Patient Advocate Archives - Page 2 of 2 - Best Texas ER Open 24/7, No Lines - Altus Emergency

Meet the Patient Advocate – Lendall Barker

Lendall Barker, Your Patient Advocate

Introducing – Lendall Barker, the Altus Emergency Centers Patient Advocate.

During a medical emergency, it’s a relief to get fast, quality care but does it end there?  After receiving medical care, there is an entire billing process that can be very confusing.  For this reason, it is vital to provide a service to guide the patient and unravel the complex web that is the billing and insurance claim process.  In an emergency center, having a stellar Patient Advocate department is especially crucial to ensure that each patient is cared for from the moment they walk in and get first-class ER care without the wait, to being available through the entire billing process. At Altus Emergency Centers, we are proud to have Lendall Barker as our Patient Advocate.

“Excellent medical service! Doctors were timely and professional. Not a long wait to get seen and dealing with the patient advocate Lendall Barker was outstanding. He was so attentive to my needs and concerns and he made it a breeze. I didn’t have to stress about insurance. I totally appreciate him and his pleasant demeanor. He was so kind and easy to talk to. I’d suggest Altus to anyone! They are great!

— Jessica Smith

Altus Emergency Centers prides itself on employing the most caring and experienced ER Healthcare Staff.  We invite you to get to know Lendall Barker, our friendly Patient Advocate happy to help guide you through a complex process and help find solutions.  Meet the Patient Advocate is the latest in the series of Altus ER Staff articles dedicated to the amazing people behind what is #TeamAltusER:  The Patient Comes First.

Lendall Knows Insurance Inside Out

You can count on Lendall Barker, our Patient Advocate break down the billing jargon to get the most from your insurance coverage.  Lendall is licensed in Insurance Sales and Insurance Billing, as well as experienced in tax preparation allowing him to give a knowledgeable and insightful perspective.

The Patient Advocate is more than just a valuable resource, it’s people that care and will do their very best to help you.

Getting Back to Good Old Fashioned Values

In an age that everyone hides behind automation, it’s rare to actually get a person on the phone to help when you need it.  Our Patient Advocate is the one you can call.  We were happy to find Lendall Barker as he believes in that old-fashioned warm, personal approach to assist and guide.  Our patients find it refreshing.

I love working for Altus ER because;

My life has taken many turns  in this world I have been blessed to work in fields that have taken me of the poorest to the riches that life has to offer. I truly believe that I found this position so that I can help others and pay back what I have been so blessed to learn.”

– Lendall Barker

Who is the Patient Advocate?

Get to know the Patient Advocate from Waxahachie.

We enjoyed a lovely chat with Lendall.  He was happy to share about his family, hobbies, and passions. The following are some highlights of our interview with Mr. Barker.  A warm, kind guy with a sense of humor that’s all heart.

Q:  “Tell us a little about yourself”

A:  Lendall.

Married 22 years live in Waxahachie for 32 years I enjoy helping people and giving back what I have been blessed to learn while here on this earth both good and bad.

Q:  “How about your family?”

A:  Lendall.

Raised two girls now with two children each of their own so they are getting back what they put us through. (Just kidding!) Two very good girls. Most my family is deceased which gives me my unique knowledge of the medical field.

Q:  “What do you do when you’re not helping patients?

A:  Lendall.

That would be cooking, fishing and bowling but not in that order.

Thank you, Lendall Barker, for helping us spread the word.  If you are confused with the insurance process, you are not alone.  Call your friend, Lendall at the Patient Advocate’s office.  He’s here to help you.

For Peace of Mind, Call Patient Advocate

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

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

Altus Emergency Centers Texas is Here for You 24/7

Altus ER. We-Have-Dedicated-Specialists

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.

Are Free Standing ER’s Really More Expensive?

Dispelling the Myth about the Pricetag on Freestanding ERs

The first free standing ER, or freestanding emergency rooms in Texas started operating back in 2010, and even though eight years have passed there is still a lot of misinformation and confusion about the type of service these centers provide and more specifically, the cost of these services.

