sound physicians billing department sound physicians billing department

2022 Sound Medical Billing Solutions, LLC. Overlake Medical Center & Clinics Attn: Patient Financial Services 1035 116th Ave NE Bellevue, WA 98004 Insurance Billing 111 Tumwater Boulevard SE Suite 207, Tumwater, Washington 98501, United States. Thomas will receive $2.7 million of the $14.5 million settlement for exposing Sound Physicians inflated claims. 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. Outsourcing your medical billing provides you more time to concentrate on your patients and practice. 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. 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. As a successful, multi-specialty, national medical group, we know what works and what doesnt across a broad spectrum of specialties. Billing is submitted within 24+48 hours of receiving them. 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. 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. 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. This company is a health care, social assistance & service organization. This service is available for U.S. patients only and services provided at Cleveland Clinic Florida Weston Hospital and Cleveland Clinic Indian River Hospital outpatient clinics. Sound Physicians is a provider of inpatient physician services in hospitals in the United States. 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. Out-of-pocket costs for Premera members will not be impacted. Resources to help you navigate the billing process. Olympic Medical Center's Finance Department is pleased to provide you with the following information to help address questions regarding your bill. If your insurance requires a co-pay, we will collect it before you leave the hospital. We care deeply for our patients and for the community we serve. Were so confident in our ability to generate positive results for our partners, we regularly will take on risk. 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). As a matter of policy, BBB does not endorse any product, service or business. All rights reserved. If you have a question about your bill, your payment options, or applying for or receiving financial assistance, you should contact us. If you need help paying your bill, whether or not you have insurance, please contact our Patient Financial Services Office. 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 We are a leading physician partner to hospitals, health plans, physician groups, and post-acute providers seeking to transform outcomes for acute episodes of care. Access the headquarters listing for Sound Physicians Contact Information PO Box 120153 Grand Rapids, MI 49528-0103 Get Directions Visit Website (616) 464-9501 Customer Complaints 202 complaints. I have over 28 years of experience any only employ the best for your company. Financial Assistance Plain Language Summary The hospital will follow-up with you health insurance or plan to ensure payment for insurance portions. In particular, any requirements related to co-payments, co-insurance, deductibles, non-covered services, referrals and authorizations. Select MyUPMC to access your UPMC health information. View instructions about how to sign up for eStatements on MyUPMC (PDF). In accordance with CMS HospitalPrice TransparencyFinal Rule, we are posting a comprehensive file of our standard charges for all hospital items and services and aprice estimator tool. Our aggressive follow up system allows your practice to maximize claims paid which increases your profitability. If you are a patient at Indian River Hospital, you can use our online quick payment option. Business hours at the Hospital Financial Services office are 8 a.m. to 5 p.m., Monday through Friday. Your health information, right at your fingertips. Highly recommended! 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. Our job as your strategic partner is to use our expertise to help you innovate around the obstacles and opportunities you face each day. SSMB accurately interprets and posts insurance and patient payments to maintain maximum reimbursement. They stated that they would request the bill to be submitted and a hold on the. All customer reviews are handled by the BBB where the company is Headquartered or a central customer review processing location. Si necesita ayuda con el pago de su cuenta, aunque tenga seguro o no, por favor pngase en contacto con nuestra oficina de ayuda financiera. Find federal eligibility guidelines and learn how to request help if you are not able to pay your bill. Coming to a Cleveland Clinic location? The estimates provided are only related to your Cleveland Clinic providers. Copyright 2021 South Sound Medical Billing - All Rights Reserved. Terms of Use | (It might be smart to do this first tbh). New users can learn how to sign up and select the portal most relevant to you. BBB asks third parties who publish complaints, reviews and/or responses on this website to affirm that the information provided is accurate. 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. A .gov website belongs to an official government organization in the United States. Learn about precautions - including visitor guidelines. Visitation and mask requirements, Need a vaccine or booster? 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 cannot bill a patient an amount more than their in-network cost share. Yes. 