All rights reserved. Our unparalleled service, backed by our expertise, sets us apart from all other billing companies. They stated that they would request the bill to be submitted and a hold on the. There are a variety of ways to pay your hospital or clinic bill: If you have insurance, we will bill your insurance for you. For 20 years, our high-performing and affordable care models have combined physician leadership, clinical process, technology, and analytics . Call your insurance company and/or access their web portal to find out when they processed the claim. If your insurance requires a co-pay, we will collect it before you leave the hospital. Compliance. SSMB stays up to date on the latest rules and requirements in order to maintain maximum reimbursement. Hours: Open Monday Friday, 8:00 am 4:30 pm. To learn more, visit healthwise.org. This company offers to provide physicians to hospitals in need of coverage for certain programs such as emergency medicine, critical care and hospital medicine. When you receive emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. Your organization is unique. For more information on your rights related to billing specifically surprise billing or balance billing please review the Balance Billing Protection Act/Federal No Surprises Act Consumer Notice, courtesy of the Washington State Office of the Insurance Commissioner. The Sound Physicians settlement was the result of a coordinated effort by the Department of Justice, Civil Division, Commercial Litigation Branch; the U.S. Attorneys Office for the Western District of Washington; the Department of Health and Human Services Office of Inspector General; the Department of Defense, Office of Inspector General, Defense Criminal Investigative Service; the Office of Personnel Management Office of Inspector General; the Department of Veterans Affairs Office of Inspector General; and the TRICARE Management Activity Office of General Counsel. C09-5301RBL (W.D. For example: mail or courier service, fax, email or web based programs. As a successful, multi-specialty, national medical group, we know what works and what doesnt across a broad spectrum of specialties. UPMC's Patient Financial Services Center can help you with your financial needs. This billing practice is common in health care, and one OMC patients experience already if they have had a diagnostic imaging procedure or a surgery utilizing anesthesia. Secure .gov websites use HTTPS We welcome any questions regarding insurance plans or fees incurred while utilizing our services, and about financial assistance programs that may be available for you. Thomas will receive $2.7 million of the $14.5 million settlement for exposing Sound Physicians inflated claims. These providers may or may not participate in the same health plans as the hospital. SSMB charges a percentage based on what is collected each month. Find billing information and financial assistance at Cleveland Clinic Florida, plus FAQs. We service multiple healthcare practices throughout WA and Arizona. Having a hard time figuring out your physician and hospital bill? The Center can help you with the following things: To talk to one of our specialists, please call or e-mail us. Whether we're expertly managing our programs at community, teaching, or safety net hospitals, everything we do is about empowering our innovative clinicians with the training and tools to provide outstanding clinical care. Privacy Policy | Phone: 240-566-3055; Hours of Operation: Monday - Thursday 8:00 a.m. . OMC is not contracted with their HMO products. Weston 866.621.6385. In all cases, please review your medical benefits information. Outsourcing your medical billing provides you more time to concentrate on your patients and practice. Our unparalleled service, backed by. UPMC Hospital Financial Services assists patients with all questions related to hospital bills. I have over 28 years of experience any only employ the best for your company. Weston, FL 33331 |. Fraudulently inflated billing of government health care programs puts those programs at risk, and impacts the systems ability to care for the neediest in our communities, said Jenny A. Durkan, U.S. Attorney for the Western District of Washington. It employs more than 700 hospitalists and post-acute physicians, who provide services at 70 hospitals and a growing network of post-acute facilities in 22 states. We strive to provide the most advanced pulmonary and critical care services and to compassionately meet the needs of our patients. There is no cost to use this service. This service is available for U.S. patients only and services provided at Cleveland Clinic Florida Weston Hospital and Cleveland Clinic Indian River Hospital outpatient clinics. Allegations that Sound Physicians had improperly billed a variety of federal health care programs were brought to the governments attention through a lawsuit filed by a former Sound Physicians employee, Craig Thomas, under the qui tam, or whistleblower, provisions of the False Claims Act. You may be financially responsible for services rendered that are deemed non-covered benefits under your plan. Toll-Free: (877) 350-3511, Phone: (855) 768-6363 If you would like to speak to a live representative, you can do so between 8 am 4 pm Monday through Friday by calling 1-866-765-0513. Our clinicians are committed to providing the best care to patients and their families in the communities we serve. Read the full notice: Franciscan Health Facilities | Franciscan Physician Network, ATTENTION: If you are not proficient in English, language assistance services, free of charge, are available to you. We partner with hospitals