sound physicians billing department
Outsourcing your medical billing provides you more time to concentrate on your patients and practice. As a successful, multi-specialty, national medical group, we know what works and what doesn't across a broad spectrum of specialties. Olympic Medical Centers Finance Department is pleased to provide you with the following information to help address questions regarding your bill. 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. *In Canada, trademark(s) of the International Association of Better Business Bureaus, used under License. If you or a family member were seen in a hospital, emergency room, or post-acute care facility, you might have received a bill from Sound Physicians. The Department of Justice is committed to ensuring that Medicare and other federal funds are expended appropriately.. There are a variety of ways to pay your hospital or clinic bill: Online: Click here to be routed to the secure MyChart payment portal. *Please note that we are NOT contracted with First Health. Get in Touch. Billing & Insurance. Patient Privacy | 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. 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. Obstetrix Medical Group (First Hill) 800-463-6628. We deliver against partners clinical and operational priorities while providing extraordinary patient care during and after the acute care episode. The portal for all UPMC patients EXCEPT those in Central Pa. Phone: 240-566-3055; Hours of Operation: Monday - Thursday 8:00 a.m. . Martin Health 772.223.5680. SSMB accurately interprets and posts insurance and patient payments to maintain maximum reimbursement. If you would like to compare our charges to other providers please visit the following sites: Patients can view their statements and pay electronically through our guest payment option in MyChart. The Sound Physicians settlement was the result of a coordinated effort by the Department of Justice, Civil Division, Commercial Litigation Branch; the U.S. Attorneys Office for the Western District of Washington; the Department of Health and Human Services Office of Inspector General; the Department of Defense, Office of Inspector General, Defense Criminal Investigative Service; the Office of Personnel Management Office of Inspector General; the Department of Veterans Affairs Office of Inspector General; and the TRICARE Management Activity Office of General Counsel. We welcome any questions regarding insurance plans or fees incurred while utilizing our services, and about financial assistance programs that may be available for you. If your insurance requires a co-pay, we will collect it before you leave the hospital. 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). You are responsible for acquiring proper referral information from your primary care provider and/or your insurance company prior to your scheduled appointment. Out-of-pocket costs for Premera members will not be impacted. Sound Physicians Careers Patients have no out of network benefits, so it should be treated as self-pay. Either way, it completely breaks the contract they have with insurance and they can be fined. 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. Office:519 S. Peabody St., Port Angeles, WA 98362 Southwest Pulmonary The partnership between the two departments has focused efforts to reduce and prevent Medicare and Medicaid financial fraud through enhanced cooperation. Improving care and reducing costs in the communities we serve. If it was your insurance company's fault for the delay, ask if there's anything they can do about your out of pocket costs. Whether were expertly managing programs at partner hospitals, delivering remote patient care via telemedicine, or managing long-term care patient populations, we empower our clinicians with the training, tools, and support needed to provide exceptional clinical care. To learn more, visit healthwise.org. The Center can help you with the following things: Apply for governmental assistance, like Medical Assistance (MA) programs; Set up a payment plan 115 LINCOLN ST. FRAMINGHAM, MA 01702-6358. Below are a few options to help you with the next steps of your billing inquiry. BBB Business Profiles generally cover a three-year reporting period. Practice Management and Billing SPECIALISTS! We welcome any questions regarding . If a claim requires an appeal, we will process all of the necessary paperwork required in order to receive payment. 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 *****. We service multiple healthcare practices throughout WA and Arizona. For easy and secure payment options and details please visit our patient portal at MyDocBill.com. Terms of Use | Hours: Open Monday Friday, 8:00 am 4:30 pm, For questions about the professional portion of your radiology bill. 111 Tumwater Boulevard SE Suite 207, Tumwater, Washington 98501, United States. 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. Patients of UPMC Cole should select the UPMC Cole Connect Patient Portal. 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. Out-of-pocket costs for Premera members will not be impacted. Billing & Payments | Overlake Medical Center & Clinics There is a one time fee for the initial set up. Toll-Free: (877) 350-3511, Phone: (855) 768-6363 Turnaround time can be as quick as two weeks for electronic claims. This rating reflects BBB's opinion about the entire organization's interactions with its customers, including interactions with local locations. VA Community Care Network (administered by Tri-West). Please see below for a list of insurance companies with which Olympic Medical Center is contracted or in-network. These providers may or may not participate in the same health plans as the hospital. During this time of tight government budgets, we will do all we can to make sure everyone plays by the rules and does not run up the taxpayers tab.. The portal for UPMC patients in Central Pa. Olympic Medical Center and Olympic Medical Physicians continue to be in-network. 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. Sound Physicians Emergency Medicine Of South Carolina LLC This staff member can: If you have questions during your hospital stay, please ask your case manager. 