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. A lock (LockA locked padlock) or https:// means youve safely connected to the .gov website. Sound Physicians is a Tacoma, Wash.-based provider of hospitalists and other physicians to hospitals and other medical facilities. Your community is distinct. Welcome to South Sound Medical Billing. If a claim requires an appeal, we will process all of the necessary paperwork required in order to receive payment. 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. 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. Physicians Billing Office. Available for both insured and uninsured patients. Copyright 2023 Sound Physicians. Call 877-285-6920; TTY: 877-893-8199. Indian River 772.563.4774. Sound Physicians 1498 Pacific Avenue, Suite 400 Tacoma, WA 98402. SSMB utilizes any method convenient for your practice. If you are requesting patient billing for legal purposes, please visitwww.chartswap.com. We provide comprehensive lists of charges for each of our hospitals. Sound Physicians is a Tacoma, Wash.-based provider of hospitalists and other physicians to hospitals and other medical facilities. 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. The lawsuit is United States of America ex rel. 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. By Mail: Mail a check to the following address. *Please note that we are NOT contracted with First Health. Phone: 855-768-6363 Fax: 253-682-1714 Patient Financial Services Office Give us a call or email for an estimate. This rating reflects BBB's opinion about the entire organization's interactions with its customers, including interactions with local locations. 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. 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.. 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. Weston 866.621.6385. (En Espaol). For 20 years, our high-performing and affordable care models have combined physician leadership, clinical process, technology, and analytics . South Sound Medical Billing has done a great job accurately submitting claims for me and following up on past accounts. You can alsospeak with a patient financial advocatefor any additional questions you have. Notice Informing Individuals About Nondiscrimination and Accessibility Requirements. This business is in an industry that may require professional licensing, bonding or registration. As a successful, multi-specialty, national medical group, we know what works and what doesn't across a broad spectrum of specialties. Pittsburgh, PA 15203. Please enter your full name . Wash.). Pediatrix Medical Group 866-866-8542. Hospital-based medicine often needs subsidies to survive. 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. 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. Schedule today. Bills Claimed Higher Level of Service Than Was Documented. There is a one time fee for the initial set up. Find a UPMC health care facility close to you quickly by browsing by region. 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. In all cases, please review your medical benefits information. The Department of Justice is committed to ensuring that Medicare and other federal funds are expended appropriately.. The Center can help you with the following things: Apply for governmental assistance, like Medical Assistance (MA) programs; Set up a payment plan We are here to help you meet your practice goals. Manage your Cleveland Clinic account. Turnaround time can be as quick as two weeks for electronic claims. We welcome any questions regarding . Overlake is an award-winning, nonprofit, independently operated regional health system. Honestly, they probably won't but you should complain about it. 2950 Cleveland Clinic Blvd. Either way, it completely breaks the contract they have with insurance and they can be fined. Our fees are competitively priced and vary based on the size of your practice, and the scope of services provided. 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. 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. Phone: (888) 927-8023, Phone: (828) 398-5222 Patients of UPMC Cole should select the UPMC Cole Connect Patient Portal. Sound Physicians is a Tacoma, Wash.-based provider of hospitalists and other physicians to hospitals and other medical facilities. Olympic Medical Center TIN = 91-6001709, NPI = 1306845557 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). Below you will see a few options. All rights reserved. We put a premium on their well-being and regularly monitor for burnout. Martin Health 772.223.5680. 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. Access the headquarters listing for Sound Physicians. First Choice Network (all cards with First Choice logo)*, Kaiser Permanente Options (via First Choice card must have a First Choice logo), Labor and Industries/Self-Insured Workers Compensation, Premera (all non-Medicare and non-Medicaid products). More Details OUR MISSION To speak with one of our Customer Service Representatives, call 866-903-0436. 2 Hot Metal Street 412-647-8762 Again, regardless if Sound Physicians is in-network, Sound Physicians is required by law to accept the average rate paid by Premera and other out-of-network insurances for emergency services. Depending on your own situation, one option may be better for you. We service multiple healthcare practices throughout WA and Arizona. We service multiple healthcare practices throughout WA and Arizona. We are a medical billing and management company located in Tumwater, WA. If there is any patient responsibility such as a co-payment, co-insurance or deductible a patient statement is sent out. Manage your Cleveland Clinic account. Phone: 240-566-3055; Hours of Operation: Monday - Thursday 8:00 a.m. . The portal for UPMC Cole patients receiving inpatient care. 