across the country and are dedicated to ensuring your experience as a patient is one that makes you and your family feel confident in the care you receive. The hospital will gladly bill your insurance company for your hospitalization when the proper information is given at the time you check-in to receive your services and benefits are assigned. Improving care and reducing costs in the communities we serve. Follow these tips before your visit at Cleveland Clinic. If you choose to do business with this business, please let the business know that you contacted BBB for a BBB Business Profile. Members of Premera can expect an updated notice soon with additional clarity regarding Sound Physicians being out-of-network, and how the No Surprises Act prevents members from paying more than they would for an in-network provider for emergency services. Financial Assistance Plain Language Summary SSMB provides patient customer service for all billing inquiries. Notice Informing Individuals About Nondiscrimination and Accessibility Requirements. If they try to bill you the balance, it can be illegal depending on what state you live in. Compliance, Payment Address: PO Box 743522, Los Angeles, CA 90074-3522, Correspondence Mailing Address: Zotec Partners, Attn: SNDP Scanning, 11460 North Meridian Street, Carmel, IN 46032, Payment Address: PO Box 748996, Los Angeles, CA 90074-8996, Correspondence Mailing Address: Zotec Partners, Attn: SNED Scanning, 11460 North Meridian Street, Carmel, IN 46032, Payment Address: PO Box 741658, Los Angeles, CA 90074-1658, Correspondence Mailing Address: Zotec Partners, Attn: SNDA Scanning, 11460 North Meridian Street, Carmel, IN 46032. After several attempts Sound Physicians finally submitted the claim correctly per the most recent EOB: Total covered benefits approved for this claim: $253.94 to SOUND PHYSICIANS OF *****. Sound Physicians cannot bill a patient an amount more than their in-network cost share. The estimates provided are only related to your Cleveland Clinic providers. We deliver against partners' clinical and operational priorities while providing extraordinary patient care during and after the acute care episode. Hospital-based medicine often needs subsidies to survive. Bills Claimed Higher Level of Service Than Was Documented. Patients of UPMC Cole should select the UPMC Cole Connect Patient Portal. Your health information, right at your fingertips. Cookies help us improve your website experience. To speak with a customer service associate, please call 412-864-0284 or toll-free 1-844-591-5949. Your hospitalization coverage is a contract between you and your insurance company. Honestly, they probably won't but you should complain about it. If you have questions about your account you can call our automated attendant 24 hours a day, 7 days a week to get your balance or make a payment. BBB Business Profiles are provided solely to assist you in exercising your own best judgment. We are a leading physician partner to hospitals, health plans, physician groups, and post-acute providers seeking to transform outcomes for acute episodes of care. View instructions about how to sign up for eStatements on MyUPMC (PDF). Visitation and mask requirements, Need a vaccine or booster? During this time of tight government budgets, we will do all we can to make sure everyone plays by the rules and does not run up the taxpayers tab.. Your healthcare provider may fax the referral directly to our financial services office at (425) 688-5969 or you may bring it with you on the date of service. You may receive separate bills for services rendered by the following organizations as part of your provider visit, hospital stay, diagnostic imaging or laboratory services. please contact the appropriate billing office below: Sound Physicians Emergency Medicine of Maryland - 253-341-6327; Business hours at the Hospital Financial Services office are 8 a.m. to 5 p.m., Monday through Friday. All payment plans require that you make a monthly payment based on the contracted schedule and amount established by Overlakes financial counselors. Select MyUPMC to access your UPMC health information. This civil settlement illustrates the governments emphasis on combating health care fraud and marks another achievement for the Health Care Fraud Prevention and Enforcement Action Team (HEAT) initiative, which was announced in May 2009 by Attorney General Eric Holder and Health and Human Services Secretary Kathleen Sebelius. Pittsburgh, PA 15203. Access the headquarters listing for Sound Physicians. SSMB accurately interprets and posts insurance and patient payments to maintain maximum reimbursement. Copyright 2021 South Sound Medical Billing - All Rights Reserved. There is a one time fee for the initial set up. We accept a wide variety of insurance plans at our main campus, community hospitals and family health centers. The partnership between the two departments has focused efforts to reduce and prevent Medicare and Medicaid financial fraud through enhanced cooperation. Phone: (360) 417-7111 or (800) 854-2844 Real-time, risk-adjusted feedback and coaching improves quality on all the key clinical measures. ), Revised June 2021 for dates effective 7/01/2021 Olympic Medical Center and Olympic Medical Physicians continue to be in-network. For contact details for these providers, please use our Find a Doctor search tools for Weston, Martin Health or Indian River. Coming to a Cleveland Clinic location? 