In recent months, a lot of media outlets have been reporting stories claiming that free-standing emergency rooms are overcharging customers for their treatments. These reports are misleading, and confusing for the public and unfair to the free-standing emergency centers.

Most of the misinformation and confusion comes from a poor understanding of what a free-standing emergency room is.

What is a Free-Standing Emergency Room?

A free-standing emergency room is a medical facility that is licensed by the state to provide 24-hour emergency care to patients.

A free-standing ER offers the same high-quality care and utilizes the same high-quality equipment and technology as a hospital-based emergency room. Just as a hospital ER, free-standing ER’s like Altus Emergency Centers are always required to have a board-certified Emergency Medicine physician or ER trained MD’s on site, they must be opened 24-hours a day every day of the year, and have advanced lifesaving, imagining and laboratories within the facility.

This means that a Free-Standing ER operates under the same strict standards of a hospital ER, the only difference being that Free-Standing Emergency Rooms are not physically attached to a hospital facility.

FreeStanding-ER

Are Free Standing Emergency Rooms More Expensive?

In a study published in the Annals of Emergency Medicine in December of 2017, the researchers concluded that the average cost of a visit to a Free-Standing Emergency Room was cheaper or comparable to a similar visit to a Hospital-Based Emergency Room.

According to the study, the average price of a visit to a Free-Standing ER in 2015 was $2,199 while the average cost of a visit to a Hospital-Based ER was $2,259.

The study shows that although not all treatments, procedures or tests performed at Free-Standing Emergency Rooms were necessarily cheaper, the pricing is comparable to those of a Hospital-Based Emergency Department. To better illustrate how close the pricing structure between Free-Standing and Hospital-Based ER’s is here are some of the findings published in the study.

Diagnosis or Procedure Free-Standing ER Pricing Hospital-Based ER Pricing
Fracture of Upper Limb $1,783 $2,263
Open Wounds of Neck, Head, and Trunk $1,494 $1,721
CT Scan of Abdomen/Pelvis $1,560 $1,625
ECG $155 $235
Transportation Services $171 $456

Dispelling the Myth

At Altus Emergency Centers, our biggest concern is that patients won’t seek the necessary medical attention they need out of fear of being overcharged. Because of this, we feel the need to dispel the myth that we are more expensive than Hospital-Based ER’s.

Our facilities were created to provide convenience by allowing patients to be treated faster than they would be at a Hospital-Based ER were overcrowding has been an issue for years. According to ProPublica’s ER Wait Watcher, the average wait time for an ER patient to see a doctor in the state of Texas is 19 minutes, most Free-Standing ER’s advertise a maximum wait time of 10 minutes, at Altus Emergency Centers patients see a doctor as soon as they come in, there is no wait time.

Our facilities also strive to make emergency care more accessible to those communities who don’t have a hospital nearby.

Altus Emergency Centers provides the same quality emergency medical attention as any Hospital-Based ER, with the added benefits of convenience, nicer facilities, and more personalized treatment for the same price.

WaitingInLine

Know Where to Go In the Event of an Emergency

If you are ever in need of quality emergency care, you will not have to wait in line at Altus Emergency Centers.

All of our ERs are fully equipped and open 24/7.  Don’t let mislead information effect where you choose your ER care.  Our promise to you is to always serve with the very best medical technology, caring and knowledgeable ER trained staff, low wait times and hassle-free billing.

Patient Advocates, You Can Call!

Altus Emergency Patient Advocates are here to help you.  We help you decipher the complexity of the medical industry to uncover how it can be most beneficial to you.  We have focused our efforts on helping people better understand their insurance plans and how our billing works.

Our Patient Advocates department is available to help patients with everything billing related from reviewing health insurance claims to aiding in the event of an appeal of payment denial by their insurance provider. Our priority is and always been the wellbeing of our patients, and our doctors follow care protocols to ensure the best medical care is provided.

