policy & procedure - atlanticare...effective: 1/1/16 reviewed: revised: review cycle: annual...
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Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 1 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
PURPOSE: To inform patients of the availability of Financial Assistance that provides patients the opportunity to apply for Health Insurance Marketplace, Medicaid, Charity Care, New Jersey Property- Liability Insurance Guaranty Association (PLIGA), Violent Crimes Fund, AtlantiCare Regional Medical Center (ARMC) discount charges program and the uninsured discount. Also, to comply with NJ Public Law 1992, c.160 regarding Charity Care and reduced charge Charity Care for indigent patients; NJ Public Law 2008, c.60 and IRC Section 501 (r). PROCEDURE:
1. All patients will be informed regarding the availability of Financial Assistance. Financial Assistance is available for all medically necessary care, both emergent and non-emergent.
2. ARMC’s Financial Assistance policy will be available in English and in the primary language of any populations with limited proficiency in English that constitute the lesser of 1,000 individuals or 5 percent of the community served by ARMC.
3. ARMC’s Financial Assistance Policy is available via our website, www.atlanticare.org/PLS, which includes but is not limited to the Financial Assistance Policy – Plain Language Summary, Financial Assistance Policy, Billing and Collections Policy, Discounted Charges Information, Federal Poverty Level Guidelines, Charity Care application, and Charity Care checklist. Our website also includes links to NJ Family Care and Social Security Disability websites.
4. Signs will be posted in the hospital based registration areas such as central registration, admissions, emergency departments, financial services offices, and common waiting areas that will inform patients of the availability of Financial Assistance for all medically necessary care, both emergent and non-emergent.
5. The Financial Assistance Policy will be available upon request and without charge at the various hospital based registration sites listed in the heading of this policy, by calling the Business Office Customer Service office at 609-272-2500, visiting the www.atlanticare.org/PLS website or by a written request to:
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 2 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
ARMC Finance Offices Attn: Business Office Customer Service 65 W. Jimmie Leeds Rd Pomona, NJ 08240
6. A Plain Language Summary of this policy will be provided to all patients as part of the intake process at all hospital based registration and financial services sites. The Plain Language Summary shall be printed in English and in the primary language of any populations with limited proficiency in English that constitute the lesser of 1,000 individuals or 5 percent of the community served by ARMC.
7. Patients can obtain forms free of charge and/or apply for any Financial Assistance program at any of the following locations without an appointment.
a. ARMC Health Plex, 1401 Atlantic Ave, Atlantic City, NJ, 08401. Monday through Friday, 7:30am to 4:00pm. Go to 1st Floor – Outpatient registration and ask for the Financial Assistance Dept.
b. ARMC Mainland Campus, 65 W. Jimmie Leeds Rd., Pomona, NJ, 08240. Monday through Friday, 8:00am to 5:00pm. Go to Hospital Lobby Information Desk and ask for Financial Assistance Dept.
c. ARMC Health Park at Hammonton, 219 N. White Horse Pike, Hammonton, NJ, 08037. Wednesdays only, 8:00am – 4:00pm. During Summer Wednesday and Thursday 8:00am to 4:00pm. Go to Emergency Room Registration Desk and ask for Financial Assistance Dept.
8. ARMC staff will screen patients for Health Insurance Marketplace, Medicaid, Medicaid Presumptive Eligibility, New Jersey Property- Liability Insurance Guaranty Association (PLIGA), Catastrophic Illness in Children Relief Fund and Violent Crimes Fund. If a patient does not qualify for any of these programs they can apply for the Charity Care, Discounted Charges or Uninsured Discount programs.
9. Charity Care (Public Law 1992, c.160 )- A patient who wants to apply for Charity Care as defined by Public Law 1992, c.160 regarding Charity Care for indigent patients shall be interviewed by a hospital employee at the bed side
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 3 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
or at any location listed in item #7, and provided a checklist of documentation needed to assess eligibility for charity care.
a. This will be done by ARMC’s Financial Counseling Services personnel.
b. The patient will be screened for the Charity Care program which covers patients with a family income less than 300% of the federal poverty level and less than $7,500 in assets for a single person or $15,000 in assets for a family of 2 or more.
i. The Charity Care application process ensures we have all documentation required per the Charity Care section of the Hospital Service Manual N.J.A.C 10:52-11,12,13 which includes:
1. Proper identification for patient and all family members;
2. Proof of New Jersey Residence as of the date of service
a. Emergency Charity Care is an exception to the residency requirement: a patient who receives service in the emergency room and meets all other criteria, then that specific date(s) of service that started with the emergency room visit will be covered.
3. Proof of income for at least one month prior to date of service;
4. Proof of assets as of the date of service.
ii. When the patient presents all required documents, signatures will be obtained on all required forms and all documents copied.
iii. Upon completion and approval of the application, the patient will be given a Charity Care Approval Card or authorization to receive service.
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 4 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
iv. All charity care applications will be scanned and retained for future reference which includes audits conducted by the state.
v. It is the policy of ARMC to subsidize and not balance bill patients who qualify for Charity Care.
vi. Patients determined to be eligible for Charity Care can be approved for a period of up to twelve months from the first date of service related to the application.
vii. Patients will have two years from the initial service date to apply for Charity Care assistance.
viii. Incomplete Charity Care applications are returned to the applicant with a written denial explaining the reason for denial and details of additional documentation needed to obtain approval.
10. Discounted Charges (IRC Section 501 (r)) – Discounted Charges are available to: (i) insured patients whose insurance does not pay for services at 100% of cost; and (ii) uninsured patients who are unable to satisfy the residency requirements of the Uninsured Discount; provided those patients:
a. apply for this discount and provide a minimum of two pay stubs to verify their income is 400% of the federal poverty level or less to be eligible.
b. The Discounted Charges program calculates the maximum amount a patient owes by multiplying the Amounts Generally Billed (“AGB”) Percentage times Gross Charges.
i. AGB means the amounts generally billed for emergency or other medically necessary care calculated using the “Look-Back method” as set forth in Treas. Reg. § 1.501(r)-5. Using this method, ARMC determines the AGB by multiplying the Gross Charges for any emergency or other medically necessary care it provides to an Financial Assistance Policy-eligible individual by a percentage of Gross Charges called an AGB Percentage. ARMC calculates the AGB Percentage annually based on all claims allowed by Medicare, Medicare Advantage and private health insurers over a 12-month period, divided by the sum of associated gross charges for those claims.
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 5 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
ii. Gross Charges means ARMC’s full, established price for medical care that ARMC consistently and uniformly charges patients before applying any contractual allowances, discounts, or deductions.
c. If the result of this calculation is:
i. Less than the amount the patient owes, the patient will only be responsible for the amount of the discounted charges calculation
ii. More than the amount the patient owes, the patient will be responsible for amount indicated by their insurance company.
d. A free copy of the Discounted Charge Calculation and AGB Percentage is available in the same manner as paper copies of this Policy and is also available on our website www.atlanticare.org/PLS.
11. Uninsured Discount (NJ Public Law 2008, c.60)– An Uninsured patient who is defined as a patient who has no insurance coverage for their medically necessary services and is not eligible for any State, Federal and local programs and qualifies for “a” or “b” below will qualify for an Uninsured Discount that will adjust their patient liability to no more than 115% of Medicare reimbursement.
a. A New Jersey resident qualifies for both emergent and non-emergent services.
b. A United States of America resident outside of New Jersey qualifies for emergent services only.
Patients will be screened by a hospital employee at the time of service for qualification for the Uninsured Discount.
12. If a patient qualifies for Financial Assistance under this Policy;
a. The patient will not be charged more for emergency care or other medically necessary care than the AGB for such care; and
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 6 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
b. In the case of all other medical care, the patient will be charged less than the Gross Charges for such care.
c. An uninsured patient will be charged the lesser of AGB or 115% of Medicare for all services received.
13. Billing and Collections – see the Billing and Collections Policy for procedures. . The Billing and Collections Policy sets forth the actions ARMC may take if a bill for medical care is not paid. A free copy of the Billing and Collections Policy is available in the same manner as paper copies of this Policy and also available on our website www.atlanticare.org/PLS.