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. Billing and Financial Services - Olympic Medical Center We strive to provide the most advanced pulmonary and critical care services and to compassionately meet the needs of our patients. SSMB stays up to date on the latest rules and requirements in order to maintain maximum reimbursement. Select MyUPMC to access your UPMC health information. All claims are submitted either by paper or electronically to both primary and secondary insurers. 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. All rights reserved. UPMC's Patient Financial Services Center can help you with your financial needs. Sound Physicians | Complaints | Better Business Bureau Profile Contact the Patient Financial Services Center, Email Address: PatientFinancialServicesCenter@upmc.edu, Address: Our services include prevention, treatment and care of pulmonary diseases and sleep related breathing disorders. Privacy Policy | 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. By accepting our use of cookies, your data will be aggregated with all other user data. Olympic Medical Center TIN = 91-6001709, NPI = 1306845557 This company offers to provide physicians to hospitals in need of coverage for certain programs such as emergency medicine, critical care and hospital medicine. Pediatrix Medical Group 866-866-8542. Celebrating 18 YEARS serving the Outpatient Rehabilitation Private Practice Community. South Sound Medical Billing is HIPAA compliant. 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). Share sensitive information only on official, secure websites. All information is viewed and submitted over a SSL encrypted connection. You can alsospeak with a patient financial advocatefor any additional questions you have. The Company provides services across the acute episode of care through emergency medicine, critical care, hospital medicine, transitional care and advisory services to improve quality outcomes for patients and help improve the performance of healthcare systems. SOUND MEDICAL BILLING SOLUTIONS, LLC seeks to provide new and established Outpatient Rehabilitation Private Practices with a management solution that is SOUND MEDICAL BILLING SOLUTIONS, LLC is a full service Practice Management Medical Billing Company offering customized services designed to meet the needs of today's Outpatient Rehabilitation Private Practice. Find federal eligibility guidelines and learn how to request help if you are not able to pay your bill. 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. Bills from Other Providers - MultiCare Sound grasps better than anyone the link between providing your patients with great care and your ability to generate needed financial results. Home | Sound Physicians COVID-19 Update: Learn about precautions - including visitor guidelines - in place at our hospitals for your safety, and for our patients and caregivers. Sound Physicians | Better Business Bureau Profile 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. Hospital-based medicine often needs subsidies to survive. We use cookies to analyze website traffic and optimize your website experience. SSMB also offers consulting services for medical practitioners to help improve and streamline your practice at an additional cost. The physicians and staff of Southwest Pulmonary Associates thank you for your interest in our practice. Phone: 855-768-6363 Fax: 253-682-1714 Any portion of charges not covered by your insurance company will be due at the time those charges are identified, with the exception of elective cosmetic procedures, which must be paid prior to the procedure. We are here to help you meet your practice goals. For patients of UPMC-affiliated doctors in Central Pa, select UPMC Central Pa Portal. Your health information, right at your fingertips. 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. 2 Hot Metal Street Hospitalists are physicians, typically trained in internal medicine, who provide care exclusively to hospital inpatients and have no office or outpatient practice. I have over 28 years of experience any only employ the best for your company. Sound Physicians Company Profile - Office Locations - Craft Sound Physicians was founded by Robert Bessler, MD, in 2001 in a quest to improve care for his patients. 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. (En Espaol). A staff member may come to your room, if you are a self-pay patient. Call 877-285-6920; TTY: 877-893-8199. Price Estimates and Applying for Assistance, Financial Help While You're in the Hospital, 2023 UPMC I Affiliated with the University of Pittsburgh Schools of the Health Sciences, Supplemental content provided by Healthwise, Incorporated. Sound Physicians : r/Medical_Billing - reddit.com Overlake is an award-winning, nonprofit, independently operated regional health system. South Sound Medical Billing Copyright 2023 Sound Physicians. 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. To speak with a customer service associate, please call 412-864-0284 or toll-free 1-844-591-5949. Official websites use .gov Thomas will receive $2.7 million of the $14.5 million settlement for exposing Sound Physicians inflated claims. An official website of the United States government. Your healthcare provider may fax the referral directly to our financial services office at (425) 688-5969 or you may bring it with you on the date of service. UPMC's Patient Financial Services Center can help you with your financial needs. We deliver against partners' clinical and operational priorities while providing extraordinary patient care during and after the acute care episode. BBB reports on known marketplace practices. An invoice is sent to the client at the end of every month. Laws prevent providers from issuing surprise medical bills. 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. The claims resolved by the settlement are allegations only, and there has been no determination of liability. Your culture is its own. We're available Monday through Friday, 8 a.m. to 4 p.m. You can schedule an appointment for help by calling 1-800-371-8359 option 4. Not sure about what your insurance covers? By Phone: Call (425) 688-5124 . 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. However, if they do not have a contract with your insurance, it might be fine. Yes. Your independent, personal physician or other physicians providing you with services related to your hospital stay or visit will bill you separately. Were so confident in our ability to generate positive results for our partners, we regularly will take on risk. Our fees are competitively priced and vary based on the size of your practice, and the scope of services provided. 