View instructions about how to sign up for eStatements on MyUPMC (PDF). 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. Welcome to South Sound Medical Billing. Privacy Policy | Phone: (360) 417-7111 or (800) 854-2844 If there is any patient responsibility such as a co-payment, co-insurance or deductible a patient statement is sent out. Sound Physicians is a Tacoma, Wash.-based provider of hospitalists and other physicians to hospitals and other medical facilities. Overlake Medical Center & Clinics Attn: Patient Financial Services 1035 116th Ave NE Bellevue, WA 98004 Insurance Billing Patients of UPMC Cole should select the UPMC Cole Connect Patient Portal. Phone: 855-768-6363 Fax: 253-682-1714 Your culture is its own. I am Kimberly Williams the founder of SSMB. Sound Physicians cannot bill a patient an amount more than their in-network cost share. The lawsuit is United States of America ex rel. Business hours at the Hospital Financial Services office are 8 a.m. to 5 p.m., Monday through Friday. Hours: Open Monday Friday, 8:00 am 4:30 pm. New users can learn how to sign up and select the portal most relevant to you. It is common to have questions about the billing process, and we are here to help. please contact the appropriate billing office below: Sound Physicians Emergency Medicine of Maryland - 253-341-6327; Your community is distinct. This staff member can: If you have questions during your hospital stay, please ask your case manager. All rights reserved. Quantum One, 1st Floor 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. Website: SoundPhysicians.com, 939 Caroline Street For example: mail or courier service, fax, email or web based programs. Sound Physicians Emergency Medicine Of South Carolina LLC is a Medical Group that has 3 practice medical offices located in 1 state 3 cities in the USA. Our unparalleled service, backed by. Terms of Use | Contact Sound Medical Billing Solutions, LLC by phone or email today! We deliver against partners clinical and operational priorities while providing extraordinary patient care during and after the acute care episode. Pittsburgh, PA 15203. The physicians and staff of Southwest Pulmonary Associates thank you for your interest in our practice. Includes Exchange Cascade Standard plans, but NOT Cascade Select (Public Options Plans), Regence (all non-Medicare and non-Medicaid products), Includes Exchange Cascade Standard plans, but NOT Cascade Select (Public Option Plans), Regence Medicare Advantage PPO PPO product ONLY, Uniform Medical (currently administered by Regence), United Healthcare (Commercial, Apple/Medicaid and Medicare). Out-of-pocket costs for Premera members will not be impacted. 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. We service multiple healthcare practices throughout WA and Arizona. Patients of UPMC Cole should select the UPMC Cole Connect Patient Portal. To speak with a customer service associate, please call 412-864-0284 or toll-free 1-844-591-5949. Labcorp (Dynacare) Laboratory 888-680-4140. Access the headquarters listing for Sound Physicians. We strive to provide the most advanced pulmonary and critical care services and to compassionately meet the needs of our patients. To speak with a billing representatives, please contact Customer Service at 866.621.6385 (toll-free). (It might be smart to do this first tbh). 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. I am Kimberly Williams the founder of SSMB. The actual monthly payment and length of the contract will be dependent upon your outstanding balance. 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. Learn about precautions - including visitor guidelines. When considering complaint information, please take into account the company's size and volume of transactions, and understand that the nature of complaints and a firm's responses to them are often more important than the number of complaints. Below are a few options to help you with the next steps of your billing inquiry. Please enter your full name . Welcome to South Sound Medical Billing. Please enter your account number or ID. All complaints are handled by the BBB where the company is Headquartered or a central customer complaint processing location. 2 Hot Metal Street Phone: 240-566-3055; Hours of Operation: Monday - Thursday 8:00 a.m. . 412-647-8762 This program is available only for medically necessary services where there is no insurance coverage and the guarantors do not qualify for our Financial Assistance Program. One of the most powerful tools in this effort is the False Claims Act. Obstetrix Medical Group (First Hill) 800-463-6628. We are here to help you meet your practice goals. The hospital or clinic will gladly bill your insurance company when the proper information is given and benefits are assigned. If you are a patient at one of our Martin Health facilities, you can use our online quick payment option. Please see below for a list of insurance companies with which Olympic Medical Center is contracted or in-network. 2023 Franciscan Alliance, Inc. All Rights Reserved, Franciscan Health Facilities and Franciscan Alliance d/b/a Franciscan Physician Network comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. Sound Physician would not state that it wasn't sent but could not give an exact date that it was sent. For hospital, outpatient department, physician clinic and home health billing. However, BBB does not verify the accuracy of information provided by third parties, and does not guarantee the accuracy of any information in Business Profiles. Having a hard time figuring out your physician and hospital bill? Copyright 2023 Sound Physicians. Office: 519 S. Peabody Street, Port Angeles, WA 98362 Highly recommended! South sound medical billing not only provides a great value and insight to a complicated industry but also provides amazing customer service, prompt responses, and solutions. Give us a call or email for an estimate. 800-533-8762. All rights reserved. 2023 Overlake Hospital Medical Center. Your independent, personal physician or other physicians providing you with services related to your hospital stay or visit will bill you separately. This business is in an industry that may require professional licensing, bonding or registration. Thomas will receive $2.7 million of the $14.5 million settlement for exposing Sound Physicians inflated claims. 