Ambulatory Surgical Center of Stevens Point
Thank you for choosing our Surgical Center for your upcoming procedure/surgery. We are committed to your treatment being a success. Your clear understanding of our financial policy is important to our professional relationship. Please understand that payment for services is part of that relationship.
Outstanding Balance Policy: You are responsible for any co-insurance, deductables or non-covered services. It is our policy to expect payment in full after insurance payment is received. You are notified of this through our first patient statement. If you cannot make payment in full we will accept monthly payments in three equal installments, with the first payment due upon receipt of your first statement. If this still poses a financial hardship to you, it is your responsibility to contact our Center to set up a mutually agreeable payment plan. Missed payments or failure to set up a payment plan will result in your account being turned over to our collections agency. We also reserve the right to cancel any subsequent surgery due to an outstanding balance.
Your Bill: We use an outside billing company at our Surgery Center. This means your bill will come from Florida. Please remit payment to the address indicated or feel free to stop by our center and pay your bill with our Receptionist.
Three Separate Bills: Please be aware you will receive 3 bills from this surgery. One bill is from the Surgery Center itself for our services. Another bill will be forthcoming from the surgeon who performes the surgery/procedure. The third bill will be from Anesthesia covering the anesthesia services provided. If you have any questions on any of the statements, call the phone number depicted on the statement.
Payments: We accept cash, check and all major credit cards. No post-dated checks will be accepted. You may pay your portion of your account with a credit card or electronic check by visiting our website at www.ascstevenspoint.com and clicking the "Make a Payment" link. You may also call our Billing Company at #866-371-4656 who you will take your credit card payment over the telephone.
Easy Pay: In order to provide you with the highest quality service while keeping our billing costs low we offer paperless billing through Easy Pay. We simply maintain your credit, debit, or check card number on file to satisfy all co-pays, deductables and balances not covered by your insurance. Our Administrator or reception staff will be more than happy to give you more information about easy pay.
Co-Pays: All co-payments and past due balances are due at the time of surgery/procedure check in unless previous arrangements have been made with our billing office.
Insurance Claims: Insurance is a contract between YOU and YOUR insurance company. We will bill your insurance company as a courtesy to you. In order to properly bill, we require that you disclose all insurance information including primary and secondary insurance at each visit. Failure to provide complete insurance information will result in patient responsibility for the entire bill. If your insurance company is not contracted with us, you agree to pay any portion of the charges not covered by insurance. If we are out of network for your insurance company and your insurance pays you directly, you are responsible for payment and agree to forward the payment to us immediately.
Referral & Pre-Authorization: If your insurance company requires a referral or pre-authorization, you are responsible for obtaining it. Failure to obtain the referral or pre-authorization may result in a lower or no payment from the insurance company and the balance will be your responsibility.
Self-Pay Accounts: Self pay accounts are patients without an insurance card on file with us. Liability cases will be considered self-pay accounts. We do not accept attorney letters or contingency payments. Self pay patients are required to meet with our billing office PRIOR to the procedure to discuss financial and payment obligations.
Workers Compensation: In the case of a workers compensation claim, it is your responsibility to contact your employer/human resource department prior to the surgery date. Please provide us with the claim number, contact person and the name and address of the insurance carrier prior to your visit. If this information is not provided, you will be handled as a self pay account.
Minors: The parent(s) or guardian(s) is responsible for full payment and will receive the billing statement for any patient under the age of 18. Minors must be accompanied by their responsible parent(s) and/or guardian(s) at the time of check in.
What should you do now that you are familiar with our Financial Policy?
Prior to your surgery:
1.Contact your insurance company to assure the procedure being performed is covered under your plan. Also make sure we are considered "in network".Determine if pre-authorization is needed and if so, make sure this is taken care of. We cannot emphasize enough that you should "know and undertand your insurance coverage".
2. Contact us if your are interested in receiving an estimate of your out of pocket expenses after your insurance has paid their portion of the bill.
3. Contact us if you have "any questions" regarding your bill.
On the Day of Surgery:
1. Bring with you your insurance cards as well as a driver's license or other photo-identification card to present at the time of surgery/procedure check-in.
2. Notify us of any pertinent changes, i.e. address, insurance, etc.
3. Bring with you any co-pay due at the time of your procedure.
4. At the time of check in, we will ask you to acknowledge your being aware of our financial policy and your responsibility.
Following your surgery:
1. Know that we will bill your insurance company as a courtesy to you and absorb all billing costs.
2. Know that once payment from your insurance company is received, you will receive your first patient statement and:
- Full payment is expected after insurance payment is received and you are notified of this through the Center's first patient statement.
- If you cannot make payment in full, the Center will accept monthly payments in three equal installments with the first payment due upon receipt of your first patient statement.
- If you are unable to pay your balance within three monthly equal installments with the first due upon receipt of your first statement, you must contact the Center to set up a mutually agreeable payment plan.
- Any missed payments or failure to set up a payment plan will result in your account being turned over to the Center's collection agency.
3. Know that in the event your account is placed with an attorney or collection agency, you are responsible for collection fees, reasonable attorney fees and court costs.
4. Know that the Center reserves the right to deny surgery if you have a remaining unpaid balance.
Frequently asked Questions:
Question: Why did I receive a bill from anesthesia and from my surgeon along with your bill?
Answer: Our center bills for the surgery center fee. You will also receive a bill from the surgeon who performed the surgery and from the anesthesiologist who administered your anesthesia.
Question: Can I receive an estimate of the cost and my potential out of pocket expenses?
Answer: Of course you can. When you get your car repaired you receive a quote on the cost and you can expect the same from us!!! Give us a call and we will provide you with your approximate out of pocket expenses "BEFORE" you undergo your surgery. This will mean fewer surprises for you after your procedure when you start receiving your bills.
Question: Am I charged for every item I receive including your give-aways?
Answer: No, we charge a "flat fee" for our services. This means you are not billed separately for every item you receive.
Question: How do your fees compare with other facilities?
Answer: Get a quote from us and a quote from other facilities and you decide. We think you will be pleasantly surprised with your findings and it will further support your decision to receive your care at our surgical center.