14. Any questions regarding this policy can be directed to the ARMC Business Office Customer Service department at 609-272-2500.
15. A listing of all providers associated with ARMC is in Appendix A, indicating whether or not their services are covered under this Financial Assistance Policy.
a. The provider listing will be updated by adding new or missing information, correcting erroneous information, and deleting obsolete information quarterly.
b. If the only change made to the FAP is to update the provider list the FAP need not be adopted by an authorized body again.
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 7 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Appendix A
The followng physicians/ groups will comply with AtlantiCare Regional Medical Center's Financial Assistance Policy effective 1/1/2017
GROUP PRACTICE LAST NAME FIRST NAME TITLE FIELD OF STUDY
APG Anesthesiology Ailes Angela CRNA Anesthesiology
Albani Peter CRNA Anesthesiology
Bendetti Erika CRNA Anesthesiology
Beyers Maria Leah CRNA Anesthesiology
Bissell Deanna CRNA Anesthesia ‐ CRNA
Bobcowski Christopher CRNA Anesthesiology
Bogdan Megan CRNA Anesthesiology
Branco Andrea CRNA Anesthesia
Corcory Hollie CRNA Anesthesiology
Costabile Jessica DO Anesthesiology
Creamer Eunice CRNA Certified Registered Nurse Anesthet
Davidov Mark MD Anesthesiology
Deiter Jessica CRNA Anesthesiology
DeVente Robert CRNA Anesthesiology
Droney Timothy MD Anesthesiology
Fadugba Olawale MD Anesthesiology
Fisgus John MD Anesthesiology
Gayeski David MD Anesthesiology
Giberson Christopher CRNA Anesthesiology
Giberson Nicholle CRNA Anesthesiology
Giegerich Patricia CRNA Anesthesiology
Gilligan Brendan MD Anesthesiology
Greenleaf Steven CRNA Anesthesiology
Gregory Stephen CRNA Anesthesiology
Hargrove Klisa CRNA Anesthesiology
Incandela Nicholas MD Anesthesiology
Jacobsen Regina CRNA Anesthesiology
Kasica Patricia DO Anesthesiology
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 8 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Lauletta Ellen CRNA Anesthesiology
Lent Carol CRNA Anesthesiology
Levitch David MD Anesthesiology
Liccini Mark DO Anesthesiology
Lynch Bryan CRNA Anesthesiology
Mackinlay Paula CRNA Anesthesiology
Manaresi Kristyn CRNA Anesthesiology
Marable Denise MD Anesthesiology
Martin Sheryel MD Anesthesiology
Martin Steven CRNA Anesthesiology
Mazurek Dean CRNA Anesthesiology
Mazzoni Christina CRNA Anesthesiology
Mendelsohn Laura CRNA Anesthesiology
Moskowitz Richard PAC Anesthesiology
Murphy Edward CRNA Anesthesiology
O'Connell Frank MD Anesthesiology
Panarello Michael PAC Anesthesiology
Parra Suzanne CRNA Anesthesiology
Pericic Romeo MD Anesthesiology
Radcliff Nina MD Anesthesiology
Reganato Darren CRNA Anesthesiology
Riccobono Elizabeth DO Anesthesiology
Sangani Neha CRNA Anesthesiology
Schmidheiser Mark MD Anesthesiology
Schrenk Susan CRNA Anesthesiology
Schuman Michael CRNA Anesthesiology
Sesay Margaret CRNA Anesthesiology
Shah Sudha MD Anesthesiology
Sodhi Vinita MD Anesthesiology
Spence Anna CRNA Anesthesia ‐ CRNA
Stamm Ryan PAC Anesthesiology
Sulit Armando MD Anesthesiology
Sykes Robert CRNA Anesthesiology
Wang Qin MD Anesthesiology
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 9 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Whitson‐West Janine DO Anesthesiology
Yao Su‐lin MD Anesthesiology
Yoa Mark MD Anesthesiology
Zalman Richard MD Anesthesiology
Zhu Yun MD Anesthesiology
AtlantiCare Behavioral Health, APG ABH Ashfaq Mohammad MD Psychiatry
Bhuyan Ruprekha MD Psychiatry
Botros Lamia MD Psychiatry
Corvari Steven MD Psychiatry
Daclan Maria Teresa MD Psychiatry
Fenyar Bonnie Ann MD Psychiatry
Friel David MD Psychiatry
Huang David MD Psychiatry
Iqbal Syed MD Psychiatry
Julius Rose DO, MPH Psychiatry
Momodu Inua MD, MPH Psychiatry
Newman Suzanne MD Psychiatry
Okao Ewaen MD Psychiatry
Ortega Adela MD Psychiatry
Oyejide Catherine MD Psychiatry
Pandya Shilin DO Psychiatry
Poellnitz Stephanie MD Psychiatry
Pokalo Mariann PhD Psychology
Sastry Gayathri MD Psychiatry
Srinivasan Rekha MD Psychiatry
AtlantiCare Cancer Care Institute Chawla Neha MD Hematology and Oncology
DiCerbo Beverly APN Hematology and Oncology
Herman Marianne APN Hematology and Oncology
Lorenzetti John MD Breast Surgery/Disease
Sandilya Vijay MD Hematology and Oncology
AtlantiCare Center for Perioperative Medicine Bernardo Gregory MD Internal Medicine
Catalina Gabriel DO Internal Medicine
Driscoll Eric DO Internal Medicine
Moody‐Tidcombe Laurie APN Anesthesia
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 10 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
AtlantiCare Infectious Disease Clinic Kilroy Kelly APN Infectious Diseases
Eble Elizabeth APN Infectious Diseases
Thayer Lorraine APN Infectious Diseases
Atlanticare Special Care Center Castro‐Chevere Nancy MD Family Practice
Digenio Ines MD Family Practice
Keiner Lisa DO Family Practice
Rogers Jill APN Family Practice
Westcott Robin APN Family Practice
AtlantiCare Regional Medical Center, Dept. of Clinic Services Bhatt Darshan APN Internal Medicine
Mazur Kimberly MD Internal Medicine
Patel Tejalkumar APN Internal Medicine
Roeske Jessica DO Internal Medicine
Timms Brian DO Internal Medicine
Jefferson Neurological Surgery DeFamio Christina APN Neurosurgery
Eller Jorge MD Neurosurgery
Gupta Gaurav MD Neurosurgery
Jabbour Pascal MD Critical Care
Rosenwasser Robert MD Neurosurgery
Stidd David MD Neurosurgery
Tjoumakaris Stavropoula MD Neurosurgery
Townsend Jenna PAC Neurosurgery
Appendix A
The followng physicians/ groups will NOTcomply with AtlantiCare Regional Medical Center's Financial Assistance Policy effective 1/1/2017
GROUP PRACTICE LAST NAME FIRST NAME TITLE FIELD OF STUDY
Absecon Island Internal Medicine LLC Curnow Hidalberto DO Internal Medicine
AC Best Docs, LLC Ratner Eric MD Pain Medicine
Salvage Robert MD Pain Medicine
Accent Head and Neck Group DeLorio Nicola DO Otolaryngology
Adolescent Partial Hospital Griinke‐Mazzatta Sheila DO Psychiatry
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 11 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Adult Intervention Services Goldblum‐Graff Diane APN Psychiatry
Advance Care Obstetrics Gynecology Infertility Carfagno Salvatore DO Obstetrics & Gynecology
Grencavich Rachel CNM Obstetrics & Gynecology
Advocare Mainland Pediatric Associates Amir Sabah MD Pediatrics
ElGenaidi Mona MD Pediatrics
Aesthetic Horizons Plastic Surgery Center Birmingham K. Lesley MD Plastic and Reconstructive Surgery
Alan Feldman, MD, Feldman Alan MD Gynecology
Allergy and Asthma of South Jersey PA Coifman Robert MD Allergy
American Sleep and Pulmonary Medicine Alobeidy Salaam MD Pulmonary Disease
Francesco Barbara APN Pulmonary Disease