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. The portal for all UPMC patients EXCEPT those in Central Pa. Yes. Manage your Cleveland Clinic account. We put a premium on their well-being and regularly monitor for burnout. Olympic Medical Center and Olympic Medical Physicians continue to be in-network. 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 *****. Looking for more information? Patients have no out of network benefits, so it should be treated as self-pay. If you need help paying your bill, whether or not you have insurance, please contact our Patient Financial Services Office. Hospital-based medicine often needs subsidies to survive. Billing is submitted within 24+48 hours of receiving them. 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. Were so confident in our ability to generate positive results for our partners, we regularly will take on risk. Compliance. Sound Physicians 1498 Pacific Avenue, Suite 400 Tacoma, WA 98402. 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. Patient Privacy | The partnership between the two departments has focused efforts to reduce and prevent Medicare and Medicaid financial fraud through enhanced cooperation. If you have a UPMC patient portal account, you can pay your hospital bill on your portal's website. The claims resolved by the settlement are allegations only, and there has been no determination of liability. Copyright 2021 South Sound Medical Billing - All Rights Reserved. Patient Privacy | UPMC's Patient Financial Services Center can help you with your financial needs. 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. We are a medical billing and management company located in Tumwater, WA. 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. We use cookies to analyze website traffic and optimize your website experience. Learn more. 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. (Please do not confuse with First Choice. Practice Management and Billing SPECIALISTS! (En Espaol). Phone: (360) 417-7111 or (800) 854-2844 If a claim requires an appeal, we will process all of the necessary paperwork required in order to receive payment. UPMC Hospital Financial Services assists patients with all questions related to hospital bills. 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. 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. Your health information, right at your fingertips. We are a medical billing and management company located in Tumwater, WA. *In Canada, trademark(s) of the International Association of Better Business Bureaus, used under License. A .gov website belongs to an official government organization in the United States. Sound Physicians cannot bill a patient an amount more than their in-network cost share. For assistance in the following languages: | | | Nederlands | Franais | Deutsche | | | | Italiano | | | | Pennsylvania Nederlands | Polskie | | Espaol | Pilipino | | Ting Vit. For a real-time estimate of an upcoming procedure or exam, please use our cost estimator tools or refer to our list of shoppable services below. Craig Thomas v. Sound Inpatient Physicians, Inc. and Robert A. Bessler, Civil Action No. 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. 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). By Phone: Call (425) 688-5124 . In particular, any requirements related to co-payments, co-insurance, deductibles, non-covered services, referrals and authorizations. 200 Lothrop Street 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. Hours: Open Monday Friday, 8:00 am 4:30 pm, For questions about the professional portion of your radiology bill. VA Community Care Network (administered by Tri-West). Our fees are competitively priced and vary based on the size of your practice, and the scope of services provided. I have over 28 years of experience any only employ the best for your company. This company offers to provide physicians to hospitals in need of coverage for certain programs such as emergency medicine, critical care and hospital medicine. We are a medical billing and management company located in Tumwater, WA. Olympic Medical Centers Finance Department is pleased to provide you with the following information to help address questions regarding your bill. Find federal eligibility guidelines and learn how to request help if you are not able to pay your bill. Sound Physicians is a Tacoma, Wash.-based provider of hospitalists and other physicians to hospitals and other medical facilities. 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. You can alsospeak with a patient financial advocatefor any additional questions you have. In all cases, please review your medical benefits information. Notice Informing Individuals About Nondiscrimination and Accessibility Requirements. Your organization is unique. By Mail: Mail a check to the following address. Seattle Nuclear Medicine 206-320-4476. BBB Business Profiles are provided solely to assist you in exercising your own best judgment. 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. An official website of the United States government. 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. 2022 Sound Medical Billing Solutions, LLC. Coming to a Cleveland Clinic location? Hospitalists are physicians, typically trained in internal medicine, who provide care exclusively to hospital inpatients and have no office or outpatient practice. Share sensitive information only on official, secure websites. By accepting our use of cookies, your data will be aggregated with all other user data. Your hospitalization coverage is a contract between you and your insurance company. Billing. 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 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 unparalleled service, backed by our expertise, sets us apart from all other billing companies. 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. All customer reviews are handled by the BBB where the company is Headquartered or a central customer review processing location. 115 LINCOLN ST. FRAMINGHAM, MA 01702-6358. (210) 703-8375. Find billing information and financial assistance at Cleveland Clinic Florida, plus FAQs. SSMB stays up to date on the latest rules and requirements in order to maintain maximum reimbursement. Outsourcing your medical billing provides you more time to concentrate on your patients and practice. Patient Financial Services Office 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. This program is also applicable to patients who are eligible under a medical insurance program but have no insurance coverage because they have maximized their benefit limits. With easy to access over 75 reports, youll always know exactly whats happening in your practice and where you stand financially. 