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. Sound Physician would not state that it wasn't sent but could not give an exact date that it was sent. We deliver against partners' clinical and operational priorities while providing extraordinary patient care during and after the acute care episode. We are a medical billing and management company located in Tumwater, WA. 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. 200 Lothrop Street Billing. 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. Hours: Open Monday Friday, 8:00 am 4:30 pm. I am Kimberly Williams the founder of SSMB. Share sensitive information only on official, secure websites. Looking for more information? SSMB charges a percentage based on what is collected each month. All rights reserved. Physicians Billing Services does not process, submit or collect for hospital charges. By Phone: Call (425) 688-5124 . 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. OMC is not contracted with their Ambetter product. Olympic Medical Center is pleased to offer patients the convenience and security of an online payment option for their bills. UPMC Hospital Financial Services assists patients with all questions related to hospital bills. Craig Thomas v. Sound Inpatient Physicians, Inc. and Robert A. Bessler, Civil Action No. VA Community Care Network (administered by Tri-West). 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. You are responsible for acquiring proper referral information from your primary care provider and/or your insurance company prior to your scheduled appointment. BBB Business Profiles may not be reproduced for sales or promotional purposes. An official website of the United States government. Commonly used billing terms and definitions. OMC is not contracted with except the Cascade Select Public Option. Improving care and reducing costs in the communities we serve. This bill is for the services provided by the clinician that delivered care. Seattle Emergency Physicians 855-736-2781. 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. If they try to bill you the balance, it can be illegal depending on what state you live in. 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. Compliance. If you are a patient at one of our Martin Health facilities, you can use our online quick payment option. I call the billing center again. Follow these tips before your visit at Cleveland Clinic. While we will bill your insurance carrier as a service to you, you are ultimately responsible for your account with us. Welcome to South Sound Medical Billing. All information is viewed and submitted over a SSL encrypted connection. BBB Business Profiles are provided solely to assist you in exercising your own best judgment. We strive to provide the most advanced pulmonary and critical care services and to compassionately meet the needs of our patients. Website: SoundPhysicians.com, 939 Caroline Street There is no cost to use this service. SSMB submits claims to Medicare, Medicaid, No Fault/Personal Injury, Workers Compensation and all commercial carriers. Since 2015, we have managed 1M episodes and over $10B under value-based contracts. Our unparalleled service, backed by. This company offers to provide physicians to hospitals in need of coverage for certain programs such as emergency medicine, critical care and hospital medicine. 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. For patients of UPMC-affiliated doctors in Central Pa, select UPMC Central Pa Portal. Olympic Medical Center and Olympic Medical Physicians continue to be in-network. With easy to access over 75 reports, youll always know exactly whats happening in your practice and where you stand financially. 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. Physicians and Surgeons Information Bureaus, International Association of Better Business Bureaus, Sound Physicians Emergency Medicine Of Texas PLLC. Please contact them directly to verify that they participate in your health plan. Our unparalleled service, backed by our expertise, sets us apart from all other billing companies. 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. All complaints are handled by the BBB where the company is Headquartered or a central customer complaint processing location. SSMB also offers consulting services for medical practitioners to help improve and streamline your practice at an additional cost. It is common to have questions about the billing process, and we are here to help. 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. *In Canada, trademark(s) of the International Association of Better Business Bureaus, used under License. We use cookies to analyze website traffic and optimize your website experience. Contact the Patient Financial Services Center, Email Address: PatientFinancialServicesCenter@upmc.edu, Address: All claims are submitted either by paper or electronically to both primary and secondary insurers. 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. 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.