Parkway Place receives grant funding for treatment, clients will not be denied services based on inability to pay; the grant may, however refuse acceptance of a consumer to an Parkway Place based on the grant’s own eligibility criteria.

(2) Parkway Place shall provide for immediate crisis intervention services until appropriate transfer can be made, in the event that a consumer poses a risk to self or others regardless of ability to pay.



FEE SYSTEM:
• Fees are established by the VA, and/or CEO in accordance with applicable guidelines and reasonable and customary fees for the particular service
• Fees are periodically reviewed and revised as needed

FEE DETERMINATION:
• Fees are determined upon initial screening and vary according to program, service, and income, when applicable.

INFORMING CLIENTS:
• All enrolled and prospective clients shall be informed of the organization’s fees, policy on collections, and means of payment during the intake process
• Grant and per diem recipient clients shall be informed of grant guidelines upon admission, including percentage of income owed while residing at Parkway Place
• Revisions to treatment cost agreements will be discussed in advance and agreement in writing made prior to the application of these revised fees/ collection methods; this includes revisions necessary due to managed care refusal to authorize additional treatment sessions.
• Individuals requesting information by telephone will be given general information, and asked to set up an appointment with a staff member to further discuss specific needs and appropriateness for admission

FEE COLLECTION:
• Fees shall be collected in compliance with grant and per diem guidelines.
• For paying clients do not pay in accordance with their treatment cost agreement, their balances will be turned over to Merchants Credit Collections Agency; after a period of 7 years, past due accounts will be written off as not collectible.

REFUNDS:
• In the event of an overpayment on an account, refunds may be granted with the approval of the Director if (1) a written request for the refund has been received from the payer, and (2) a determination has been made that an overpayment has been made. Admission fees are non-refundable as specified in the consumer’s signed treatment cost agreement.