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. Port Angeles, WA 98362, Copyright document.write(new Date().getFullYear()); | Olympic Medical Center | All rights reserved, Financial Assistance Plain Language Summary, Balance Billing Protection Act/Federal No Surprises Act Consumer Notice, Staff Illness Reporting Tool COVID Safety, Employee Initial Leave Request HR Leaves, One-year, interest-free payment plan on accounts over $300.00, Pre-approved bank loan program offered through Strait View Credit Union, Financial assistance for qualified individuals, Aetna (all non-Medicare and non-Medicaid products), Cigna (all non-Medicare and non-Medicaid products), Community Health Plan of Washington (CHPW) (Apple Health/Medicaid, Medicare), Coordinated Care (Apple Health/Medicaid Only). Wash.). While we will bill your insurance carrier as a service to you, you are ultimately responsible for your account with us. 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. All claims are submitted either by paper or electronically to both primary and secondary insurers. As a successful, multi-specialty, national medical group, we know what works and what doesnt across a broad spectrum of specialties. SSMB also offers consulting services for medical practitioners to help improve and streamline your practice at an additional cost. More Details OUR MISSION Financial Assistance Plain Language Summary We accept a wide variety of insurance plans at our main campus, community hospitals and family health centers. We strive to stay in communication with our clients. Bills Claimed Higher Level of Service Than Was Documented. Official websites use .gov Have a question about our billing practice, please send us a message. 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. Below you will see a few options. Terms of Use | Visitation and mask requirements, Need a vaccine or booster? Either way, it completely breaks the contract they have with insurance and they can be fined. Billing & Insurance. As a successful, multi-specialty, national medical group, we know what works and what doesn't across a broad spectrum of specialties. Manage your Cleveland Clinic account. The portal for UPMC patients in Central Pa. 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. This company is a health care, social assistance & service organization. Phone: (888) 927-8023, Phone: (828) 398-5222 John Karpel, I have nothing but wonderful things to say about my experience with South Sound Medical Billing! Copyright 2023 Sound Physicians. Resources to help you navigate the billing process. However, if they do not have a contract with your insurance, it might be fine. Additionally, services determined not medically necessary prior to receiving them are often patient responsibility as your carrier will send you a letter outlining why the authorization is denied. The Center can help you with the following things: Apply for governmental assistance, like Medical Assistance (MA) programs; Set up a payment plan SSMB submits claims to Medicare, Medicaid, No Fault/Personal Injury, Workers Compensation and all commercial carriers. Our services include prevention, treatment and care of pulmonary diseases and sleep related breathing disorders. Sound Physicians is a Tacoma, Wash.-based provider of hospitalists and other physicians to hospitals and other medical facilities. Available for both insured and uninsured patients. Olympic Medical Center is pleased to offer patients the convenience and security of an online payment option for their bills. Call your insurance company and/or access their web portal to find out when they processed the claim. We welcome any questions regarding . 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. Turnaround time can be as quick as two weeks for electronic claims. I will guarantee your reimbursement in a timely manner. We service multiple healthcare practices throughout WA and Arizona. You may be financially responsible for services rendered that are deemed non-covered benefits under your plan. Honestly, they probably won't but you should complain about it. You are responsible for acquiring proper referral information from your primary care provider and/or your insurance company prior to your scheduled appointment. Privacy Policy | 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. The portal for UPMC Cole patients receiving inpatient care. Physicians and Surgeons Information Bureaus, International Association of Better Business Bureaus, Sound Physicians Emergency Medicine Of Texas PLLC. Office:519 S. Peabody St., Port Angeles, WA 98362 Sound grasps better than anyone the link between providing your patients with great care and your ability to generate needed financial results. Overlake is an award-winning, nonprofit, independently operated regional health system. The Department of Justice is committed to ensuring that Medicare and other federal funds are expended appropriately.. All information is viewed and submitted over a SSL encrypted connection. If you are a patient at Indian River Hospital, you can use our online quick payment option. Select MyUPMC to access your UPMC health information. Depending on your insurance plan and type of service, you may pay lower out of pocket costs when you visit an in-network provider. Depending on your own situation, one option may be better for you. Weston 866.621.6385. Patients can now view their statements and pay electronically in MyChart, offering a secure option for managing your account that is available 24/7. 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. 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. I have over 28 years of experience any only employ the best for your company. 2950 Cleveland Clinic Blvd. Sound Physicians is a provider of inpatient physician services in hospitals in the United States. The patient is granted a 50% discount at Overlake Medical Center or a 30% discount at Overlake Clinics from the total account charges by paying the full balance within 30 days of the date of the first billing statement.
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