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. Sound Physicians is a Tacoma, Wash.-based provider of hospitalists and other physicians to hospitals and other medical facilities. Weston 866.621.6385. (It might be smart to do this first tbh). 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. All payment plans require that you make a monthly payment based on the contracted schedule and amount established by Overlakes financial counselors. Have a question about our billing practice, please send us a message. You may be financially responsible for services rendered that are deemed non-covered benefits under your plan. 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. Visitation and mask requirements, Need a vaccine or booster? I have over 28 years of experience any only employ the best for your company. Improving Clinical Outcomes for 20 Years. I am Kimberly Williams the founder of SSMB. For questions about your UPMC Health Plan bill, please contact Member Services at 1-888-876-2756 or TTY 711. We are glad to work with you to establish an interest-free payment plan. Our job as your strategic partner is to use our expertise to help you innovate around the obstacles and opportunities you face each day. Our aggressive follow up system allows your practice to maximize claims paid which increases your profitability. View instructions about how to sign up for eStatements on MyUPMC (PDF). The lawsuit is United States of America ex rel. 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. Olympic Medical Center's Finance Department is pleased to provide you with the following information to help address questions regarding your bill. 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. Welcome to South Sound Medical Billing. 2022 Sound Medical Billing Solutions, LLC. With easy to access over 75 reports, youll always know exactly whats happening in your practice and where you stand financially. Learn more. SSMB utilizes any method convenient for your practice. Indian River 772.563.4774. Sound Inpatient Physicians Inc. will pay $14.5 million to settle allegations that it overbilled Medicare and other federal health care programs, the Justice Department announced today. Phone: (360) 417-7111 or (800) 854-2844 Available for both insured and uninsured patients. Physicians Billing Office. Pittsburgh, PA 15203. A lock (LockA locked padlock) or https:// means youve safely connected to the .gov website. 200 Lothrop Street For 20 years, our high-performing and affordable care models have combined physician leadership, clinical process, technology, and analytics . To speak with a billing representatives, please contact Customer Service at 866.621.6385 (toll-free). ), Revised June 2021 for dates effective 7/01/2021 For example: mail or courier service, fax, email or web based programs. Depending on your insurance plan and type of service, you may pay lower out of pocket costs when you visit an in-network provider. If you need help paying your bill, whether or not you have insurance, please contact our Patient Financial Services Office. Weston, FL 33331 |. Phone: (360) 417-7111 or (800) 854-2844 It is common to have questions about the billing process, and we are here to help. Seattle Radiology (First Hill) 888-737-4455. We care deeply for our patients and for the community we serve. Our unparalleled service, backed by Show More Connect With Us: Recent Reviews: Olympia, WA 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. For over 20 years, Sound Physicians has energized our partners with talented, motivated physicians, APPs, and, CRNAs, who are trained to innovate and lead through an ever-changing healthcare landscape. Contact Sound Medical Billing Solutions, LLC by phone or email today! We are a medical billing and management company located in Tumwater, WA. Quantum One, 1st Floor Beware of Balance billing. A medical billing scam I didn't - reddit Please enter your full name . If there is any patient responsibility such as a co-payment, co-insurance or deductible a patient statement is sent out. New users can learn how to sign up and select the portal most relevant to you. This bill is for the services provided by the clinician that delivered care. Wash.). 412-647-8762 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. 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. Overlake Medical Center & Clinics Attn: Patient Financial Services 1035 116th Ave NE Bellevue, WA 98004 Insurance Billing More Details OUR MISSION Copyright 2023 Sound Physicians. While we will bill your insurance carrier as a service to you, you are ultimately responsible for your account with us. 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. Resources to help you navigate the billing process. Craig Thomas v. Sound Inpatient Physicians, Inc. and Robert A. Bessler, Civil Action No. I will guarantee your reimbursement in a timely manner. 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 South Sound Medical Billing has done a great job accurately submitting claims for me and following up on past accounts. Depending on your own situation, one option may be better for you. There are 32 health care providers, specializing in Emergency Medicine, General Surgery, Family Practice, Nurse Practitioner, General Practice, being reported as members of the medical group. The Sound Story | Sound Physicians If you choose to do business with this business, please let the business know that you contacted BBB for a BBB Business Profile. The portal for UPMC Cole patients receiving inpatient care. 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. Olympic Medical Center is pleased to offer patients the convenience and security of an online payment option for their bills. Coming to a Cleveland Clinic location? All rights reserved. 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. Your organization is unique. Bills Claimed Higher Level of Service Than Was Documented. Our unparalleled service, backed by our expertise, sets us apart from all other billing companies. 2950 Cleveland Clinic Blvd. I call the billing center again. We are a medical billing and management company located in Tumwater, WA. 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. 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.