Anthony G. Campo, Jr., M.D. Campo Anthony MD Dermatology
Antonio Grafilo Grafilo Antonio MD General Surgery
APG Cape May Court House Lee Edward MD Internal Medicine
APG Cardiology Carreno Wilfredo MD Cardiology
Desai Rashmikant MD Cardiology
Dobbins Shannon APN Cardiology
Elnahal Mohamed MD Cardiology
Ghayal Mahesh MD Cardiology
Jayasinghe Swarna MD Cardiology
Khan Ejaz MD Cardiology
Merchant Yatish MD Cardiology
Nascimento Tome MD Cardiology
Oldroyd Diane APN Cardiology
Patel Mayuri MD Cardiology
Patel Vineshkumar MD Cardiology
Robbins Inga MD Cardiology
Sanyal Saugato MD, MBA Cardiology
Sateri Rochelle APN Cardiology
Schroeder Donna APN Cardiology
Shetty Sanjay MD Cardiology
Singh Vibhuti MD Interventional Cardiology
Vankawala Viren MD Cardiology
Williams Lindsey APN Cardiology
APG Critical Care Adams William DO Critical Care
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 12 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Amin Sandeep PAC Critical Care
Balsys Andrew APN Critical Care
Dean Sarah APN Critical Care
Drogo Joseph APN Critical Care
Hamaty Edward DO Pulmonary Disease
Lichardi Michael PAC Critical Care
Piller Kristi APN Critical Care
APG Family Medicine Berlin William DO Family Practice
Bushay Stephen MD Family Practice
Chew Jason DO Family Practice
Corrales Michelle MD Family Practice
Delice Anael DO Family Practice
Eremus‐Foster Jane APN Family Practice
Eye Patrick APN Family Nurse Practitioner
Ganiel Jolene APN Family Practice
Gelzunas Ronald DO Family Practice
Grife Robert MD Family Practice
Haflin Mary Ann MD Family Practice
Hutchison Melissa MD Family Practice
Jones‐Mudd Kimberly DO Family Practice
Kulin John DO Occupational Medicine
Loughlin Pherribo Donna DO Family Practice
Renza Richard DO Family Practice
Salvo Anthony MD,FAAFP Internal Medicine
Vaccaro Carl DO Internal Medicine
APG Hospitalists Abbasi Danish MD Internal Medicine
Ablett Christine APN Internal Medicine
Ahmad Israr MD Internal Medicine
Ahmad Naheed MD Internal Medicine
Ahmed Naseer MD Internal Medicine
Babar Jawad MD Internal Medicine
Bakr Mohamed MD Internal Medicine
Baptist Justin MD Internal Medicine
Belete‐Levin Senayit MD Internal Medicine
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 13 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Bhimani Siddharth DO Internal Medicine
Brubaker Tammie APN Internal Medicine
Daneshvar Behdokht MD Internal Medicine
Degapudi Bhargavi MD Internal Medicine
DiBruno Donna DO Internal Medicine
Elahi Abdul MD,MPH Internal Medicine
Faunce Viviana APN Internal Medicine
Griffith Heidi MD Internal Medicine
Hasni Syed MD Internal Medicine
Hocbo Aileen MD Internal Medicine
Hussain Arif MD Internal Medicine
Iqbal Javid MD Internal Medicine
Jaleel Syed MD Internal Medicine
Kane Tina APN Internal Medicine
Kelly Brendan DO Internal Medicine
Kern Lisa APN Internal Medicine
Kessler Alex DO Internal Medicine
Khorsandi Shiba MD Internal Medicine
Lal Vikram DO Internal Medicine
Macchiavelli Anthony MD Internal Medicine
Marwaha Rohit MD Internal Medicine
Ngu Michael MD Internal Medicine
Nwotite Ezinne MD Internal Medicine
Onwuka Mary MD Internal Medicine
Patel Hardik MD Internal Medicine
Patel Hasitkumar MD Internal Medicine
Patel Manoj MD Internal Medicine
Patel Mehul MD Internal Medicine
Picciotti Alana APN Internal Medicine
Popescu Adrian MD Internal Medicine
Racherla Saraswathi MD Internal Medicine
Rahman Aqsa MD Internal Medicine
Rahmani Ghulam MD Internal Medicine
Rahn Mary Lou APN Internal Medicine
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 14 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Rathod Kokila APN Internal Medicine
Ray Amit MD Internal Medicine
Raymond Rebecca APN Internal Medicine
Reddy Sriharshan MD Internal Medicine
Rondanina Richard MD Internal Medicine
Rush Cheryl APN Internal Medicine
Salman Tayyaba MD Internal Medicine
Samuels Elizabeth DO Internal Medicine
Santora Joseph DO Internal Medicine
Siddiqui Durdana MD Internal Medicine
Silver Jordan MD Internal Medicine
Sohaib Muhammad MD Internal Medicine
Sun Qi MD Internal Medicine
Szulc Magdalena MD Internal Medicine
Tran Brian MD Internal Medicine
Ventura Kenilia MD Internal Medicine
Zampino Dominick DO,FACP Internal Medicine
Zia Shahzad MD Internal Medicine
APG Internal Medicine Almanzar Randy MD Family Practice
Amin Anila MD Internal Medicine
Atkinson, III James MD Internal Medicine
Bayer Deborah DO Infectious Diseases
Bennett Holly APN Internal Medicine
Chaikin Harry MD Internal Medicine
Farside Amy APN Internal Medicine
Goldman Daniel MD Internal Medicine
Lieberman, III Alexander MD Internal Medicine
Lipshutz Robert DO Internal Medicine
Novotny Gregory DO Internal Medicine
Paradela Ephrem Hector MD Internal Medicine
Patel Arvind MD Internal Medicine
Patel Neha MD Internal Medicine
Pickart Anhthu PAC Family Practice
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 15 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Rosenthal Leslie MD Internal Medicine
Sciullo Brittany APN Family Practice
Slotoroff Jon DO Internal Medicine
Twardzik Jennifer DO Internal Medicine
APG Internal Medicine Galloway South Ciallella Gina APN Internal Medicine
Ganzon‐Zampino Gilda MD Internal Medicine
Kim Duk Hee MD Internal Medicine
Kirchner Brian MD Internal Medicine
APG Manahawkin Slaven Timothy DO Cardiology
APG Multi‐Specialty Anderson Kurt APN Bariatric Surgery
Attiya Rafael MD General Surgery
Bazylewicz Stephanie PAC Bariatric Surgery
Carone Nicole PAC General Surgery
Corbitt Rachelle APN Neurology
Corcoran Matthew MD Endocrinology
Domer Gregory MD Vascular Surgery
Fancher Tiffany MD Colon and Rectal Surgery
Gallagher Denyse APN Endocrinology
Gandhi Shefali DO Neurology
Hunter Kevin MD Neurology
Korya Dani MD Neurology
Mazauskas Janet APN Internal Medicine
Onopchenko Alexander MD Bariatric Surgery
Panait Lucian MD Bariatric Surgery
Patel Samir MD Bariatric Surgery
Shah Taral MD Endocrinology
Sykes Mariah PAC Bariatric Surgery
Szpiech Maria MD Endocrinology
Tahmoush Albert MD Neurology
Wilson Margaret Jo APN Endocrinology
Zeidwerg David DO Neurology
APG OB/GYN Armitage Susan CNM Obstetrics & Gynecology
Bergen Blair MD Obstetrics & Gynecology
Bridges Yvette MD Obstetrics & Gynecology
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 16 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Ciceron Asuncion MD Obstetrics & Gynecology
Dadura Jeanne CNM Obstetrics & Gynecology
George‐Cook Shirley CNM Obstetrics & Gynecology
Guzman Suheil CNM Obstetrics & Gynecology
Milov Seva MD Obstetrics & Gynecology
Perez Jasmine CNM Obstetrics & Gynecology
Pieri Danielle DO Obstetrics & Gynecology
Riley‐Spoltore Ann CNM Obstetrics & Gynecology
Scaffidi Rose CNM Obstetrics & Gynecology
