| Printable
version 
We appreciate the trust that you have placed in our practice by
asking us to perform your surgery. We will do our absolute best
to make the experience a positive one.
This is an outline of our billing and collection process. For further
details, please call Tiffany in our office at 847-433-1060. For
information about hospital charges, please contact the hospital
billing office.
As surgical specialists, we charge a consultation fee for an office
visit or inpatient evaluation. This represents our medical evaluation,
review of diagnostic tests, and decision-making. For each procedure
or operation that is performed, the surgeon charges a separate fee.
Many times, the surgery requires an assistant. If one of our staff
is the assistant, you will be billed an assistant fee from our office
as well. Routine follow-up after most operations is included in
the surgical fee.
The charges from our office are usually only 20-25%
of your total charges. The Hospital fees make up the rest. Even
if you have insurance, you, the patient, are ultimately responsible
for the bill. However, to simplify the process for you, we will
submit charges to your insurance company directly.
Our fees are generally set at a contracted rate that varies by
insurance plan. To get this rate, the surgeon must be a preferred
provider in your plan. You are responsible for verifying
this. You should also call the insurance company and inform
them of the procedure you are having and make sure you are covered.
Prior to surgery, we will contact your insurer to obtain pre-certification
and verify your benefits. This process does not guarantee payment
from the insurance company. We will also estimate your out
of pocket expenses based on your deductible and coverage, and ask
that you pay this before the procedure.
We will send you a statement after your procedure, informing you
of our charges. At this time, we will also send a claim in to your
insurance carrier. Once they have paid their portion, we will send
you a statement indicating the balance that you owe, if any.
We expect payment within 30 days. Because of labor and material
costs, we will charge a $15.00 rebilling fee every 30 days that
there is no payment on the account. Please call our office
if you do not understand the statement.
If no attempt to pay has been made within 90 days, the account
will automatically be turned over to a collection agency and will
adversely affect your credit report. If you have a special circumstance,
you may contact Tiffany directly to make arrangements and avoid
being placed in collections.
|