ECA-LTD Billing Policy

 

What About My Bills?

The anesthesiologists and anesthetists providing your care are private practitioners just like your surgeon or obstetrician; therefore you will receive a separate bill for their services.

As physicians independent of the hospital/clinic, their "participation" status with HMO's, PPO's and other third party payer organizations may be different from the hospital and your surgeon/obstetrician. Please consider this carefully prior to your surgery or delivery.

 

Their professional fee includes a preoperative evaluation, administration of your anesthetic and supervision of your recovery room stay. Because many factors influence the amount of your anesthesia bill, (type and length of surgery, and your physical condition), only an estimate can be determined prior to surgery. However, your charge for anesthesia during a procedure will be the same, regardless of the type of anesthesia administered. The "anesthesia" charge on your hospital bill is for hospital furnished supplies and equipment. If you or your surgeon request postoperative pain management using epidural analgesia, you will be charged for this service as a separate line item on your bill. For the vast majority of patients, we are able to file claims directly to your insurance company. However, it is necessary for you to provide complete insurance information to the hospital/clinic when you are admitted. Otherwise you may need to file your own claim. You should know that because of deductibles and co-payment amounts, your insurer will not pay the entire anesthesia professional fee. Although our fees are consistent with other anesthesiologist in the area, some insurance companies may deny your claim or even state our fees "exceed the UCR(usual, customary and reasonable) charge." They may have chosen not to keep up with other insurance companies payment policies, or they might simply choose to deny your claim because it is more profitable for them to do so.

 

 We will be happy to assist you in filing insurance claims. At your request, we will provide reasonable assistance in challenging your insurer. However, we consider any dispute over payment a matter between you and your insurance company and, ultimately we must look to you, the patient, for payment.

If you have any questions about your anesthesia fee, please contact our billing office, and always make a note of the person's name with whom you speak.

These agreements are subject to change. Please contact your insurer before you accept services.

For Our Medicare Patients

Your anesthesiologist accepts assignment on all patients. After we file your claim for you, Medicare will reimburse us 80% fo the amount they consider reasonable for the anesthesia service provided. The remaining 20% is your responsibility. We will bill you/or file your co-insurance for this remaining balance.