There are a number of separate charges associated with your surgical procedure. You MAY receive charges from several companies.
- LSA, Anesthesia 768-1611
- Alan Ostrowe MD, Anesthesia, 766-8680
- H&H Orthopedic Sales, Durable Medical Equipment
- Your surgeon's office - his/her fee for performing your surgery
- Your pathologist - services for tissue specimens removed during surgery requiring further examination
- An extended home health care service
Full payment is due within 60 days from your date of service. Please contact your insurance company directly if you experience any delays. 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 Business Office at 766-1718 if you encounter a problem with your insurance company and need our assistance.
BRASS Surgery Center'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.
We utilize Transworld and Telerecovery as our collection agencies.
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We accept assignment of benefits
Payments Due Prior to Surgery
We typically collect your insurance co-payment if applicable before surgery. Upon request, we will provide you our “best estimate” of the amount you will owe after insurance pays, after contacting your insurance company and reviewing the amount they are most likely to pay under our contract with them, and based on what specific procedures your surgeon has scheduled beforehand. No guarantee of payment is received from your insurance company. Should your surgeon decide to perform an additional or different procedure, your responsibility may also change.
Filing Insurance Claims
Following your surgery, we will prepare and file your insurance claim for our facility charges with your insurance company. (We do not file any claims for the surgeon, anesthesiologist or pathology.)
We expect your insurance company to pay your claim within sixty (60) days of the date of your surgery. At that time we will provide you with a statement of the total charges for all procedures that were performed, the contractual discounts your insurance company received, the amounts you prepaid, and the balance, if any, you may owe.
Should we encounter problems with receiving timely payment from your insurance company, you will be contacted and asked to contact the company to get your claim paid. Should your claim be denied or rejected, we will bill you directly for payment.
After your insurance has paid, you will only receive two statements. After two statements have been sent, any unpaid balance will automatically be sent to a collection service.
Our patients are entitled to information about the services they receive, and the charges and payments made on their account. We are happy to answer any questions you may have or to help with any specific needs you would like to discuss. Please contact our Business Office anytime between 8:00 a.m. to 3:00 p.m. Monday – Friday at 225-766-1718.
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NOTICE TO PATIENTS
BRASS Surgery Center is committed to meeting or exceeding our customers' patients/families/visitors) expectations of care and services. Effective resolution of complaints/grievances and concerns is a key factor in achieving customer satisfaction. Customer complaints/grievances are opportunities for improvement and should receive respectful, prompt and efficient attention. Customer satisfaction is everyone's responsibility, and customer concerns and complaints/grievances may require different resolution processes. However, prompt and effective resolution is the goal for resolving customer issues, regardless of whether it is a minor concern or a serious complaint.
All customers are encouraged to report any and all concerns, complaints/grievances to any BRASS Surgery Center employee for resolution, as each employee is empowered to resolve issues and complaint/grievances within his/her authority or professional expertise.
A customer may file a concern, complaint/grievance for any reason. The process to do that is as follows:
- Notify any BRASS Surgery Center staff member that you have a concern, complaint/grievance
- All efforts will be made to resolve concerns, complaints/grievances on the same day notified
- Concerns, complaints/grievances that cannot be immediately resolved to the customer's satisfaction will result in the review and investigation of the complaint/grievance within a reasonable time frame initiated by the family administrator
- The facility administrator or designee will provide the customer with a verbal progress report within 3 business days of receipt of complaint/grievance and maintain ongoing communication until the point of resolution, not to exceed 30 days
- Once the investigation is completed, the Administrator will communicate in writing to the customer, or legal representative, when necessary, the findings and determination regarding the complaint/grievance in understandable terms, including written notice if its decision, name of hospital contact person, steps taken on behalf of the customer to investigate the complaint/grievance, the results of the complaint/grievance process and date of completion, and information on how to contact the State Agency for any issues the customer feels is/are unresolved
- Customers may contact the State Agency directly, regardless whether he/she has first used the center’s complaint/grievance process
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