Financial Information

FINANCIAL INFORMATION PROCEDURE BILLING

We want to make payment of your account convenient for you by billing your insurance carrier on your behalf. To make this possible, it is necessary for you to supply us with your current insurance information. Depending on your insurance carrier benefits, coverage will be verified with the carrier prior to your procedure. You will be responsible upfront for any applicable co-pays and/or deductibles. Outstanding balances over 90 days will be turned over to a collection agency. In an effort to protect your identity, a copy of your photo I.D. and insurance card will be placed in your medical record at the time of registration.

ANESTHESIA BILLING

Your anesthesia was administered by an anesthesia care team: a certified registered nurse anesthetist (CRNA) and a board certified physician anesthesiologist, who medically directs the CRNA. As such, depending on your insurance provider, you may receive two separate bills for the anesthesia services – one for the nurse anesthetist (CRNA) and one for the physician anesthesiologist. Please note: if you received two separate bills, the total amount would be the same if you had only received one bill. The determining factor for the number of bills you may receive is based upon your insurance carriers requirements. Your insurance carrier recognizes professional anesthesia services and may require separating nurse anesthesia (CRNA) billing from anesthesiologist billing. Both professionals delivered care during your visit. Furthermore, the total amount is the same whether the anesthesia is administered by a care team or by a single provider.

ADDITIONAL BILLING

You may receive additional bills from Pathology/Laboratory services only if your surgical procedure required a biopsy or diagnostic evaluation.

ADDITIONAL INFORMATION

If you wish to report a grievance to the Health Department or Medicare, please reference the address / numbers / websites below.

You will not be penalized if you file a complaint.
Michigan Department of Health Medicare Ombudsman
Ottawa Building, 1st floor 800-MEDICARE (800-633-4227)
611 West Ottawa Street http://www.medicare.gov
P.O. Box 30664
Lansing, MI 48909
1-800-882-6006
www.michigan.gov or to go directly to the form to complete:
www6.dleg.state.mi.us/parsers/complaints/onlineform.asp

If you feel you are a victim of Medicare Fraud, please refer to the following information to report your claim:
Phone: 1-800-HHS-TIPS (1-800-447-8477) Fax: 1-800-223-8164 (no more than 10 pages)
Email: HHSTips@oig.hhs.gov Mail: Office of the Inspector General
HHS TIPS Hotline
P.O. Box 23489
Washington, DC 20026

If you would like to confirm license status, verify if there are any open formal complaints or disciplinary actions placed on the licensed personnel/business, please refer to the following website directions:
• http://www.michigan.gov
• On left hand side, click on “Health” section
• Click “Online services”
• Scroll down and click on “verify health professional license”
• You will need at least the license professional/business name to begin search If you need assistance with Advance Directives, you should talk with your personal lawyer or representative for advice and assistance in this matter. The Michigan State Department of Health attorneys or the Center’s personnel cannot give you legal advice concerning living wills or advance directives.