It's just the
facility fee.
Explain in your letter
that this estimate is
only for the facility fee
and that patients can
expect separate bills
from the surgeon,
anesthesiologist and
other providers
(lab/path) involved
with their care. Note
that additional patient
balances may apply to
their claims.
Follow up with a phone call when patients owe $500. When
you determine that the patient's self-pay amount is $500 or
more, follow up with a phone call to verify that the patient received
the letter and to answer any questions the patient might have about
his benefits.
Reach your goal of zero collections. Patients who need financ-
ing options may apply through a company on our website.
Charge card autopay can be spread over 2 to 3 payments if there are
remaining balances after final insurance processing. In those rare
instances when patients refuse to make payment, they might be redi-
rected to another setting or, after consultation with the surgeon, the
case could be cancelled.
4
5
3
Coding & Billing
CB
2 8 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 1 7
In the era of high-deductible health plans,
patients bear a substantial portion of their
own healthcare costs and, consequently,
a surgical facility's revenue.