Silk Maanasi DO Obstetrics & Gynecology
Smart Claire CNM Obstetrics & Gynecology
Sosa Jamie CNM Obstetrics & Gynecology
Toidze Tamara MD Urogynecology
Wesley Louis MD Obstetrics & Gynecology
White Tarika CNM Obstetrics & Gynecology
APG Pathology Dantas Bruno MD Pathology
Miller Nicole DO Pathology
Ren Zhiyong MD, PhD Pathology
Todd William MD Pathology
APG Rheumatology Haija Anan MD Rheumatology
APG Surgical Associates Kassis Kamal MD Vascular Surgery
APG Surgical Associates ENT Kenner George MD Otolaryngology
Morrison Daniel MD Otolaryngology
APG Trauma Ali Ayoola MD Trauma Surgery
Burns Richard MD Trauma Surgery
DeAngelo Frank MD Trauma Surgery
Donovan Linda APN Trauma Surgery
Dudick Catherine MD Trauma Surgery
Eakins James MD Trauma Surgery
Kerstetter Kathleen APN Trauma Surgery
McNulty Kathleen APN Trauma Surgery
Prol Andrew PAC Trauma Surgery
Talucci Raymond MD Trauma Surgery
Thompson Peter MD Trauma Surgery
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 17 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Willman Kelly MD Trauma Surgery
Yakopcic Erin APN Trauma Surgery
Associates in Podiatric Medicine & Surgery, PC Iezzi Alfred DPM Podiatric Surgery
Twardzik Mark DPM Podiatric Surgery
Atlantic Allergy and Asthma Center, PA Schwartz Lawrence DO Allergy
Atlantic Cape OB/GYN Morgan Daniel MD Obstetrics & Gynecology
Sindoni Frank MD Obstetrics & Gynecology
Atlantic Cardiology Chavan Courtney APN Cardiology
Dib Haitham MD Cardiology
Flynn Anthony MD Cardiology
Nair Nanda DO Cardiology
Van Hook Jeffrey DO Cardiology
Walker Tracy MD Cardiology
Atlantic Coast Orthopedics LLC Cristini John MD Orthopaedic Surgery
Atlantic Emergency Associates Acunto Brian DO Emergency Medicine
Andrews Mary APN Emergency Medicine
Aversa Eileen APN Emergency Medicine
Becher John DO Emergency Medicine
Brabson Thomas DO Emergency Medicine
Campo Theresa APN Emergency Medicine
Contino Christopher APN Emergency Medicine
Cusella Joseph APN Emergency Medicine
Dombchewsky Orest MD Emergency Medicine
Dubin Reva MD Emergency Medicine
Dyce Michael MD Emergency Medicine
Ellis Daniel MD Emergency Medicine
Farnsworth Marie MD Emergency Medicine
Feld Ross DO Emergency Medicine
Ferrer Darlene APN Emergency Medicine
Greenfield Brett DO Emergency Medicine
Guerrieri Ave Maria APN Emergency Medicine
Guerrieri EvaMarie DO Emergency Medicine
Hudson Valerie APN Emergency Medicine
Keogh John MD Emergency Medicine
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 18 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Khebzou Zaki MD Emergency Medicine
Lenz Denise APN Orthopaedic Surgery
Licata Thomas DO Emergency Medicine
Ludan Lia APN Emergency Medicine
Luyber Todd DO Emergency Medicine
MacBride David DO Emergency Medicine
Merz Daniel DO Emergency Medicine
Peterson Casey APN Emergency Medicine
Pinkerton Gerald DO Emergency Medicine
Roger Scott DO Emergency Medicine
Sabatini Louis DO Emergency Medicine
Salvatore, Jr. Francis MD Emergency Medicine
Scheets Kristen DO Emergency Medicine
Seibert H. Edward MD Emergency Medicine
Toffoli Kelley APN Emergency Medicine
Tolova Vera MD Emergency Medicine
Tomasino Garrett DO Emergency Medicine
Torres‐Cruz Joshua MD Emergency Medicine
Trager Mathaus APN Emergency Medicine
Urban Scott DO Emergency Medicine
Westrol Michael MD Emergency Medicine
Wolk Eric DO Emergency Medicine
Atlantic Foot & Ankle Care, P.C. Hall David DPM Podiatric Surgery
Reilly Jeannette DPM Podiatric Surgery
Atlantic Gastroenterology Associates, PA Bartholomew John APN Gastroenterology
Kaufman Barry MD Gastroenterology
Keklak Peter PAC Gastroenterology
Mehta Nikhilesh MD Gastroenterology
Randolph Judith APN Gastroenterology
Rosman Gary MD Gastroenterology
Santoro John DO Gastroenterology
Spaar Joseph MD Gastroenterology
Verrengia Melissa MD Gastroenterology
Atlantic Heart Rhythm Center Ghaly Nader MD Cardiology
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 19 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
White Melvin MD Cardiology
Atlantic Medical Imaging, LLC Altin Robert MD Diagnostic Imaging
Austin Amy MD Diagnostic Imaging
Avagliano Margaret MD Diagnostic Imaging
Begleiter David MD Diagnostic Imaging
Brezel Mitchell MD Diagnostic Imaging
Cummings Allan MD Diagnostic Imaging
Falciani Amerigo DO Diagnostic Imaging
Ferretti James DO Diagnostic Imaging
Friedman Alan MD Diagnostic Imaging
Gerhardt William MD Diagnostic Imaging
Glassberg Robert MD Diagnostic Imaging
Glick Craig MD Diagnostic Imaging
Graule Melissa MD Diagnostic Imaging
Graziano Robert MD Diagnostic Imaging
Gualtieri Louis DO Diagnostic Imaging
Ibrahim Nancy MD Diagnostic Imaging
Kaplan Sheldon MD Diagnostic Imaging
Kenny David DO Diagnostic Imaging
Koven Marshall MD Diagnostic Imaging
Lee Jacob MD Diagnostic Imaging
Levi David MD Diagnostic Imaging
McManus Stephen MD Diagnostic Imaging
Menghetti Richard MD Diagnostic Imaging
Mesham James MD Diagnostic Imaging
O'Laughlin Richard MD Diagnostic Imaging
Pack Jonathan MD Diagnostic Imaging
Patel Hiren MD Diagnostic Imaging
Patel Rajesh MD Diagnostic Imaging
Petruzzi Nicholas MD Diagnostic Imaging
Saad Sherif MD Diagnostic Imaging
Schmidling Michael MD Diagnostic Imaging
Shah Ankur MD Diagnostic Imaging
Shakarshy Jack MD Diagnostic Imaging
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 20 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Simpson Alan MD Diagnostic Imaging
Tiger Eric MD Diagnostic Imaging
Tran Thomas MD Diagnostic Imaging
Vu Hung MD Diagnostic Imaging
Atlantic Off Shore Medical Associates Kern Carrie DO Family Practice
Ricciardi Leah APN Internal Medicine
Soucier Ronald DO Internal Medicine
Atlantic Oral & Maxillofacial Associates Jungels Bradford DMD Oral and Maxillofacial Surgery
Atlantic Primary Care Dasondi Vivekkumar MD Internal Medicine
Sloyan Claire APN Internal Medicine
Atlantic Pulmonary Griswold Karen APN Pulmonary
Higgins Nancy MD Pulmonary Disease
Atlantic Pulmonary & Critical Care Assoc. Bansal Aditya MD Pulmonary Disease
Costantini Peter DO Pulmonary Disease
Loftus Frances DO Pulmonary Disease
Sadik Nadia MD Pulmonary Disease
Sivaraman Sivashankar MD Pulmonary Disease
Atlantic Shore Orthopedic Associates, LLC Harhay Joseph MD Orthopaedic Surgery
Atlantic Surgical Assistants, LLC Calimer Pamela CRNFA General Surgery
AtlantiCare Health Engagement McGettigan Suzanne APN Internal Medicine
AtlantiCare HealthCare at Home Sudol Nancy APN Infectious Diseases
AtlantiCare Occupational Medicine Bisk Bradley DO Family Practice
Scharf Christine APN Family Practice
Schulman Jared MD Occupational Medicine
AtlantiCare Urgent Care Center Altamura Richard MD Emergency Medicine
Armbruster Thomas MD Family Practice
Ballentine Laurel APN Emergency Medicine
Barnett Jordan MD Emergency Medicine
