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Policy TITLE: Financial Assistance EFFECTIVE DATE: 01/31/2023 APPROVER(S): NUMBER: OHS.REV.042 Applicable To: Ochsner Acadia General HospitalI.Purpose This policy provides guidance on Financial Assistance
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To fill out hospital charges at Ochsner, follow these steps:
02
Collect all necessary information and documents, such as insurance cards, medical records, and receipts.
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Visit the Ochsner website and navigate to the hospital charges section.
04
Fill out the required personal information, including your name, contact details, and insurance information.
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Provide a detailed description of the medical services received, including dates of service, procedures performed, and medications prescribed.
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Attach supporting documentation, such as lab test results or scans, if requested.
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Review and double-check all entered information for accuracy.
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Submit the completed hospital charges form electronically or through mail as instructed by Ochsner.
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Keep a copy of the filled-out hospital charges form for your records.

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Anyone who has received medical services and treatment at Ochsner Hospital may need to fill out hospital charges. This includes patients who have insurance coverage, as well as those who are self-pay or have other types of payment arrangements with Ochsner. Filling out hospital charges is necessary to ensure accurate billing and documentation of the medical services provided.
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Hospital charges - Ochsner refers to the costs associated with medical services provided at Ochsner Health facilities, including fees for medical procedures, tests, and other services.
Hospitals and healthcare providers that offer services at Ochsner Health facilities are required to file hospital charges.
To fill out hospital charges, providers must complete the necessary billing and coding documentation that accurately reflects the services rendered, including proper categorization of charges based on procedures and treatments provided.
The purpose of hospital charges at Ochsner is to establish the cost of services rendered for billing and reimbursement purposes, ensuring transparency and accountability in healthcare costs.
Information that must be reported includes the types of services provided, associated costs, any patient demographics, insurance information, and relevant coding for billing purposes.
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