Question: Why am I receiving more than one bill for the same surgery?
Answer: There are a number of separate charges associated with your surgical procedure.
You MAY receive charges from several companies for:
- ANESTHESIA SERVICES
- PATHOLOGY SERVICES
- LABORATORY SERVICES
- Your surgeon’s office – his/her fee for performing your surgery.
- An extended home health care service.
- Third Party implant providers.
At check in you are given a list of potential providers and their phone numbers or you may contact us for a list.
Question: What type of credit cards do you accept?
Answer: We accept all major credit cards such as Visa, Mastercard, Discover and American Express.
Question: When should I expect my first bill?
Answer: We will bill you any balance due after your insurance company has paid your claim. There may be a delay if your insurance company has paid us incorrectly and we have re-submitted your claim for a corrected payment and allowance determination.
Question: Do you charge interest?
Answer: No
Question: Are we able to set up a payment plan?
Answer: We do ask that all balances are paid in full within 60 days. If you encounter problems paying within the 60 days, please contact our office immediately at 305-341-7280 and ask for our collections department.
Question: What is included in my bill?
Answer: We are dedicated to reducing the cost of your medical care. In fact, we do not itemize invoices since most procedures have established charges. You will receive separate invoices from us, your surgeon, anesthesiologist, or pathologist. Some specialty items may require additional charges.
BCBS patients may also receive a bill from IPG for implants and high dollar supplies. IPG is a 3rd party organization designated by BCBS to supply and bill for all their implants and high dollar supplies.
Question: What is your credit and payment policy?
Answer: There are a number of separate charges associated with your surgical procedure. You MAY receive charges from several companies for:
- Anesthesia Services
- Pathology Services
- Laboratory Services
- Your surgeon’s office – his/her fee for performing your surgery.
- An extended home health care service.
- Third Party implant providers.
YOU are responsible for guaranteeing payment on your account and being aware of your individual policy restrictions and benefits.
Your insurance company, including Worker’s Compensation, auto (no fault) and personal injury, is legally responsible to you. Our relationship is with you, our patient, not your insurance company. Consequently, all charges incurred are your responsibility. The obligation to assure payment in a timely manner lies with you regardless of what your insurance company chooses to do. You should normally receive a response from your insurance company within 30 days of your date of service. If you experience a delay, it is expected that you contact your insurance company to check the status of your claim and to expedite payment. Please call our office at 305-341-7280 if you encounter a problem with your insurance company and need our assistance.
The Surgery Center at Doral’s policy is to turn over to an attorney or collection agency all accounts which are delinquent. You will be responsible for any collection fees that are incurred.
THE SURGERY CENTER AT DORAL WILL BILL AS FOLLOWS:
MEDICARE
We accept assignment of benefits. If you do not have a secondary insurance you will be responsible for your deductible and your 20% co-insurance.
PRIVATE INSURANCE
Your copay, co-insurance or deductible amount is due on date of service. We will submit your bill directly to your private insurance company. A bill will be sent to your secondary insurance upon receipt of payment or denial from your primary insurance. If you have no secondary insurance, or you have a balance after receipt of payment or denial from your insurance company, a bill will be sent to you.
SELF PAY
You will be contacted prior to your surgery with an estimated procedure cost for your surgery. You will be expected to pay your estimated financial responsibility on the day of surgery.
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NOTICE TO PATIENTS
You may contact the following entities to express any concerns, complaints or grievances you may have.
Daniel Navarro, MHSA, MPH, PMP, CEO
(305) 341-7280
MEDICARE
OFFICE OF THE MEDICARE BENEFICIARY OMBUDSMAN:
http://www.cms.hhs.gov/center/ombudsman.asp
STATE AGENCY
ATTN: LUCY GEE, DIVISION DIRECTOR
FLORIDA DEPARTMENT OF HEALTH
DIVISION OF MEDICAL QUALITY ASSURANCE
CONSUMER SERVICES UNIT
4052 BALD CYPRESS WAY, BIN C75
TALLAHASSEE, FL 32399
(888) 419-3456
Copays, deductibles and coinsurances are expected on the day of surgery. Billed balances are due within 60 days.
We strongly encourage you to personally contact your insurance company about your upcoming surgery. It is mandatory that YOU, as the insurance subscriber, confirm that all prior authorization information necessary to your specific policy is completed before your surgery date . You may be penalized by your insurance company if you don’t follow your policy guidelines. You must understand what your benefits cover and how this may affect you financially.
We will submit insurance claims for you. We may request that your deductible and copay amounts are paid on your date of surgery. You will receive notice from us regarding the amount to pay.
Self pay payments are due in full on the day of surgery.
If you anticipate difficulty in paying your bill within the 60 day period please let us know immediately.
Question: What if I can’t pay my portion?
Answer: If you are unable to pay your estimated patient responsibility prior to the procedure or think you will have trouble paying your bill after your procedure please call our office at 305-341-7280. Depending on your insurance and your circumstances, we may be able to make payment arrangements or refer you to a third party medical lender.