2023, International Association of Better Business Bureaus, Inc., separately incorporated Better Business Bureau organizations in the US, Canada and Mexico and BBB Institute for Marketplace Trust, Inc. All rights reserved. Depending on your insurance plan and type of service, you may pay lower out of pocket costs when you visit an in-network provider. *In Canada, trademark(s) of the International Association of Better Business Bureaus, used under License. Sound Inpatient Physicians Inc. will pay $14.5 million to settle allegations that it overbilled Medicare and other federal health care programs, the Justice Department announced today. Your independent, personal physician or other physicians providing you with services related to your hospital stay or visit will bill you separately. If you would like to compare our charges to other providers please visit the following sites: Patients can view their statements and pay electronically through our guest payment option in MyChart. Sound Physicians of Wyoming LLC Contact Information Principal Renee Avillanoza Customer Contact Renee Avillanoza Additional Contact Information Phone Numbers (901) 303-8883 Other Phone (855). 111 Tumwater Boulevard SE Suite 207, Tumwater, Washington 98501, United States. Jennifer Hogan. Our job as your strategic partner is to use our expertise to help you innovate around the obstacles and opportunities you face each day. West Sound Emergency Physicians. Sound Physicians 866-765-0513 Other MultiCare Physicians All Locations MultiCare Medical Associates 253-274-1642 Pathologist All Locations Western Washington Pathology 877-433-8003 Pediatric Intensive Care Auburn, Good Samaritan, Mary Bridge, Tacoma General Pediatrix Medical Group 866-315-4058 Highly recommended! Pittsburgh, PA 15213 This staff member can: If you have questions during your hospital stay, please ask your case manager. This rating reflects BBB's opinion about the entire organization's interactions with its customers, including interactions with local locations. Patient Privacy | Sound Physicians is a provider of inpatient physician services in hospitals in the United States. BBB Business Profiles are subject to change at any time. (210) 703-8375. Have a question about our billing practice, please send us a message. Copyright 2023 Sound Physicians. Website: SoundPhysicians.com, 939 Caroline Street COVID-19 Update: Learn about precautions - including visitor guidelines - in place at our hospitals for your safety, and for our patients and caregivers. The service bundle information is a non-personalized estimate of costs that may be incurred by the patient for anticipated services and that actual costs will be based on services actually provided to the patient. Below are a few options to help you with the next steps of your billing inquiry. Sound Physicians cannot bill a patient an amount more than their in-network cost share. Learn about precautions - including visitor guidelines. UPMC's Patient Financial Services Center can help you with your financial needs. If you have a question about your bill, your payment options, or applying for or receiving financial assistance, you should contact us. However, if they do not have a contract with your insurance, it might be fine. As a successful, multi-specialty, national medical group, we know what works and what doesn't across a broad spectrum of specialties. The claims resolved by the settlement are allegations only, and there has been no determination of liability. The hospital or clinic will gladly bill your insurance company when the proper information is given and benefits are assigned. First Choice Network (all cards with First Choice logo)*, Kaiser Permanente Options (via First Choice card must have a First Choice logo), Labor and Industries/Self-Insured Workers Compensation, Premera (all non-Medicare and non-Medicaid products). sign up and select the portal most relevant to you, Financial Assistance Application Form (PDF), Financial Assistance Process Policy (PDF), Medicare Provider Utilization and Payment Data, Plain Language Summary of Financial Assistance Policy (PDF), Review of Hospital Charge Description Master (CDM) Files (PDF), Sign in to UPMC Cole Connect Patient Portal, Apply for governmental assistance, like Medical Assistance (MA) programs, Review the Financial Assistance program and whether or not you may qualify, Pay for urgent, medically necessary services for those who do not have insurance or are underinsured, To set upa payment plan for an outstanding balance, To make a payment or talk about yourpayment options, Help you fill out Medical Assistance application, Help you figure out next steps if you do not meet Financial Assistance criteria. We are here to help you meet your practice goals. Manage your Cleveland Clinic account. Physicians who participate in Medicare and other federal health care programs must document and bill for their services accurately and honestly, said Stuart F. Delery, Acting Assistant Attorney General for the Civil Division. Sound Physicians is a Tacoma, Wash.-based provider of hospitalists and other physicians to hospitals and other medical facilities. SSMB utilizes any method convenient for your practice. BBB Business Profiles generally cover a three-year reporting period. When Sound Physicians begins providing emergency medicine physician services in October, patients will receive two bills: A facility and services bill from Olympic Medical Center, and a professional (provider) bill from Sound Physicians. Terms of Use | The physicians and staff of Southwest Pulmonary Associates thank you for your interest in our practice. The act allows private citizens to bring civil actions on behalf of the government and share in any recovery. You can alsospeak with a patient financial advocatefor any additional questions you have. One of the most powerful tools in this effort is the False Claims Act. More Details OUR MISSION SSMB submits claims to Medicare, Medicaid, No Fault/Personal Injury, Workers Compensation and all commercial carriers. We service multiple healthcare practices throughout WA and Arizona. In particular, any requirements related to co-payments, co-insurance, deductibles, non-covered services, referrals and authorizations. 