Navigating Billing Barriers: Strategies for Resolving Medical Forensic Exam Payments with Survivors

It is known that patients at times receive bills related to their medical forensic exam (MFE), and this is brought to the attention of various clinicians and service providers – advocates, nurses, billers. MFEs are crucial for survivor health, healing, and sometimes criminal legal engagement. Join this interactive presentation that will discuss the potential pitfalls and challenges survivors may encounter and explore strategies to assist them in resolving these issues. Attendees will actively engage in exploring support options for survivors and learn how to build effective resolution strategies.

Presenters:
Koren Grzelak, RN | Forensic Nurse Specialist, International Association of Forensic Nurses (IAFN)
Farah Gold, Office on Violence Against Women (OVW)

The Medical Forensic Exam Payment TA project was supported by Grant No.15JOVW-22-GK- 04021-STOP awarded by the Office on Violence Against Women, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this Web Site are those of the author(s) and do not necessarily reflect the views of the Department of Justice, Office on Violence Against Women.

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The International Association of Forensic Nurses is a professional membership organization. If you are the victim of a crime, get help here.
If you are in immediate danger, call 911.

Since 2004, IAFN has partnered with a multidisciplinary group of subject matter experts to provide training and technical assistance around implementing the National Protocols along with the corresponding SAFEta.org website.

IAFN has partnered with a multidisciplinary group of subject matter experts to develop and disseminate training and techincal assistance around implementing options surrounding billing, coding and reimbursement processes related to the sexual assault medical forensic exam.

IAFN supplements the work of the current National Indian Country Clearinghouse on Sexual Assault that will provide programming and services to address the unique environmental, cultural, and traditional needs for Alaska tribal governments and villages.

IAFN has partnered with a multidisciplinary group of subject matter experts to determine the best practices for delivering medical forensic examinations to individuals who have experienced domestic violence. The target audience are healthcare clinicians and other first responders.

Copyright© 2006-2024 International Association of Forensic Nurses. All rights reserved worldwide. No materials, including graphics, may be reused, modified, or reproduced without written permission. Any questions or comments regarding this site should be directed to info@forensicnurses.org

This project was supported by Grant No.15JOVW-23-GK-05172-MUMU awarded by the Office on Violence Against Women, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this Web Site are those of the author(s) and do not necessarily reflect the views of the Department of Justice, Office on Violence Against Women.

The Medical Forensic Exam Payment TA project was supported by Grant No.15JOVW-22-GK-04021-STOP awarded by the Office on Violence Against Women, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this Web Site are those of the author(s) and do not necessarily reflect the views of the Department of Justice, Office on Violence Against Women.

The following video depicts a brief, simulated patient encounter. These videos are intended to demonstrate clinical skills highlighting how to interact with patients using a trauma-informed approach. Each video prioritizes addressing the healthcare needs of the patient. The video does not show the medical forensic exam in its entirety but rather highlights portions of the exam.

A complete medical forensic exam includes but is not limited to:

Offering a confidential advocate

Consent for care

Medical history

Physical examination

Evidence collection & photo documentation

Diagnosis & treatment

Safety planning, discharge & follow-up care instructions

CONTENT WARNING: The following videos contain material that may be triggering and/or content that is challenging to view. Themes can include: sexual assault, intimate partner violence, child sexual abuse, discrimination, racism, human trafficking, incarceration, and abuse later in life.

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