If you have any questions regarding your billing, please don’t hesitate to contact our Patient Advocate Department.  Please feel free to call 469-383-7361 between 8:00 am and 5:00 pm and ask for the Patient Advocate.

Altus Emergency Centers Texas is Here for You 24/7

altus emergency 24 hr ER Texas

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, 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.

Tips to Choosing Your Healthcare Plan Wisely

What to Ask When Choosing Your Healthcare Plan

The 2019 open enrollment period opened on November 1st and ends on December 15th, 2018, this means that many of us are actively shopping for the health care plan that bests suits our needs and budget.

To get the most out of our medical insurance plans, we must understand how the plans work, and what they cover. State and Federal insurance laws obligate insurers to include certain benefits and provide certain protections; however, insurers offer different plans from which you can choose, some will provide more coverage and protection than others, but this usually means the extra coverage comes at a price.

When you are shopping for healthcare coverage, insurance companies will provide a summary of each of their plans, this information will help you choose the right plan for you and your family. But, keep in mind the insurers won’t provide all the details of the plan until you have enrolled in the plan.

healthcare-plan

What is a Healthcare Policy?

For all intent and purposes, a health care policy is a legal contract between you and the health insurance company or health maintenance organization (HMO). When you enroll in a program, the insurance company or HMO will provide a copy of the contract, this will give detailed information about what your rights and responsibilities are under the plan.

For more information on the types of plans offered in Texas, please visit the Texas Department of Insurance (TDI)

healthcare insurance

Can I Cancel the Plan If I am Not Satisfied with the Coverage?

Yes, when you receive your copy of the policy detailing all the benefits, it is essential you read it carefully, especially if you have any special health needs. This will be the first time you are seeing the details of the coverage you will receive, and it’s important for you to know that if you are not satisfied with the policy, you have 10 days to return it and get a refund of your premium.

What is the Best Way to Compare Plans?

When you are shopping for medical insurance, ask the provider for their summary of benefits and coverage. This is the best way for you to compare healthcare plans as this document uses a standardized format making it easier to compare one item to another.

This summary outlines the basic coverage and cost of the plan you are interested in and will include the following:

  • Benefits and Exclusions
  • Links to Your Preferred Provider Directory and Drug Formulary
  • Deductible Amount
  • Coinsurance and Copayment Amounts
  • Out-of-Pocket limits
  • Referral Requirements
Medical-plan-patient

Always Ask About Emergency Medical Coverage

State and Federal laws obligate insurance companies to include Emergency Medical coverage in their policies. However, as we mentioned before, how much is covered can change from one plan to the next. As of August 6th, 2018, the Texas Department of Insurance (TDI) approved a controversial new program which grants the largest Health Insurance company in Texas to deny payments for some ER visits. Therefore, it is crucial to ask how your plan will process emergency medical treatment and ER visits before you enroll.

Can You Appeal a Deny of Payment on ER Treatments?

Absolutely, every consumer has the right to appeal the insurance company’s decision to not pay for treatment received in the ER.

According to the TDI, they received assurances from the insurance company that patients will have the right to have their doctor debate the treatment plan provided with the insurer doctor before a denial of payment was issued, and patients will be able to appeal the denial with an independent review organization.

Altus Emergency Center’s Patient Advocate department is available to patients review their health insurance claims and to aid in the event of an appeal of payment denial. Our priority is and always been the wellbeing of our patients, and our doctors follow care protocols to ensure the best medical care is provided.

Healthcare-claim

Know Where to Go In the Event of an Emergency

If you are ever in need of quality emergency care, you will not have to wait in line at Altus Emergency Centers. All of our ERs are fully equipped and open 24/7.

Altus Emergency Centers Texas is Here for You 24/7

altus emergency 24 hr ER Texas

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 get you well fast 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, 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.

Explanation of Benefits. What You Need to Know

Understanding the Explanation of Benefits

If you’ve been to the doctor or the ER recently and used your health insurance to help pay for the treatment, then you can expect to receive an Explanation of Benefits in the mail soon. But, what is this document, what should you do when you get it, and why is it important?

What do you need to know

What is an Explanation of Benefits?

