B I L L I N G   &   P A Y M E N T   P O L I C I E S

FEES

     Each visit to the Center will generate fees for the following services:

1. Professional Fee from your Surgeon

     The fee charged by your surgeon covers his/her professional services rendered. If you have questions about the professional fee of your surgeon, please contact his/her office.

2. Professional Fee from your Anesthesiologist

     The fee charged by your anesthesiologist covers his/her professional services rendered. Anesthesiologists provide services in nearly all surgical cases performed at the Center.  However, there are a few types of cases which are performed under straight local anesthesia. If your surgical procedure was done under straight local anesthesia without any supplemental sedation, you will not receive a professional fee from an anesthesiologist.

     If you have questions about the professional fee of your anesthesiologist, you may contact Bedford Anesthesia, PLLC at (914) 242-2650. 

3. Pathology Services Fee

     Some surgical cases require a specimen to be reviewed by a pathologist.  If you had a specimen sent to a pathology lab, you may receive a bill for the pathology service rendered.  

4. Radiology Services Fee

     Some surgical cases require x-rays to be reviewed by a radiologist. If you received radiology services, you may receive a bill for the services rendered.

5. Facility Fee from the Center 

     The facility fees from the Center are based upon the types of services provided and are consistent with fees for this area. If we are participating providers under your health plan, you will be asked to pay only your patient obligation portion of the bill prior to the surgery

Participating Insurance Plans

     If we are participating providers under your health plan, you will be asked to pay only your patient obligation portion of the bill prior to the surgery.

Insurance Plans in which we participate:

• AETNA/US HEALTHCARE

• CIGNA: HMO, POS and PPO product (which includes EPO and PPA)

• CONSUMER HEALTH NETWORK (CHN)

• Empire Blue Cross/Blue Shield:  PPO, HMO, HMO-POS, EPO, EMPIRE SENIOR PLAN & Indemnity products only (Includes SWSCHP, Anthem of CT PPO only, & other Out of State Blue Shield)

• FIRST HEALTH (CNN)

• GHI: Hospital Benefits Package

• HEALTHNET

• HIP: Includes Medicare VIP Plan but is open to Westchester residents only. Excludes Family Health Plus, Child Health Plus (CHP) and Medicaid - per HIP)

• MEDICARE:  Aetna/US Healthcare Golden Medicare (per Aetna - subject to enrollment restrictions), HIP Medicare ( per HIP - Westchester residents only), and Traditional Medicare (including Railroad Retirees)

• MULTIPLAN: Excludes POMCO and INDECS of EBASCO

• ONE HEALTH

• OXFORD

• PHCS

• UNITED HEALTHCARE (excludes Empire Plan Network) EPO/NPP, HMO, POS, HMP Plus, PPO

Payment Policy

• All charges that are the responsibility of the patient are due 5 days prior to the scheduled surgery date

• If you do not have insurance, we may ask that you prepay for current services

• Regardless of your insurance coverage, you are responsible for the timely resolution of your account balance.  If your claims are delayed, please stay in contact with us and your insurance company to expedite processing.

• For your added convenience, we accept VISA, MasterCard, American Express, Discover and your bank debit card.  If you have any questions about your surgical bill, please email our Billing Representative at billing@westchestersurgery.com or call 914-244-6776 or
  914-244-7110.

Billing Statements

     Statements are sent to you on a bi-weekly basis.  The initial bill for a particular services will be the only one that is itemized.  Successive statements will only say “balance forward” for that service.  The initial bill may also include a health insurance claim form.  Each surgery will produce a separate bill, for easier tracking.

Financial Services

     We understand that there are circumstances that may warrant an extended payment plan.  We at the Ambulatory Surgery Center of Westchester are open to working with anyone known to us needing medical services and facing financial hardship.  To avoid any misunderstandings, we invite an early discussion of financial concerns.  A mutually acceptable resolution to the payment of an account is required to receive services at the Center.

Billing Errors

     If you need more information about a particular service, please call (914) 244-6776, email billing@westchestersurgery.com or write us at The Ambulatory Surgery Center of Westchester, 34 South Bedford Road, Mount Kisco, NY  10549, Attn:  Billing within 30 days.  We have an obligation and a desire to respond to your inquiry as rapidly as possible.  Please be aware that due to time limits on insurance filings and follow-ups, we may not be able to help you effectively if you wait longer than 90 days to raise any questions.

Summary

     The Ambulatory Surgery Center of Westchester will assist any individual/family known to the Center and currently needing consideration on payments for services, as long as that individual remains in good financial standing regarding any payment plan.