May 2019 - Best Texas ER Open 24/7, No Lines - Altus Emergency

Understanding Your ER Bill

Understanding Your ER Bill

Emergency Room visits are often a disorienting, stressful, and nerve-racking affair, and to make matters worse, medical bills are notoriously difficult to understand, so your stress doesn’t end the minute you walk out of the ER.  Understanding your ER Bill is not something that is common knowledge.

Nevertheless, it’s in your financial best interest to know exactly what you are paying for and the ways you can lower your out-of-pocket expenses when you receive a medical bill.

At Altus Emergency Centers we believe in billing transparency, and helping our communities safeguard their hard-earned money. We know firsthand that there is no way to thoroughly plan for a medical emergency, which is why we are committed to help our patients receive all the benefits of their health plans and save as much money as possible.  For this reason, we bring you a simple guide to understanding your ER Bill that we hope will help settle your nerves and save you money.

What Are Facility and Physician Fees?

After receiving treatment in one of our centers, we will mail two separate claims to your insurance company:

  • Facility Fee Claim
  • Physician Fee Claim

 

Facility Fee

All Emergency Rooms (hospital and freestanding) charge a facility fee. Facility fee charges depend on the level of emergency care provided to our patients which ranges from basic emergency care to immediate life-threatening conditions.

The facility fee does not include medications, supplies, diagnostic imaging such as CT scans and X-rays, or laboratory tests.

 

Physician Fee

In the past, emergency physicians would bill for their services separately and their fees vary depending on the level of care provided.

Starting back on June 2019, at Altus Emergency we directly control physician billing to ensure you superior service.

All patients are treated exclusively by our in-house local doctors, and this allows us to control the entire billing process.  The best news is that you will never receive a surprise medical bill from us. Please keep in mind that physician services will still be billed separately for transparency purposes.

On the other hand, the physician fees of Radiologists (X-Rays) and Pathologist (Lab) are included in the facility fee.

Know Where to Go in Case of an Emergency.

Documents You Should Expect from Your Insurance Company

Once we file the insurance claims on your behalf, your insurance provider will review them and determine how much is covered by your plan and how much you need to pay out of pocket.

 

EOB

An Explanation of Benefits (EOB) is the statement sent to you by your health insurance company explaining which services your insurance covers, the amount paid by your plan and how much you need to pay out-of-pocket.

The balance due considers your deductible, coinsurance, and other non-covered benefits.

You should receive your EOB before you get an actual bill from us. When you get your EOB, please review it carefully, make sure you are not being billed twice for the same service or service you did not receive.

Double-check that the insurance company is paying for everything your plan includes, if you need help doing this you can contact our Patient Advocate, they can help you understand your coverage and negotiate with your insurance company.

 

Informative Letters

Some insurance companies will send you a letter with additional information regarding your coverage. They will appear to sound “nice” while they explain that they are not covering your costs and even claim that they will try to help you lower your out-of-pocket costs.

Some of these letters might make it look like independent ER’s (also called freestanding ERs) like Altus Emergency Centers are more expensive than hospital-based ER’s.

Check out an example of a real letter from Cigma that an Altus Emergency patient received after being treated.

However, thanks to a recent law which forces medical providers to list their standard costs for procedures we now know this is not true.

In fact, we can prove that Altus Emergency is not more expensive than a hospital ER.  In some cases, we are actually less expensive than a hospital ER and we can PROVE IT.

The following chart reveals the prices of some of the most common medical emergency services. Listed are their total price at a Freestanding Emergency Center and what the same service costs at a hospital.

Cost Differences for Common Medical Emergency Conditions

SCENARIO 1: CHEST PAIN

Total Cost

ALTUS ER

$4,328.63

Hospital

$5,512.00

Your visit to Altus Emergency just saved you: $1,183.37

SCENARIO 2: ABDOMINAL PAIN

Total Cost

ALTUS ER

$9,754.68

Hospital

$11,143.87

Your visit to Altus Emergency just saved you:Altus Savings of $1,389.19

SCENARIO 3: BACK/FLANK PAIN

Total Cost

ALTUS ER

$6,755.48

Hospital

$9,383.00

Your visit to Altus Emergency just saved you: $2,627.52

SCENARIO 4: HEAD INJURY

Total Cost

ALTUS ER

$8,010.63

Hospital

$8,595.00

Your visit to Altus Emergency just saved you: $584.37

Get Personalized Help in Understanding Your ER Bill

 

Additionally, our Patient Advocate will always try to negotiate better rates and find ways to maximize your health insurance benefits so we can lower your out-of-pocket expenses.

