Wednesday, December 02, 2009

Health care paperwork applied to churches

To: All Parishes
From: Diocesan Office

Starting this year, in order to standardize parish contributions and better predict parish cash flows, we have implemented a fee-for-service Eucharistic coding and billing system. Rather than rely on haphazard donations from parishioners, pledges turned in at the last minute, etc., parishioners will be billed for each Eucharistic encounter.

For the purposes of coding and billing, all bishops, priests, and deacons will simply be referred to as “Eucharistic Service Providers” (ESP’s). Parishes are free to establish billing rates for services, as long as they are not below the minimum allowable billing rate as established by the Diocese (printed on the Diocesan web site). It is unscriptural to entice members from another parish to your ESP by offering a rate lower than the minimum allowable billing rate for Eucharistic services, and is considered against the mandate in Prayers of the People, form III, that ESP’s be “faithful ministers of your Word and Sacraments.”

Parishes will submit weekly billing to the Diocese: At the end of the month the Diocese will issue statements that will consist of an Explanation of Eucharistic Benefits (EoEB) as well as a monthly bill for Eucharistic services rendered.

Parishioners are free to purchase individual Communion Insurance Policies (CIP’s). The names of these providers should be turned in to the church secretary of each parish and this information submitted to the Diocese. Parishioners should keep in mind, however, that some policies require pre-approval from the Bishop, and may only authorize a given number of trips to the Communion rail per calendar year or only pay for Eucharistic services performed in our Diocesan network. For a list of all network providers, again please refer to our web site. All parishioners also need to sign and file a statement with the Diocesan office that they will be responsible for any Eucharistic billing over and above amounts allowed by their CIP, or for all services rendered if they do not have a CIP.

Parishioners who wish to donate over and above their billable Eucharistic services are also free to establish Home Parish Savings Accounts (HPSA’s) and can also donate to the parish by this means. Some employers may have pre-tax benefits for HPSA’s and parishioners should also check with their employers for these possible options.

Statements for billable Eucharistic services will be due 30 days after the issue date; a 2.5% surcharge will be added to payments in the 30-60 day due range. Payments in arrears of greater than 60 days will be turned over to the Lucifer, Inc. collection agency.

Parishes who submit weekly Diocesan billing electronically will receive a 1.5% discount on their Diocesan pledge. Mission congregations, because of their rural location, will receive a 2.5% bonus in Diocesan aid if billing statements are electronically submitted within 48 hours following Sunday services.

How Eucharistic Fee-for-service Billing works:

As each parishioner enters the church, the greeter will distribute tucked within the bulletin, a Eucharistic Encounter Form (EEF). Pencils should be readily available for parishioners at the pews; we suggest your Altar Guild add this to their duties.

Each parishioner should check the parishioner demographic and level of service most applicable for EACH member of your household. A sample EEF is provided in this bulletin. Feel free to personalize these with your church logo, and use fonts that you feel would be attractive for your parishioners. Statements that major credit cards or PayPal payments are welcome at the bottom of your EEF often result in faster payment. Billing code groups are Parishioner Demographic (PD), Eucharistic Level of service (ELOS), Spiritual Need (SN), and any applicable modifier.

Parishioners should sign the statement at the bottom that they are intending to receive only the Eucharistic services they predict will be rendered.

EEF’s should be turned in the collection plate at the offertory. This method also frees bursars from handling large amounts of $1 bills and loose change, which can be time-consuming. Following church services, we suggest bursars arrange the EEF’s in alphabetical order in order to expedite submission of Eucharistic billing by your church’s secretary.

Any parishioner questions about Eucharistic coding and billing should be directed to parish clergy or to a Eucharistic billing specialist (usually only available in larger parishes.)

Sample Eucharistic Encounter Form

(Your parish name, address, logo, etc.)

Parishioner name __________________________________________
If you are a visitor or have changed address, please provide it in the space below:

Parishioner Demographic Code:

❏ PD31601 Regular attendee, baptized, confirmed (attends services more than 2x/month)
❏ PD31602 Occasional attendee, baptized, confirmed (attends services less than 2x/month but more than 1-2x/year
❏ PD31603 Eucharistic screening exam only (Christmas/Easter)
❏ PD31604 Baptized but not confirmed
❏ PD31605 Heathen
❏ PD31606 Out of network attendee (visitor in good standing from another church)
❏ PD31606 Other attendee, not otherwise specified___________________________________

Eucharistic Level of Service:

❏ ELOS14301 Eats wafer, drinks wine from chalice
❏ ELOS14302 Dunks wafer in chalice, eats intincted wafer
❏ ELOS14303 Wafer only (small children/alcoholics/wine allergy)
❏ ELOS14304 Blessing only; no wafer, no wine (Infants/unsure if should partake)
❏ ELOS14305 Sat in pew, didn’t go up
❏ ELOS14306 Dropped wafer on floor, looked sheepish
❏ ELOS14307 Other Eucharistic level of service, not otherwise specified _________________

Spiritual Need

❏ SN66601 Usual and Customary Life Stressors
❏ SN66602 New or Temporary Acute Life Stressor(s)
❏ SN66603 Recent Illness(es)/Death(s), whether self/family member/friend
❏ SN66604 Domestic Partner Life Stressor(s)
❏ SN66605 Other family member/friend/extended family Life Stressor(s)
❏ SN66606 Deep dark secret unknown to clergy
❏ SN66607 Deep dark secret of a sexual nature, unknown to clergy
❏ SN66608 Other Spiritual Need, not otherwise specified ______________________________

Modifier Codes:

❏ -59 Sudden decrease or cessation of income
❏ -60 Unchurched person who suddenly felt need to attend church
❏ -61 Won lottery or had sudden windfall to income

I, the undersigned, state that the Eucharistic services checked are a reasonable and accurate account of the Eucharistic services I intend to receive at Communion, and understand that failure to code accurately is considered “bearing false witness” as outlined in Ex. 20:16.

Name and Date

h/t to Maria L. Evans
See the original here.

The only thing I see missing here are services provided in the home by certified eucharistic technicians (CETs). Or is that a separate form? --atg+

1 comment:

Kirkepiscatoid said...

Thanks for the free plug!

As for your question about the CET's, the billing form would be the same and you would have to bill under the supervisory clergy person's name, but you would have to have the paperwork in place to show that your CET actually DID make said visit, in the form of a progress note!