Barrett Bryan DO Family Practice
Belle Susan APN Emergency Medicine
Bridge‐Jackson Teresa MD Family Practice
Carroll Elizabeth DO Family Practice
Cascarino Raymond DO Emergency Medicine
Champion Anthony PAC Physician Assistant
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 21 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Chen Chih‐Lung MD Emergency Medicine
Chugh Rajinder MD Internal Medicine
Cimino Robert MD Emergency Medicine
Coletta Domenic MD Emergency Medicine
Cutler Marna DO Family Practice
DeTata Gerald MD Family Practice
Donaldson James DO Emergency Medicine
Fog Edward DO Emergency Medicine
Freas Glenn MD Emergency Medicine
Gaffney John DO Family Practice
Hill Adam APN Urgent Care
Hinchliffe Susan DO Emergency Medicine
Holtzin Robert DO Family Practice
Husted Evan MD Emergency Medicine
Khatiwala Manisha MD Emergency Medicine
Malta Raymond DO Emergency Medicine
Mastrokyriakos Paul DO Emergency Medicine
McNulty Robert DO Emergency Medicine
Menet Scott DO Emergency Medicine
Merewitz Glenn MD Emergency Medicine
Morone Teresa DO Urgent Care
Morris Christie PAC Emergency Medicine
Morros Jay MD Emergency Medicine
Najafi Nawid MD Family Practice
Nicholls Brian DO Emergency Medicine
Nicholls Victoria PAC Urgent Care
Nussey Jr Richard DO Emergency Medicine
Patel Ronak PAC Physician Assistant
Pecora Arthur DO Emergency Medicine
Pepe Salvatore MD Emergency Medicine
Piarulli Michael MD Internal Medicine
Riguerra Rosalia MD Urgent Care
Rodino Theresa APN Urgent Care
Roncone Ashley PAC Emergency Medicine
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 22 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Ruskey John DO Emergency Medicine
Schumacher William DO Urgent Care
Siekierka John DO Urgent Care
Simonian Hasmik MD Emergency Medicine
Siwinski Denise MD Family Practice
Stegmuller Joseph DO Family Practice
Stone Mark DO Emergency Medicine
Terrels Mary Ellen DO Family Practice
Urquhart Megan DO Urgent Care
AtlantiCare Regional Medical Center (ARMC) Gerth David MD Otolaryngology
Koshkareva Yekaterina MD Otolaryngology
Foxx Roseanne APN Pulmonary Disease
Smith Rebecca APN Critical Care
Myers Renee RNFA Orthopaedic Surgery
Viswambharan Ajay MD Diagnostic Imaging
AtlantiCare Regional Medical Center, Cardiac Diagnostics Estrada Colette APN Cardiology
Mutchko Dawn APN Cardiology
Sales Emelita APN Cardiology
Countouris Deborah APN Cardiology
Bacharach Rehabilitation Medicine Alfaro Abraham DO
Physical Medicine and Rehabilitation
Anmuth Craig DO
Physical Medicine and Rehabilitation
Berlin Ross MD
Physical Medicine and Rehabilitation
Enterlante Teresa APN
Physical Medicine and Rehabilitation
Jansson Joy PAC Infectious Diseases
Sturr Marianne DO
Physical Medicine and Rehabilitation
Weber Cheryl APN
Physical Medicine and Rehabilitation
Xu Wei MD
Physical Medicine and Rehabilitation
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 23 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Bharat Jhaveri MD Jhaveri Bharat MD Pathology
Birendra N Tandan MD LLC Tandan Birendra MD Urology
Boardwalk Surgical Associates, PA Previti Francis MD General Surgery
Brigantine Eye Care Center, PC DiMarco Eugene DO Ophthalmology
Brighton Pediatrics Kessler Barry MD Pediatrics
Buena Family Practice Center Hargrave Douglas DO Family Practice
Peterson, III Paul DO Internal Medicine
Pirolli John DO Family Practice
Cape Atlantic Internal Medicine Pieretti Gordon DO Internal Medicine
Wilson Donna DO Internal Medicine
Cape Heart Clinic Nanavati Suketu MD Cardiology
Spielman Charles MD Cardiology
Cape Regional Physicians Associates Drake Andrew DO Internal Medicine
Cedar Brook Family Practice Goudsward Sean DO Family Practice
Central Jersey Plastic Surgery,Stephen A. Chidyllo Chidyllo Stephen MD Plastic and Reconstructive Surgery
Charles Meusburger, MD Meusburger Charles MD Psychiatry
E. Charles Velnosky, PhD Velnosky E. Charles PhD Psychology
Children's Hospital Of Philadelphia Vatsky Seth DO Telemedicine
Chona Santos‐Miranda, MD, PA Miranda Chona MD Family Practice
CHOP Care Network at AtlantiCare Grayson Stephanie MD Pediatrics
CHOP Care Networks‐ Harborview Pediatrics Bross George DO,FACP Pediatrics
Deliz Yasmin DO Pediatrics
Drexler Christopher DO Pediatrics
Held Sharon DO Pediatrics
Keenan Christopher DO Pediatrics
Share Lisa MD Pediatrics
Thorp Andrea DO Pediatrics
Vekteris Gerald DO Pediatrics
CHOP/AtlantiCare Neonatal Intensive Care Unit Asiegbu Benedict MD Neonatology
Celestial Rommel MD Neonatology
Mehta Taral MD Neonatology
Muhumuza Catherine MD Neonatology
Myers Catherine MD Neonatology
Tioseco Jennifer MD Neonatology
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 24 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Villasis Cynthia MD Neonatology
CHOP/AtlantiCare Pediatric Hospitalists Bochenski Jacek MD Pediatrics
Concha Leon Alonso MD Pediatrics
Dias Magna MD Pediatrics
Grewal Kamaldeep MD Pediatrics
Hendricks Elizabeth APN Pediatrics
Krauss Joel MD Pediatrics
Mah Sue MD Pediatrics
Mallari Rolando MD Pediatrics
Mogavero Theoret Jeannine MD Pediatrics
Ritson Brenda MD Pediatrics
Zamel Yaacov MD Pediatrics
Christine Gasperetti, MD Gasperetti Christine MD Cardiology
Coastal Infectious Disease Consultants Tridente Rachael APN Infectious Diseases
Trivedi Manish MD Infectious Diseases
Coastal OB/GYN Associates, PA Sung Edward MD Obstetrics & Gynecology
Coastal Oral & Maxillofacial Surgeons, PA Preziosi Benaifer DMD Oral and Maxillofacial Surgery
Coastal Physicians & Surgeons, PA Gottfried Maureen DO Neurology
Cooper Maternal‐Fetal Medicine Cardonick Elyce MD Maternal Fetal Medicine
Dinh Tuan MD Maternal Fetal Medicine
Fischer Richard MD Maternal Fetal Medicine
Khandelwal Meena MD Maternal Fetal Medicine
Perry Robin MD Maternal Fetal Medicine
Timms Diane DO Maternal Fetal Medicine
Westover Thomas MD Maternal Fetal Medicine
Cooper Perinatology Associates Modena Alisa MD Maternal Fetal Medicine
David J. Smith, M.D., P.A. Dunn Eric MD Ophthalmology
Smith David MD Ophthalmology
David L. Sykes, DMD Oral & Maxillofacial Surgeon Sykes David DMD Oral and Maxillofacial Surgery
Delaware Hospice Altamuro Christopher DO Family Practice
Devineni R. Prasad, M.D., PA Prasad Devineni MD Pediatrics
Diego Fiorentino DO Fiorentino Diego DO Internal Medicine
Dr. John W. Welsh, F.A.A.P. Welsh John DO Pediatrics
Eagle Hospital Physicians Chang Ira MD Neurology
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 25 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Miller Chad MD Neurology
Renda Natalie MD Neurology
Sheth Kevin MD Neurology
Tilwalli Shilpa MD Neurology
Wagner Jeffrey MD Neurology
East Coast Orthopedics & Sports Medicine Weiand Raymond DO Orthopaedic Surgery