At Altus Emergency Centers our priority will always be our patient’s wellbeing. We guarantee you will receive the best emergency care regardless of your ability to pay.

If you have questions about your ER visit, medical problems, worsening symptoms, or you wish to speak to your nurse or doctor, please contact us.

Get Peace of Mind, Call Patient Advocate

If you have any questions regarding your billing or insurance please contact our Patient Advocate Department. 

Lumberton & Waxahachie: Call us (469) 383-7361 between 8:00 am and 5:00 pm and ask for the Patient Advocate.

Baytown & Lake Jackson: Call us (979) 529-2000 between 12:00 pm and 7:00 pm and ask for the Patient Advocate.

Altus Emergency Centers Texas

is Here for You 24/7

Altus Emergency Centers are all open 24/7/365, with no lines. Our facilities are well-equipped to diagnose and treat everything from major to minor adult and pediatric emergencies.  We are honored to be a part of our beautiful Texas communities and work hard each day to help see them grow and prosper!

24 Hour ER Services – Best in Texas

Looking for the best quality 24 hour ER services?

We offer the best freestanding 24 hour ER services in Texas. We have top of the line medical technology and highly experienced ER healthcare experts prepped and ready to come to your aid in Baytown, Lake Jackson, Lumberton, and Waxahachie.

Each ER team is highly efficient in treating chest and abdominal pains, pediatric emergencies, flu symptoms, sports injuries, bone breaks, and fractures, as well as all other major and minor injuries. All services are available 24/7, including weekends and holidays with little to no wait times.  After You Receive Quality ER Care, our Patient Advocate will help ensure Hassle-Free Billing.

Our Promise is to Always Help Find the Best Solutions in Benefit of our Patients from the time you walk-in without having to wait in line and when you are personally assisted with the billing process.  We are here to help you get well and stay well!

Billing and Coding Associate Job Opening

Billing and Coding Associate Job Opening

This is an excellent opportunity to work with one of the finest Freestanding Emergency Centers in Texas.

Altus Emergency Center in Lumberton is currently seeking to fill the position of: Billing and Coding Associate.  Please review the following job requirements and submit your resume to ERjobs@altusemergency.com.

 

Billing and Coding Associate Requirements and Responsibilities

Coding

  • Reviews all documentation to ensure coding by provider is supported
  • Apply all coding rules and use of CPT and ICD codes and appropriate use of modifiers
  • Assign and sequence all codes for services rendered
  • Where providers have made errors or missed coding, use as educational tool for the provider(s)
    • Contact physicians and other health care professionals about treatment and/or diagnostic tests given to patients with regard to coding procedures
  • Assist in educating physicians and staff in requirements of documentation for proper reimbursement.
  • Assists all staff with coding as required
  • Constant review and recommends updates on coding changes
  • Assists in conducting internal audits of patient charges and corresponding documentation.

 

Billing:

  • Submit claims and work rejects for claims submission, daily
  • Check for data errors.
  • Determine problem that resulted in a rejected claim, resolve, advise on procedural changes to implement and prevent further such rejects.
  • Resubmit/refile and appeal rejected claims, as is necessary.
  • Check coding and post charges
  • Adhere to contractual requirements of Medicare, Medicaid, and any in network managed care plans
  • Ability to process and understand out of network claims
  • Scrub and submit claims
  • Run daily update and insurance exception reports
  • Review and correct, re-scrub rejected claims

 

Accounts Receivable and patient statements:

  • Runs A/R report
  • Works accounts receivable
  • Prepare patient statements

Collections:

  • Patient collections
  • Responsible for follow-up on unpaid claims and process of sending patients to collections as per office policy.
  • Work collection of past due accounts weekly, follow-up on payment arrangements

 

OTHER DUTIES

  • Assist patients with questions regarding insurance and/or account balances
  • Work with patients who have insurance claim difficulties.
  • Assist with pulling and filing of patient charts
  • Works Revenue Cycle Director to provide information necessary to generate financial statements and to accomplish fiscal audits and reimbursement studies.