115 LINCOLN ST. FRAMINGHAM, MA 01702-6358. Please contact them directly to verify that they participate in your health plan. Martin Health 772.223.5680. We service multiple healthcare practices throughout WA and Arizona. Hospitalists are physicians, typically trained in internal medicine, who provide care exclusively to hospital inpatients and have no office or outpatient practice. Billing. Olympic Medical Center's Finance Department is pleased to provide you with the following information to help address questions regarding your bill. To speak with a billing representatives, please contact Customer Service at 866.621.6385 (toll-free). The lawsuit is United States of America ex rel. We focus on four critical aspects to ensure success: From day one, we invest heavily in providing structured training and coaching to inspire our clinicians and develop leaders and high-functioning teams. The portal for UPMC Cole patients receiving inpatient care. Craig Thomas v. Sound Inpatient Physicians, Inc. and Robert A. Bessler, Civil Action No. If you are a patient at one of our Martin Health facilities, you can use our online quick payment option. 200 Lothrop Street If it was your insurance company's fault for the delay, ask if there's anything they can do about your out of pocket costs. Sound Physicians 1498 Pacific Avenue, Suite 400 Tacoma, WA 98402. Your culture is its own. Overlake is an award-winning, nonprofit, independently operated regional health system. Office: 519 S. Peabody Street, Port Angeles, WA 98362 Indian River 772.563.4774. Either way, it completely breaks the contract they have with insurance and they can be fined. Physicians Billing Services does not process, submit or collect for hospital charges. For questions about your UPMC Health Plan bill, please contact Member Services at 1-888-876-2756 or TTY 711. Please enter your full name . A .gov website belongs to an official government organization in the United States. Out-of-pocket costs for Premera members will not be impacted. By Phone: Call (425) 688-5124 . Privacy Policy | All information is viewed and submitted over a SSL encrypted connection. Since January 2009, the Justice Department has recovered a total of more than $14.7 billion through False Claims Act cases, with more than $10.7 billion of that amount recovered in cases involving fraud against federal health care programs. There are a variety of ways to pay your hospital or clinic bill: Online: Click here to be routed to the secure MyChart payment portal. SOUND MEDICAL BILLING SOLUTIONS, LLC seeks to provide new and established Outpatient Rehabilitation Private Practices with a management solution that is SOUND MEDICAL BILLING SOLUTIONS, LLC is a full service Practice Management Medical Billing Company offering customized services designed to meet the needs of today's Outpatient Rehabilitation Private Practice. South Sound Medical Billing is HIPAA compliant. We welcome any questions regarding . *Please note that we are NOT contracted with First Health. (En Espaol). BBB asks third parties who publish complaints, reviews and/or responses on this website to affirm that the information provided is accurate. All rights reserved. Patients of UPMC Cole should select the UPMC Cole Connect Patient Portal. Medical Billing regulations tend to be complex and are ever changing. Commonly used billing terms and definitions. Call 877-285-6920; TTY: 877-893-8199. The actual monthly payment and length of the contract will be dependent upon your outstanding balance. Access the headquarters listing for Sound Physicians Contact Information PO Box 120153 Grand Rapids, MI 49528-0103 Get Directions Visit Website (616) 464-9501 Customer Complaints 202 complaints. Office:519 S. Peabody St., Port Angeles, WA 98362 Pediatrix Medical Group 866-866-8542. Contact the Patient Financial Services Center, Email Address: PatientFinancialServicesCenter@upmc.edu, Address: Patient Privacy | Todays settlement addresses allegations that, between 2004 and 2012, Sound Physicians knowingly submitted to federal health benefits programs inflated claims on behalf of its hospitalist employees for higher and more expensive levels of service than were documented by hospitalists in patient medical records. Sound Physicians was founded by Robert Bessler, MD, in 2001 in a quest to improve care for his patients. To speak with one of our Customer Service Representatives, call 866-903-0436. Our aggressive follow up system allows your practice to maximize claims paid which increases your profitability. Thats why we focus relentlessly on finding ways to save, whether its flexing schedules to match fluctuations in clinical volume day-to-day or engaging our APPs and CRNAs to practice at the top of their license. Our fees are competitively priced and vary based on the size of your practice, and the scope of services provided. Overlake Medical Center & Clinics Attn: Patient Financial Services 1035 116th Ave NE Bellevue, WA 98004 Insurance Billing Phone: 855-768-6363 Fax: 253-682-1714 Find billing information and financial assistance at Cleveland Clinic Florida, plus FAQs. Overlake Medical Center Foundation raises funds to support Overlakes vital programs, ensuring that we meet the health and wellness needs of our growing Eastside community.