Elena V. Selina, M.D. Selina Elena MD Internal Medicine
Eugene C. Carroccia, M.D., P.A. Carroccia Eugene MD Plastic and Reconstructive Surgery
Feldman‐Rayfield Cosmetic Surgery, PA Feldman Marc MD Plastic and Reconstructive Surgery
Rayfield David MD Plastic and Reconstructive Surgery
Rayfield Rachael PAC Plastic and Reconstructive Surgery
Fernando Delasotta, MD, FACS Delasotta Fernando MD Neurosurgery
Scibilia Marisa APN Neurosurgery
FirstCare LLC Nanfara Marcantonio MD Internal Medicine
Luzzi Angelo DPM Podiatric Surgery
Foot and Ankle Center of South Jersey Welch Michael DPM Podiatric Surgery
Fox Chase Cancer Center Gandhi Vijaykumar MD Hematology and Oncology
Galloway Pediatrics, LLC Lopez Bernard Edwin MD Pediatrics
Gary S. Hymes, DPM, PA Hymes Gary DPM Podiatric Surgery
George J. Halko, DO FACP, FACR Halko George DO Rheumatology
GFH. Surgical Associates D'Angelo‐Donovan Desiree DO General Surgery
Feinberg Gary MD General Surgery
Galler Leonard MD General Surgery
Herrington James MD General Surgery
Global Neurosciences Institute Strenger Scott MD Neurosurgery
Gordon Callender, MD Callender Gordon MD General Surgery
Hamilton Pediatrics, PA Goldman Stuart MD Pediatrics
Harbor Family Medicine Richwine Charles DO Family Practice
Richwine Lori DO Family Practice
Health Med Associates PC Stern Marcel MD Internal Medicine
Homayoun Homayouni MD Homayouni Homayoun MD Infectious Diseases
Hope Community Cancer Center Ahmad Kaleem MD Hematology and Oncology
Childs Julianne DO Hematology and Oncology
Dave Hemang MD Hematology and Oncology
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 26 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Rizvi Muhammad MD Hematology and Oncology
Horizon Eye Care, PA Gross Howard MD Ophthalmology
Pritz Nicole MD Ophthalmology
Independent Surgical First Assist of NJ Pinkham Clint CRNFA Thoracic Surgery
Infections Limited East., PC Papastamelos Athanasios DO Infectious Diseases
Infectious Disease Specialist, Inc Marchesani Diane DO Infectious Diseases
Paparone Pamela APN Infectious Diseases
Paparone Philip DO Infectious Diseases
IPC Health Care Hahn Robert DO
Physical Medicine and Rehabilitation
Ira M Trocki MD PA Trocki Ira MD Plastic and Reconstructive Surgery
Island Medical Associates Kuponiyi Olatunji MD Internal Medicine
Mendoza Maureen APN Internal Medicine
Jeffrey Gong, DO Gong Jeffrey DO Internal Medicine
Jersey Shore Gastroenterology Assoc Beswick Maureen APN Gastroenterology
Bucsek Deborah APN Gastroenterology
Deshpande Nikhil MD Gastroenterology
Genova Judith APN Gastroenterology
Jalaj Sujai MD Gastroenterology
Krachman Joel DO Gastroenterology
Krachman Michael MD Gastroenterology
Kropilak Tricia APN Gastroenterology
Nelson Carolyn APN Gastroenterology
Ognibene Lawrence DO Gastroenterology
O'Neil Sarah APN Gastroenterology
Jersey Shore Gastroenterology Associates, PA Ljubich Paul MD Gastroenterology
Schwab Kenneth MD Gastroenterology
Jersey Shore Sports Medicine Sokalsky Brian DO Family Practice
Jersey Urology Group Hirsh Andrew MD Urology
Lehrfeld Todd MD Urology
McKinney Megan PAC Urology
Miller Charles PAC Urology
Nosseir Sandy MD
Female Pelvic Medicine & Reconstruc
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 27 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Perry Meredith DO Urology
Piskun Michael MD Urology
Schutz Michael MD Urology
Spence Abraham MD Urology
Steixner Brian MD Urology
Wren Francis MD Urology
Jodi Abramowitz, D.O., PA Abramowitz Jodi DO Internal Medicine
John C Baker MD LLC Baker John MD Orthopaedic Surgery
John F Kasper DO PA Kasper John DO Internal Medicine
Kenneth A Leight PhD Leight Kenneth PhD Psychology
Kenneth Kunzman, MD Kunzman Kenneth MD Otolaryngology
Ladies Choice OB/GYN Biswas Linda CNM Obstetrics & Gynecology
Bredin Sherilyn MD Obstetrics & Gynecology
Spurlock Monica CNM Obstetrics & Gynecology
Larry Kaufman, MD, LLC Kaufman Larry MD Obstetrics & Gynecology
Lawrence Naame Naame Lawrence MD Orthopaedic Surgery
Lourdes Cardiology Services, PC Akula Devender MD Cardiology
Khaw Kenneth MD Cardiology
Saia John DO Cardiology
Sandler Matthew MD Cardiology
Sholevar Darius MD Cardiology
Thirunahari Nandan MD Cardiology
Ukrainski Gerald MD Cardiology
Wroblewski Edward MD Cardiology
Zheng Jing MD, PhD Cardiology
Lourdes Medical Associates ElGenaidi Hisham MD Internal Medicine
Lowe‐Greenwood Zerbo Spinal Associates Dignazio Nicholas PAC Orthopaedic Surgery
Greenwood Henry MD Neurosurgery
Lowe James MD Spine Surgery
Zerbo Joseph DO Orthopaedic Surgery
Manahawkin Urgent Care Cafaro Dana PAC Emergency Medicine
Maria Chiara Carta, MD,PA Integrated Neurological Care Carta Maria MD Neurology
Mark Menaquale DPM Menaquale Mark DPM Podiatric Surgery
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 28 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Mark Pernice DO PA Pernice Mark DO Family Practice
Marvin R. Hyett, M.D., PA Hyett Marvin MD Gynecology
Mays Landing Foot & Ankle Center Boxman Charles DPM Podiatric Surgery
MD Anderson Cooper GYN Oncology Crisp Meredith MD Gynecologic Oncology
Med 4 Kids, P.A. Andrews Roji MD Pediatrics
MedAmerica Group, LLC Alexander Mark MD Internal Medicine
MedCom Health Services PA Ahmed Sujood MD Cardiology
Jackson Julianne PAC Cardiology
Rajput Ilyas MD Cardiology
Rajput Zubeda MD Internal Medicine
Zantua Rose APN Cardiology
Medcorps Asthma and Pulmonary Specialists Silvey Allen DO Pulmonary Disease
Medical One Multi Specialties PA Dunn Michael MD Internal Medicine
Glasser Barry MD Internal Medicine
Michael Falcone MD, LLC Falcone Michael MD
Physical Medicine and Rehabilitation
Minimally Invasive Surgeons of South Jersey, LLC Del Rosario Michael MD, FACS, FASCRS Colon and Rectal Surgery
Mission Health Care Bishop Robert APN Psychiatry
Griffith Nediya APN Internal Medicine
Nasser Borai, MD, PA Borai Nasser MD Oncology
Nazha Cancer Center Nazha Naim MD Oncology
Stoyko Zoryana MD Hematology and Oncology
Wang Le MD Oncology
Neurology Institute of South Jersey Boxman Jeffrey DO Neurology
New Jersey Health Network LLC Brown Anjeanette MD Breast Surgery/Disease
Cassir Jorge MD Radiation Oncology
Kulkarni Nandini MD Surgery
Wilson Vasthi MD Radiation/Oncology
Wurzer James MD, PhD Radiation Oncology
Nik Parikh, MD, PA Parikh Nikhil MD Internal Medicine
Niranjan G. Trivedi MD Trivedi Niranjan MD Cardiology
Nisrin Q. Dahodwala, MD, PC Dahodwala Nisrin MD Pediatrics
Ocean Internal Medicine Associates, PA Infantolino Edward MD Internal Medicine
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 29 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
PACE Orthopedics and Sports Medicine Anapolle David MD Orthopaedic Surgery
Pagnani‐Braga‐Kimmel Urologic Associates PA Braga Gene MD Urology
Kimmel Barry MD Urology
