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BILLING FOR YOUR EQUIPMENT
Pro-Tech Medical bills on a regular basis. You will receive a statement that is produced at month's end showing a total balance due for all transactions outstanding. You are expected to pay all personal pay invoices upon receipt.
We are happy to work with you if a more appropriate billing and payment schedule is needed. If you have questions about your bill or cost of services, call us during regular business hours, Monday through Friday.
Pro-Tech Medical will not knowingly continue to charge or bill patients who have discontinued services or whose needs cannot be met by our services and products.
It is very important that you notify us when you stop using the equipment being rented from our company or if you move or plan to move the equipment.
This will allow us to arrange for timely pickup of the equipment and stop billing you or your insurance for equipment no longer being used.
Showing posts with label Policies. Show all posts
Showing posts with label Policies. Show all posts
Friday, January 18, 2008
Medicare Reimbursement Policies
WHAT MEDICARE PAYS
After your annual deductible is met Medicare pays 80% of thier allowable charge for covered services; this leaves the customer with a 20% co-payment. If you do not have a Medicare supplementary policy or Medicaid that covers the 20% co-payment we are required by Medicare to bill you for the 20% co-payment. If your Per Year Medicare Part B Deductible is taken from our payment we are required to bill you for the amount deducted from our payment.
After your annual deductible is met Medicare pays 80% of thier allowable charge for covered services; this leaves the customer with a 20% co-payment. If you do not have a Medicare supplementary policy or Medicaid that covers the 20% co-payment we are required by Medicare to bill you for the 20% co-payment. If your Per Year Medicare Part B Deductible is taken from our payment we are required to bill you for the amount deducted from our payment.
Charges Explained By Pro-Tech Medical
CHARGES
Although the responsibility for payment of bills rests with the patient, Pro-Tech Medical will accept the complicated responsibility of determining insurance eligibility, gathering medical documents and submitting claims. This means Pro-Tech Medical will work on your behalf to file claims and accept assignment of benefits, as appropriate. Pro-Tech Medical will work with your insurance providers and furnish the necessary information in order to get your claim paid.
Although the responsibility for payment of bills rests with the patient, Pro-Tech Medical will accept the complicated responsibility of determining insurance eligibility, gathering medical documents and submitting claims. This means Pro-Tech Medical will work on your behalf to file claims and accept assignment of benefits, as appropriate. Pro-Tech Medical will work with your insurance providers and furnish the necessary information in order to get your claim paid.
Pro-Tech Medical Explains Benefit Waiver
NOT ALL CLAIMS ARE ACCEPTED
Medicare, Tenncare, insurance, etc., will only pay for services they determine to be medically necessary. If a particular service is not deemed medically necessary, or a covered item under the guidelines of your plan, your claim may be denied. If Pro-Tech Medical believes, based on our experience or prior authorization, that the products or services may be denied by your payor, we will notify you of this. This means that you may be financially responsible for payment of the product and/or services. If this is the case, you will be notified of all charges.
Medicare, Tenncare, insurance, etc., will only pay for services they determine to be medically necessary. If a particular service is not deemed medically necessary, or a covered item under the guidelines of your plan, your claim may be denied. If Pro-Tech Medical believes, based on our experience or prior authorization, that the products or services may be denied by your payor, we will notify you of this. This means that you may be financially responsible for payment of the product and/or services. If this is the case, you will be notified of all charges.
Medical Information Release
YOUR PRIVACY MATTERS
In order to assure the quality and continued coordination of care provided to you, all of your health care providers must have communication regarding the status of your care. Because your medical record and any information pertaining to your treatment or service is held in the strictest of confindence, we must have your permission prior to releasing your medical information to anyone. In order for us to communicate to your doctor, nursing agency, pharmacy, insurance company, state/federal accrediting and quality organizations and other agencies involved in your medical care, we require your written permission.
In order to assure the quality and continued coordination of care provided to you, all of your health care providers must have communication regarding the status of your care. Because your medical record and any information pertaining to your treatment or service is held in the strictest of confindence, we must have your permission prior to releasing your medical information to anyone. In order for us to communicate to your doctor, nursing agency, pharmacy, insurance company, state/federal accrediting and quality organizations and other agencies involved in your medical care, we require your written permission.
Assignment of Insurance Benefits
WE BILL YOUR INSURANCE FOR YOU
As a courtesy to you, we will bill your insurance for products and/or services provided to you in your home. However, as part of this courtesy, we require that you authorize direct payment to Pro-Tech of any insurance (Medicare, Tenncare, or any other payor) benefits otherwise payable to you for services and/or products provided. This also allows us to release any information necessary in order to properly bill and collect your claim for you and allows your insurance company to provide us with necessary information regarding your claim.
As a courtesy to you, we will bill your insurance for products and/or services provided to you in your home. However, as part of this courtesy, we require that you authorize direct payment to Pro-Tech of any insurance (Medicare, Tenncare, or any other payor) benefits otherwise payable to you for services and/or products provided. This also allows us to release any information necessary in order to properly bill and collect your claim for you and allows your insurance company to provide us with necessary information regarding your claim.
Consent For Medical Treatment
YOU HAVE THE RIGHT TO CHOOSE
In order for Pro-Tech Medical to deliver quality products and services to you for the purpose of providing medical treatment in the home, we must first have your consent to do so. Without such consent, we are unable to provide treatment. It is important for you to understand that you also have the right to refuse services or products at any time. It is your responsibility to remain under the supervision fo your physician. In addition, you should review your care plan and agree with your physician's plan of treatment. Pro-Tech Medical cannot be held liable for any act or omission when following the instructions of your physician.
In order for Pro-Tech Medical to deliver quality products and services to you for the purpose of providing medical treatment in the home, we must first have your consent to do so. Without such consent, we are unable to provide treatment. It is important for you to understand that you also have the right to refuse services or products at any time. It is your responsibility to remain under the supervision fo your physician. In addition, you should review your care plan and agree with your physician's plan of treatment. Pro-Tech Medical cannot be held liable for any act or omission when following the instructions of your physician.
Thursday, January 10, 2008
Pro-Tech Medical Equipment/Supplies Return Policy
Pro-Tech Medical
931-388-3766
RETURN POLICY
Rental equipment may be returned at any time, for any reason, upon physician's discharge order or patient's decision not to utilize the equipment any longer. If the patient has decided on his/her own that the equipment is not necessary and wishes to return it without a doctors order or recommendation; the patient must sign a waiver of liability releasing Pro-Tech Medical of any financial or health related liability due to any accident, injury or harm caused by the discontinuance of such equipment.
Disposable supplies used for patient care, once in the home, cannot be returned to Pro-Tech Medical since the continued integrity of the item cannot be assured. Such supplies include tubing, cannulas, masks, dressings, syringes, etc..
931-388-3766
RETURN POLICY
Rental equipment may be returned at any time, for any reason, upon physician's discharge order or patient's decision not to utilize the equipment any longer. If the patient has decided on his/her own that the equipment is not necessary and wishes to return it without a doctors order or recommendation; the patient must sign a waiver of liability releasing Pro-Tech Medical of any financial or health related liability due to any accident, injury or harm caused by the discontinuance of such equipment.
Disposable supplies used for patient care, once in the home, cannot be returned to Pro-Tech Medical since the continued integrity of the item cannot be assured. Such supplies include tubing, cannulas, masks, dressings, syringes, etc..
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