PERSONAL QUALITIES AND CHARACTERISTICS

  • Ability to communicate well with people both in personal contacts and on the phone.
  • Professional, friendly appearance
  • Good organizational skills
  • High accuracy and precision.
  • Methodical.
  • Pays attention to detail
  • Ability to recognize, evaluate, solve problems and correct errors.
  • Skills in establishing and maintaining effective working relationships with other employees, patients, insurance carriers and the public.
  • Ability to maintain patient and office confidentiality.
  • Verbal & written communication skills
  • Skill to effectively negotiate with patients, guarantors & other parties for payment of claims
  • Effective interpersonal skills
  • Ability to work independently with only general supervision
  • Problem solving skills

Professional Requirements

  • Certification Required
  • Minimum 3 years’ experience required
  • Commitment to high level of customer experience

Apply Today!

Be a part of the winning team at Altus Emergency Centers!

In order to apply for the position of Billing and Coding Associate, please submit your resume to ERjobs@altusemergency.com.

Know Where to Go in Case of an Emergency.

Altus Emergency Centers Texas

is Here for You 24/7

Altus Emergency Centers are all open 24/7/365, with no lines. Our facilities are well-equipped to diagnose and treat everything from major to minor adult and pediatric emergencies.  We are honored to be a part of our beautiful Texas communities and work hard each day to help see them grow and prosper!

24 Hour ER Services – Best in Texas

Looking for the best quality 24 hour ER services?

We offer the best freestanding 24 hour ER services in Texas. We have top of the line medical technology and highly experienced ER healthcare experts prepped and ready to come to your aid in Baytown, Lake Jackson, Lumberton, and Waxahachie.

Each ER team is highly efficient in treating chest and abdominal pains, pediatric emergencies, flu symptoms, sports injuries, bone breaks, and fractures, as well as all other major and minor injuries. All services are available 24/7, including weekends and holidays with little to no wait times.  After You Receive Quality ER Care, our Patient Advocate will help ensure Hassle-Free Billing.

Our Promise is to Always Help Find the Best Solutions in Benefit of our Patients from the time you walk-in without having to wait in line and when you are personally assisted with the billing process.  We are here to help you get well and stay well!

PROTECT YOUR RIGHTS to ER CARE!

When to Visit the ER vs. Urgent Care

When to Visit the ER vs. Urgent Care

Today, we explore one of our frequently asked questions, when to visit the ER vs. Urgent Care. We are blessed to live in an era where we have options for medical treatment. Before towns were lucky if they had one family doctor to attend all medical emergencies. Today we have emergency rooms and urgent care clinics to choose from.

But, it’s not always easy knowing where to go when an emergency strikes. Let us clarify the difference between ER vs. Urgent Care facilities.

Urgent Care

These centers are designed for patients whose symptoms or injuries are minor and don’t represent a threat to their lives but do require medical attention.

Know Where to Go in Case of an Emergency.

Emergency Room

Emergency rooms are meant for genuine medical emergencies. These centers are equipped to handle trauma, surgical procedures, and other life-threatening situations. They have high-tech diagnostic equipment like x-rays, EKG’s, and ultrasounds.

Hospital ER or Altus Emergency Centers?

How soon you get treated during a medical emergency can mark the difference between a full recovery, or a lifetime of disability or even death.

Therefore, when possible choose to come to the nearest Altus Emergency Center for treatment.

We guarantee no long wait times; unlike hospital ER’s where patients sometimes must wait for hours to get seen by a doctor.

The following symptom chart will help you decide if you should go to an Urgent Care center or the ER. Feel free to print and share it, you could save someone’s life.

Symptom Guide – Know Where to Go

TYPE OF ILLNESS OR INJURY

URGENT CARE

EMERGENCY ROOM

Allergies

Mild Allergic Reactions

Severe Allergic Reactions (Anaphylaxis)

Digestive Tract Issues

  • Mild to Moderate Stomach Flu Symptoms such as Nausea, Vomiting, and Diarrhea.
  • Mild Abdominal Pain
  • Persistent Diarrhea
  • Bloody Stools
  • Vomiting Blood
  • Severe Abdominal Pain
  • All pediatrics with Digestive tract issues