Pagnani Alexander MD Urology
Paras C. Udani, DO Udani Paras DO Infectious Diseases
Pediatric Associates of Atlantic County, PA Budnick Glenn MD Pediatrics
Pediatric Pulmonary and Asthma Associates of South Jersey LLC Leong Mila MD Pediatric Pulmonary
Salvia Jr. Joseph DO Pediatric Pulmonary
Penn Cardiology Chang Gene MD Cardiology
Fenning Robert MD Cardiology
Khandhar Sameer MD Cardiology
Li Robert MD Cardiology
Matthai William MD Cardiology
Moak Alan MD Cardiology
Penn Cardiology Somers Point Stone Cheryl APN Cardiology
Zitzer Eileen APN Cardiology
Point Medical Hierholzer Paul DO Internal Medicine
Ulrich Kathleen APN Internal Medicine
Premier Infectious Disease Care Kaur Amrita DO Infectious Diseases
Premier Oncology LLC Ajay Rajasree MD Hematology and Oncology
Presbyterian Medical Center Frankil Craig DO Cardiology
Professional Pain Management Associates PA Corda Peter DO Pain Medicine
Perkins Vannette MD Pain Medicine
Polcer Jeffrey DO Pain Medicine
Psych Intervention Program Isaacson Brian MD Psychiatry
Panah Daud MD Psychiatry
Smith Lizbeth APN Psychiatry
Quality Care Pediatrics LLC Molina Maria MD Pediatrics
Quality Eye Associates Huang Jun (Jim) MD Ophthalmology
Quality Medical Associates Maio Sun MD Internal Medicine
Rainbow Pediatrics PC Bherwani Poonam MD Pediatrics
Dierkes Thomas DO Pediatrics
Dragos Simona MD Pediatrics
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 30 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Flick Jeffrey DO Pediatrics
Freund William DO Pediatrics
McGrath Teresa DO Pediatrics
Petrucci James DO Pediatrics
Rainbow Pediatrics, PC Cavaliere Ava DO Pediatrics
Mathur Ajit MD Pediatrics
Ramamurthi Iyer MD Iyer Ramamurthi MD Endocrinology / Metabolism
Ramchand Thadhani, MD Bedsole William APN
Physical Medicine and Rehabilitation
Thadhani Ramchand MD Family Practice
Regional Internal Medicine Associates PC Choudhry Rafat MD Internal Medicine
Regional Nephrology Associates, PA Behl Nitin MD Internal Medicine
Blecker David MD Nephrology
Bonner Jessica APN Nephrology
Mathews Robert MD Nephrology
Nnewihe Charles MD Nephrology
Pandya Melind DO Nephrology
Schaefer Lynn APN Nephrology
Schreyer Raymond MD Nephrology
Shastri Jay DO Nephrology
Thakkar Priyesh DO Nephrology
Regional Pain Care PC Qadir Abdul MD Pain Medicine
Regional Women's Health Group LLC Bravoco Michael MD Gynecology
Reliance Medical Group Alcarez Catherine MD Internal Medicine
Alfaro Rosario APN Internal Medicine
Baumgartel Jenna PAC Family Practice
Dearden Albert MD Pediatrics
Lurakis Michael DO Internal Medicine
Nnewihe Adebola MD Obstetrics & Gynecology
Parlett Deborah APN Internal Medicine
Petit Anne MD Obstetrics & Gynecology
Solari Tina Marie APN Pediatrics
Reliance Medical Group, LLC Cruz Avelino MD Nephrology
Lunt David MD Family Practice
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 31 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Retinal & Ophthalmic Consultants, PC Foxman Brett MD Ophthalmology
Foxman Scott MD Ophthalmology
Margolis Thomas MD Ophthalmology
Thakker Manoj MD Ophthalmology
Ricardo Barzaga Barzaga Ricardo MD Infectious Diseases
Ricardo Oasin MD Oasin Ricardo MD Psychiatry
Rita Kammiel, MD & Associates Kammiel Rita MD Psychiatry
Robert Chorney PsyD, LLC Chorney Robert PsyD Psychology
Robert M. Goldberg, MD, PA Goldberg Robert MD Hematology and Oncology
Rothman Institute Mammano Joseph PAC Orthopaedic Surgery
Rothman Institute of New Jersey Adams Christopher PAC Orthopaedic Surgery
Anderson David MD Orthopaedic Surgery
Armstrong Joshua DO
Physical Medicine and Rehabilitation
Austin Luke MD Orthopaedic Surgery
Bazylewicz Daniel MD Orthopaedic Surgery
Boyle Peter DO Orthopedic Surgery
Chhipa Irfan MD Sports Medicine
Falcon Natacha DO
Physical Medicine and Rehabilitation
Fiorentino Diego PAC Orthopaedic Surgery
Geary Thomas PAC Orthopaedic Surgery
Katz David PAC Orthopaedic Surgery
Krieg James MD Orthopaedic Surgery
Lapinski Andrew PAC Orthopedic Surgery
Leinberry Charles MD Orthopaedic Surgery
Luskin Conor PAC Orthopaedic Surgery
Lutsky Kevin MD Orthopaedic Surgery
Matzon Jonas MD Orthopaedic Surgery
McIntyre Gabrielle PAC (blank)
Mehnert Michael MD
Physical Medicine and Rehabilitation
Molter Michael DO
Physical Medicine and Rehabilitation
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 32 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Nutini Dennis MD
Physical Medicine and Rehabilitation
Ong Alvin MD Orthopaedic Surgery
Orozco Fabio MD Orthopaedic Surgery
Patel Mitesh MD Sports Medicine
Pepe Matthew MD Orthopaedic Surgery
Pino Alexis PAC Orthopaedic Surgery
Post Zachary MD Orthopaedic Surgery
Radcliff Kristen MD Orthopaedic Surgery
Ramsi Martin PAC Orthopedic Surgery
Riotta Paul PAC Orthopaedic Surgery
Rivlin Michael MD Orthopaedic Surgery
Rothman Richard MD Orthopaedic Surgery
Rubenstein Craig MD Sports Medicine
Salibi Jordan PAC Orthopaedic Surgery
Schick Faith DPM Podiatric Surgery
Shelby Kevin PAC Orthopaedic Surgery
Tjoumakaris Fotios MD Orthopaedic Surgery
Tucker Bradford MD Orthopaedic Surgery
Winters Brian MD Orthopaedic Surgery
Woods Barrett MD Orthopaedic Surgery
Woods Shailen MD
Physical Medicine and Rehabilitation
Young George DO
Physical Medicine and Rehabilitation
Salartash Surgical Associates, LLC Boyle Melanie DO General Surgery
Fry Sarah APN General Surgery
Robinson Karima APN General Surgery
Rohani Pejman DO Vascular Surgery
Salartash Alimorad MD General Surgery
Salartash Khashayar MD General Surgery
Schwenker Laura APN General Surgery
Scott D. Tzorfas, MD Tzorfas Scott MD Neurology
Sentient Garcia Lopez De Elizabeth MD Telemedicine
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 33 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Victoria
Hoffman Stuart DO Neurology
Micic Vesna MD Neurology
Rashidzada Wahid MD Neurology
Stauber Ziva MD Neurology
Shore Kidney & Hypertension Specialists Shah Chetan DO Nephrology
Villarosa Ma Pauleen APN Nephrology
Shore Memorial Physicians Group Rodriguez Marlene MD Family Practice
Shore Oral and Maxillofacial Surgery Kalika Boris DMD Oral and Maxillofacial Surgery
Meyliker Roman DMD Oral and Maxillofacial Surgery
Shore Orthopaedic University Associates Bagnato, III Ralph PA Orthopaedic Surgery
Dalzell Frederick MD Orthopaedic Surgery
DeMorat Eugene MD Orthopaedic Surgery
Fox Ira DPM Podiatric Surgery
Galego Andrew APN Orthopaedic Surgery
Krome Charles DO Sports Medicine
Marczyk Stanley MD Orthopaedic Surgery
Shore Physicians Group Cilursu Ana Maria MD Rheumatology
Cunanan Manuel MD Internal Medicine
Del Re Sallustio MD Pulmonary Disease
Eckman Brown Monica PAC Pulmonary Disease
Geraci Brian MD Internal Medicine
Kralick Francis DO Neurosurgery
O'Connor James MD Pulmonary Disease
