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There are two (2) ways a clinic discovers that a client has an existing Uniform Method of Determining Ability to Pay (UMDAP). -
During the financial screening. -
When entering the financial information into the Management Information System (MIS). -
At whatever point the information is developed, the clinic must: -
Contact the first provider to determine how much the client owes, if anything. This would be the balance due on UMDAP liability or the full cost of care, whichever is less. -
Where the actual cost of care is less than the UMDAP liability, the subsequent provider is responsible for billing and collecting for the actual cost of care provided by their clinic or the remaining UMDAP liability, whichever is less. -
Each clinic is responsible for billing for services rendered by them, only. However, a payment should never be refused based solely on the fact it is owed to another Los Angeles County clinic. All money collected should be deposited by the clinic receiving the payment. | |
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