Fever

Fever without a rash

Fever with a rash

Cold and Flu Symptoms

Mild to Moderate Cold or Flu-like Symptoms like Sore Throat, Body Aches

Severe Cold or Flu Symptoms including Trouble Breathing, Respiratory Infections

Cuts and Scrapes

Small Cuts and Scrapes That Might Require Stiches

  • Deep Cuts or Scrapes that: Won’t Stop Bleeding
  • Bone, Cartilage and Other Tissue is Visible
  • Amputation of a Finger, Hand, Arm, Toe, Foot or Leg
  • Facial Lacerations

Sprains, Strains, and Broken Bones

Mild Sprains and Strains

Broken Bones and Dislocated Joints

Burns

  • Superficial Burns
  • Moderate Pain Associated to Burns

2nd, 3rd, and 4th Degree Burns Where Deeper Tissue is Damaged

Ear, Eye, Sinus Infections

Mild Ear or Eye Infections

  • Severe Ear or Eye Infections
  • Sinus Infections

Asthma

Mild to Moderate Asthma Symptoms or Attack

Moderate to Severe Asthma Symptoms or Attack

Urinary Tract Infections

Mild Urinary Tract Infections

  • Severe Urinary Tract Infections
  • Urinating Blood

Insect or Animal Bites

Small Bites that Might Require Stiches and a Tetanus Shot

  • Deep Gashes from an Animal Bite that Might Require Surgery
  • All Human bites

Acute Headaches

Stress Headaches

  • Migraines
  • Cluster Headaches

Eye Injuries

X

Any Eye Injury

Poisoning

X

  • Chemical Poisoning
  • Snake Bites

 

Pregnancy

X

  • Vaginal Bleeding While Pregnant
  • Severe Vaginal Pain

Heart Attack

X

  • Chest Pains
  • Trouble Breathing
  • Shooting Pain Down the Arm
  • Loss of Consciousness

Stroke

X

  • Sudden Onset of Numbness in the Arms or Legs
  • Slurred Speech

Head, Back & Neck Injuries

X

  • Any Injury to the Head, Back or Neck
  • Concussion
  • Loss of Consciousness, Fainting
  • Changes in Mood or Mental State

Seizures

X

Any Type of Seizure

Altus Emergency Centers Locations and Contact Information

Baytown ER

1404 West Baker Road

Baytown, TX 77521

Phone: (281) 628-7300

Lake Jackson ER

200 Oak Drive South

Lake Jackson, TX 77566

Phone: (979) 529-2000

Lumberton ER

137 North LHS Drive

Lumberton, TX 77657

Phone: (409) 755-2273

Waxahachie ER

1791 N. Highway 77

Waxahachie, TX 75165

Phone: (469) 383-7361

Now that you understand when to visit the ER vs. Urgent Care, don’t hesitate.  When in doubt, trust your gut and remember, if the condition is life-threatening, get to the nearest Altus Emergency Center as soon as possible.

Don’t put off going to the emergency room because you’re worried about the costs. We understand your concern but remember, insurance companies are obligated by law to cover emergency treatments. And if the price is still a concern, our Patient Advocate can help you negotiate your medical bills and make them easier to pay off.

Altus Emergency Centers Texas

is Here for You 24/7

Altus Emergency Centers are all open 24/7/365, with no lines. Our facilities are well-equipped to diagnose and treat everything from major to minor adult and pediatric emergencies.  We are honored to be a part of our beautiful Texas communities and work hard each day to help see them grow and prosper!

24 Hour ER Services – Best in Texas

Looking for the best quality 24 hour ER services?

We offer the best freestanding 24 hour ER services in Texas. We have top of the line medical technology and highly experienced ER healthcare experts prepped and ready to come to your aid in Baytown, Lake Jackson, Lumberton, and Waxahachie.

Each ER team is highly efficient in treating chest and abdominal pains, pediatric emergencies, flu symptoms, sports injuries, bone breaks, and fractures, as well as all other major and minor injuries. All services are available 24/7, including weekends and holidays with little to no wait times.  After You Receive Quality ER Care, our Patient Advocate will help ensure Hassle-Free Billing.

Our Promise is to Always Help Find the Best Solutions in Benefit of our Patients from the time you walk-in without having to wait in line and when you are personally assisted with the billing process.  We are here to help you get well and stay well!

PROTECT YOUR RIGHTS to ER CARE!

HEALTH NEWS, EVENTS & MORE.

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