Finance

Finance Policies & Procedures

FIN-101 Chart of Accounts

FIN-101.01 Chart of Accounts Procedure

FIN-102 Cash Disbursements

FIN-102.01 Cash Disbursements

Petty Cash Receipt Box

Cash Box Receipt - Petty Cash Reimbursement Log

Cash Box Receipt - Pharmacy Tech

Cash Box Receipt - Front Office Associate Form

FIN-103 Cash Receipts Policy

FIN-103.01 Cash Receipts

WCHC - Daily Payment Form

HFHC - Daily Payment Form

FHCHC - Daily Payment Form

CFDC - Daily Payment Form

WCHC Pharmacy - Daily Payment Form

HFHC Pharmacy - Daily Payment Form

FHCHC Pharmacy - Daily Payment Form

Billing Dept - Daily Payment Form

FIN-103.01 Cash Receipts Two

Cash Receipts Bank Deposit Form

Lee Student Health Center - Daily Payment Form

FIN-103.02 Insufficient Funds

Insufficient Funds Letter Template

FIN-104 Purchasing Policy

FIN-104.01 Purchasing Procedure

Purchase Order Form

Request for Reimbursement

New Vendor Form

Blanket Purchase Order

Standard Items Order Form

Ryan White Grant Purchase Order Form

FIN-105P Credit Card Authorization

FIN-105P Credit Card Log

FIN-106 Accounts Payable Policy

FIN-106.01 Accounts Payable Procedure

Electronic Funds Transfer Request

Reimbursement Correction Form

Electronic Funds Transfer Payment Notification Letter

FIN-107 Payroll Policy

Payroll

FIN-107.01 Payroll

Payroll Correction Form

Payroll Garnishment Form

Child Support Garnishment Form

FIN-108 Fixed Assets Policy

FIN-108.01 Fixed Assets Procedure

FIN-109P Charge Entry and Payment Posting

FIN-112P Patient Statements

FIN-114P Month-End Procedure

FIN-115P Re-filing Denied and Outstanding Claims Procedure

FIN-116 Sliding Fee Discount Program Policy

FIN-116.01 Sliding Fee Discount Program Procedure

Sliding Fee Discount Program Application - English

Sliding Fee Discount Program Application - Spanish

Verification of Income - English

Verification of Income - Spanish

Federal Poverty Level (FPL) Matrix

FIN-117 Billing and Collections Policy

FIN-117.01 Billing and Collections Procedure

Monthly Payment Plan Agreement - English

Monthly Payment Plan Agreement - Spanish

Dental Treatment Payment Plan Worksheet

Urgent / Emergent Services Definition

FIN-118P Patient Account Write-Offs Procedure

FIN-119 Investments & Bank Accounts Policy

FIN-120 Financial Reporting Policy

FIN-120.01 Financial Reporting Procedure

FIN-122P Gift/Gas Cards

Initial Receipt of Gift/Gas Cards Log

Receipt of Gift/Gas Cards Log

FIN-124 Grants Management

FIN-124.01 Grant Management

FIN-126P Handling of Counterfeit Currency Procedure

FIN-129 Operating Budget Process

FIN-129.01 Operating Budget Process Procedure

Equipment, Furniture, and Computers Request

Staffing Request

Operating Budget - Staffing Requests Form

Mid-Year Operating Budget Request Form

FIN-130P Inventory Procedure

FIN-131P Time and Effort Reporting Procedure

Time and Effort Reporting Form

Employee Time Certification

FIN-132 Corporate Insurance Coverage

FIN-133 Compliance & Quality Audits

FIN-133P Compliance and Quality Audits

FIN-134 Business Related Expenses and Compensation

FIN-134.01 Reimbursement of Business Related Expenses

Reimbursement of Business-Related Expenses Form

FIN-134.02 Request for Business Related Travel

Request for Business-Related Travel Form

FIN-134.03 Mileage Reimbursement

FIN-136 Schedule of Fees

FIN-136.01 Schedule of Fees

FIN-137P Facility Requests Procedure

FIN-139 No Surprise Act Policy

Standard Notice - English

Standard Notice - Spanish

FIN-139.01 Surprise Medical Bills and Good Faith Estimates

FIN-139.02 Patient Provider Dispute Resolution

FIN-141 Ryan White Part C Maintenance of Effort

FIN-141.01 Ryan White Part C Maintenance of Effort

FIN-141.01 Maintenance of Effort Form

FIN-142 Ryan White Part C Program Income

FIN-143 Ryan White Allowable Expenses

FIN-143.01 Ryan White Allowable Expenditures