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FINANCIAL ARRANGEMENTS
PRIOR AUTHORIZATION Some insurance companies require that they be contacted prior to or within 24 hours of medical services being rendered (i.e. hospital admission, emergency services, outpatient procedures such as MRIs, physical and occupation therapy, and outpatient surgery). It is your responsibility to notify your insurance company to obtain prior authorization. DRGS An inpatient hospitalization stay is charged under a system mandated by the Federal and State Governments called “DRGs” or Diagnostic Related Groups. Under the DRG system, the medical diagnosis rather than the specific daily charges determine an overall rate. Questions related to DRGs can be answered by the patient service representative in the business office. The DRG does not determine how long you will say in the hospital. That decision is made by your health care provider based on your particular needs. PAYING YOUR BILL Schuyler Hospital will bill your insurance carrier directly in those instances where complete billing information has been received. Your insurance coverage is a contract between you and your insurance company and, while we will assist you in expediting your claim, you are ultimately responsible for your account. If you are not covered by insurance or have only partial coverage, you will need to make payment arrangements with our Credit and Collections Department. PHYSICIAN BILLING If, during your hospital stay, you were visited by your health care provider or a consulting physician requested by your health care provider, had surgery and received anesthesia, had x-rays which were interpreted by a radiologist, had laboratory tests requiring interpretation by a pathologist, or visited our emergency department, you will receive a separate bill for these services. These fees are payable directly to the physician/facility issuing the bill; not Schuyler Hospital. FINANCIAL COUNSELORS The patient representative will verify your insurance and notify you of any problems which may arise with your insurance coverage. This individual is available to help you make any necessary arrangements regarding payment of your hospital bill as well as answer any questions regarding your insurance coverage. QUESTIONS/ PROBLEMS If you have questions or concerns regarding your bill, contact the business office at (607) 535-8639 ext. 2321 or 2356, or info@schuylerhospital.org Office hours are Monday through Friday 8:00 AM - 4:30 PM. |