Simply put, an Explanation of Benefits (EOB), is a notification to let you know when your health care benefits claim has been processed by your insurance company.

It’s important to understand that an explanation of benefits is not a health care bill. The EOB will detail the expenses that were submitted by the healthcare provider (doctor, hospital, ER, urgent care center, etc.) and lets you know how the claim was processed.

What do you need to know

What Information Does Your EOB Include?

There is no standard format for an explanation of benefits, however, most include three main sections:

  • Total of Claim or Claims: Your EOB might contain more than one claim. The notification will highlight all the financial information about each claim, including:
    • Total Amount Billed by the Healthcare Provider
    • Total Benefits Approved by the Insurance Company Based on Your Plan Coverage
    • Any Amount Owed to the Healthcare Provider
  • Service Detail: Here you will find a list of all the services you or your dependent received from the healthcare provider. This section should include:
    • The Name of the Doctor or Facility You Attended
    • Date of Services
    • Date of Charges – Both Billed and Allowed

Some Insurance Companies Display any Additional Savings that Your Plan Provides Such as Provider Discounts and Other Deductions

Summary: This Will Show You a Clear Picture of Your Deductible, Copays, And Health Spending Accounts if Applicable.

Additional information regarding amounts not covered, and out-of-pocket expenses might also be included.

What do you need to know

What Should You Do When You Receive an EOB?

Your explanation of benefits is an essential record of claims for any medical services and benefit coverage, and you should hold on to it for at least 18 months, preferably two years in case any questions or disputes arise from about your claim or your bill.

What do you need to know

What Do You Need to Check on Your Explanation of Benefits?

When you first receive your EOB, you should carefully check the information it contains, and pay close attention to the following:

  • Make sure your personal information is correct if not, it could be a simple mistake, but in the worst-case scenario it could be someone trying to use your identity
  • Ensure you are not being billed for a service you did not receive. If your EOB contains more than one claim, make sure you are not being charged twice for the same service.
  • Make sure which doctor or health care provider submitted the claim and cross check it with your records to make sure there are no mistakes.
What do you need to know

What Happens if the Insurance Company Doesn’t Pay the Whole Amount?

If your healthcare plan doesn’t cover the whole amount of the services you received, then the health care provider will send you a bill for the amount owed.

You do not have to pay anything until you receive the bill, and never pay more than the amount the explanation of benefits says you owe. If you are billed more than what the EOB says, you should contact your insurance company immediately, so they can investigate this matter.

If your insurance company didn’t pay anything, find out why, it could be that you have not met your annual deductible, but, it could also be a mistake on their part, if that is the case you need to submit an appeal.

 

Altus Emergency Centers has focused its efforts on helping people better understand their insurance plans and how our billing works. If you have any questions regarding your billing, please don’t hesitate to call our Patient Advocate Department, it will be our pleasure to assist you.

What do you need to know

Know Where to Go In the Event of an Emergency

If you are ever in need of quality emergency care, you will not have to wait in line at Altus Emergency Centers. All of our ERs are fully equipped and open 24/7.

Altus Emergency Centers Texas is Here for You 24/7

altus emergency 24 hr ER Texas

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, 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.

HEALTH NEWS, EVENTS & MORE.

Online Medical Technology

heartBEATRed

😱 EMERGENCIES CAN BE SCARY!
This Halloween, 💀 Don't Turn into a Skeleton Waiting in Line!
🚨 Go to the NO WAIT ER Open 24/7, In-House Doctors 👨‍⚕️

⏱️ Check it out 👉 https://www.altusemergency.com/
🏥 #AltusERCenters Happy Halloween!

🌝 It looks like we're forecasting GREAT WEATHER AHEAD!
Tonight, we root for the #HoustonAstros . ⚾ 🏆 #TakeItBack Guys!
🎃 On #Halloween, we'll see you at the #TrunkorTreatLumberton2019!
Oct. 31st, 6:30pm - 8:30pm 137@ N Lhs Dr, Lumberton

Instagram