Yangala Ravi MD Neurology
Shore Surgical Assistant Services, LLC Buck Gary CRNFA Obstetrics & Gynecology
SOCH Medical Group Ng Tommy MD Cardiology
Soll Eye PC of NJ Markovitz Bruce MD Ophthalmology
Soll Stephen MD Ophthalmology
Somers Manor OB/GYN Division of Regional Women's Health Group LLC Korzeniowski Philip MD Gynecology
Rezvina Natalia MD Gynecology
Somers Medical Care, LLC Michael Wedad MD Internal Medicine
South Jersey E.N.T. Surgical Associates LLC Orquiza Clodualdo MD Otolaryngology
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 34 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Siliunas Vytas DO Otolaryngology
Wagle Priya MD Otolaryngology
South Jersey Fertility Center Kuzbari Oumar MD Reproductive Endocrinology
Packin Gary DO Reproductive Endocrinology
Sawin Stephen MD Reproductive Endocrinology
Skaf Robert MD Reproductive Endocrinology
Van Deerlin Peter MD Reproductive Endocrinology
South Jersey Gastroenterology Tulman Alan MD Gastroenterology
South Jersey Infectious Disease, PA Lucasti Christopher DO Infectious Diseases
South Jersey Pain Management Cerniglia Salvatore DO Anesthesiology
South Jersey Pediatric Endocrinology Chikezie Augustine MD Pediatric Endocrinology
South Jersey Pediatric Gastroenterology LLC Tung John MD Pediatric Gastroenterology
Southern Jersey Family Medical Center McFarlane Owen MD Obstetrics & Gynecology
Southern Jersey Family Medical Center, Inc. Bejaran Juan MD Internal Medicine
Capiro Rodney MD Obstetrics & Gynecology
Collins Gregory MD Internal Medicine
Irvis Kenneth MD Obstetrics & Gynecology
Marfo Victor MD Pediatrics
Mullin Eileen CNM Obstetrics/Gynecology (DNU)
Yon Katherine MD Pediatrics Southern Jersey Women & Children's Health Pavilion Palermo Andrea DO Pediatrics
Solomon‐Bergen Peggy MD Pediatrics
Southern Shores Eye Center, PA Nguyen Truc MD Ophthalmology
Specialty Medconsultants LLC Bursheh Samar MD Endocrinology / Metabolism
Daisey Christine APN Endocrinology / Metabolism
Naber Tamim MD Nephrology
Shahateet Omar MD Nephrology
Srisai Gowda MD Gowda Srisai MD Psychiatry
St Francis Xavier, Aerospace Medicine Penaloza Aranibar Carlos MD General Surgery
Stephen T. Dudick, MD Dudick Stephen MD Plastic and Reconstructive Surgery
Sterling Surgicare Adeyeri Ayotunde MD General Surgery
Stockton College Health Services Hess Linda APN Family Practice
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 35 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Stuart Sackstein, MD, PA Sackstein Stuart MD Gynecology
Stuart W. Honick, DPM, PT, LLC. Honick Stuart DPM Podiatric Surgery
Susan Sarkos, CRNFA Sarkos Susan CRNFA Orthopaedic Surgery
Susan A. Senese, DO, PA Senese Susan DO Family Practice
Tender Care Pediatrics Gaynor Lauren APN Pediatrics
Mandalapu Padma MD Pediatrics
Mercedes‐Salas Aixell MD Pediatrics
The Cancer Center, P.C. Cole Robert MD Radiation Oncology
The Children's Hospital of Philadelphia Anupindi Sudha MD Pediatric Radiology
Back Susan MD Pediatric Radiology
Bellah Richard MD Telemedicine
Biko David MD Pediatric Radiology
Chauvin Nancy MD Telemedicine
Francavilla Michael MD Telemedicine
Ho‐Fung Victor MD Telemedicine
Johnson Ann MD Telemedicine
Kaplan Summer MD Pediatric Radiology
Khwaja Asef MD Telemedicine
Mahboubi Soroosh MD Pediatric Radiology
Markowitz Richard MD Telemedicine
Meyer James MD Pediatric Radiology
Nazario Malave Maricarmen MD Telemedicine
Oliver Edward MD Telemedicine
Pollock Avrum MD Telemedicine
Reid Janet MD Telemedicine
Saul David MD Telemedicine
Servaes Sabah MD Telemedicine
Srinivasan Abhay MD Telemedicine
States Lisa MD Telemedicine
Victoria Teresa MD Telemedicine
White Ammie MD Telemedicine
The Children's Hospital of Philadelphia, Neurology DiGiovine Marissa MD Pediatric Neurology
Hopkins Sarah MD Pediatric Neurology
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 36 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Ryan Nicole MD Pediatric Neurology
The Children's Hospital of Philadelphia, Specialty Care Center Anderson Terry MD Pediatric Cardiology
Bhargava Hema MD Pediatric Cardiology
Dorfman Aaron MD Pediatric Cardiology
Lee Hae‐Rhi MD Pediatric Cardiology
Levinson Katharine MD Pediatric Cardiology
Sanchez Guillermo MD Pediatric Cardiology
The Neuropsychology Center LLC Chelder Mark PhD Psychology
The Plastic Surgery Center Abdollahi Hamid MD Plastic and Reconstructive Surgery
Chrisostomou Michele PAC Plastic and Reconstructive Surgery
Cuffs Lindsey PAC Plastic and Reconstructive Surgery
Duffy Elizabeth PAC Plastic and Reconstructive Surgery
Hering Gina PAC Plastic and Reconstructive Surgery
Kaufman Matthew MD Plastic and Reconstructive Surgery
Onisk Alexandra PAC Plastic and Reconstructive Surgery
Saad Adam MD Plastic and Reconstructive Surgery
Wimmers Eric MD Plastic and Reconstructive Surgery
The South Jersey Hand Center PC Kane Patrick MD Orthopedic Surgery
Trilogy Pain Associates Barbella Joseph DO Pain Medicine
University Cardiology Aji Janah MD Cardiology
Ventnor Pediatrics Center LLC Asemota Emiola MD Pediatrics
Patel Krupa PAC Pediatrics
Veterans Administration Pericles John DO Family Practice
Vineland Gynecological Associates Gewirtz Jonathan MD Gynecology
Virtua Atlantic Shore Family Practice Silverman Farrel DO Family Practice
Virtua Surgical Group, P.A. Andrew Constantine MD Vascular Surgery
Derivaux Christopher MD Thoracic Surgery
Field Charles MD Vascular Surgery
Kuchler Joseph MD Thoracic Surgery
Luciano Pasquale DO Thoracic Surgery
Monteith Duane MD Thoracic Surgery
Steinberg Jay DO Thoracic Surgery
Weatherby Locums Inc. Baehser Mark MD Pediatrics
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 37 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance
Who Test Associates, PA Test Doctor MD Thoracic Surgery
Williams Family Medicine Williams Jr Robert MD Family Practice
Wise Family Eye Center Wise Richard MD Ophthalmology
Effective: 1/1/16 Reviewed: Revised: Review Cycle: Annual Owner: AtlantiCare Board of Directors – Finance Committee
Source: NJ Public Law 1992, c.160 regarding charity care; NJ Public Law 2008, c.60; IRC Section 501 (r)
Authorized By: AtlantiCare Board of Directors – Finance Committee - 9/28/2015
Page 38 of 38
Policy & Procedure Subject:
Financial Assistance Category: Patient Rights and Organizational
Facility Scope: ARMC Locations:
Mainland Campus, Pomona, NJ, Atlantic City Campus, Atlantic City, NJ,
Health Plex Atlantic City, NJ, Cancer Center Institute, Egg Harbor Township, NJ, Cancer Center Institute, Cape May Courthouse, NJ,
Wound Care, Egg Harbor Township, NJ, Wound Care, Hammonton, NJ,
Adult Partial Care, Pomona, NJ, Child Partial Care, Egg Harbor Township, NJ,
Satellite Emergency Department, Hammonton, NJ.
Department: Finance