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9 Reasons Why an Appeals Process is Needed

9 Reasons Why an Appeals Process is Needed

There is no doubt that suffering an injury or illness that requires a trip to the ER is stressful. Still, it can become a nightmare when your insurance provider decides to deny coverage of treatment received in the emergency room.

Fortunately, the law is on your side. There are effective ways for asking the insurance provider to reconsider their decision and honor their coverage agreement.

patient advocate speaking with injured patient

What is Health Insurance Denial?

Suppose you suffer an accident or sudden illness and need to go to the ER, and you use your health insurance to help cover the costs. In that case, the healthcare facility will prepare a claim on your behalf detailing the treatments provided during your visit.

An insurance denial happens when your health insurance provider notifies you that they won’t cover the cost of your ER visit.

This is frustrating and scary as it potentially means you will have to pay the total cost of the treatment out-of-pocket.

However, there is no need to panic, as you can submit an appeal.

after patient care patient advocate

What is an Appeal?

Appealing means formally asking your insurance provider to reconsider its decision to deny paying for the medical services you received while in the emergency room.

You should know that you have a legal right to appeal an insurance denial. It’s no secret that insurance companies care more about their bottom line than the people they insure.

Therefore, it’s not uncommon for these companies to deny medical care payments or try to charge you out-of-network rates for emergency care services, which is illegal.

Additionally, many insurers try to complicate the appeal process to discourage patients from trying to rectify a wrong. The good news is that you don’t have to go through this process alone. Our patient advocate is here to help you submit an appeal and fight the insurance companies on your behalf.

couple with patient advocate emergency room

Know Where to Go in Case of an Emergency.

Why is An Appeal Process Necessary?

Here are nine reasons why an appeal process is required:

  1. When the Insurance company processes the patient’s ER visit as an Out of Network Provider instead of an ER visit

The insurance must process the claim as an Emergency Room visit. They can’t just process it as an out-of-network provider.

Insurance companies sometimes try to do this because their plans state benefits are different for out-of-network providers vs. emergency room visits.

  1. When the Insurance Company processes your ER visit out of network, instead of In-Network

State law states that emergency room visits must be processed at the in-network benefit level. This means your insurance company cannot charge you more for emergency care received in a facility that is not part of their network.

  1. When the Insurance Company denies the Emergency Room visit, stating the charges are Not Covered

When you first come to the emergency room, we quote your plan’s benefits to verify eligibility. There is no valid reason for your insurance company to deny payment in these cases as long as your premium payments are up to date.

  1. The Insurance Company applies more to the patient than what they paid

Some insurances will apply a deductible to the claim, even though the benefits clearly state that the deductible does not apply to the ER visit.

  1. If the patient had COVID-related testing, and the Insurance Company applied patient cost-share

Currently, the Insurance companies have waived patient cost-share. Additionally, according to the COVID Cares Act, there is no patient cost-share for the covid testing/encounter.

  1. The insurance company processed the ER claim at an extremely low Allowable Amount, possibly at a Medicare Rate

Most benefit plans state that for Emergency Room visits, the Allowed Amount is a negotiated Rate. Some plans will have a third-party vendor reach out to negotiate the claim.

  1. Insurance Company denied the ER claim for past timely filing

Some insurance companies try to deny payment based on technicalities. We submit proof that all claim information was submitted within the timely filing limit in these cases.

  1. Insurance Company did not pay according to the contract on file

In these instances, we present a copy of the agreement to show that they did not pay according to the signed contract.

  1. Insurance Company did not pay according to the Agreement that we signed with the 3rd party vendor

We will call and make the insurance company aware that we signed an agreement. Then, we will submit a copy of that agreement to the insurance provider.

 

If you’ve recently received a health insurance denial after a visit to one of Altus Emergency Centers, please get in touch with our patient advocate as soon as possible. We can help you submit an appeal.

Our Promise is to Always Help Find the Best Solutions in Benefit of our Patients

Get Peace of Mind, Call Patient Advocate

If you have any questions regarding your billing, 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.

kim gries lake jackson and baytown 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 emergency room 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 to the 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!

Altus Patient Advocates: We’re On Your Side

Altus Patient Advocates: We’re On Your Side

A solid Patient Advocate department plays an essential role in delivering a quality medical care. Our ER Trained Physicians get you well, and our Patient Advocates help give you peace of mind. Learn about some of the many ways they can help you as a patient. Our patient advocates are here to help with your deductible and much more!

patient advocate speaking with injured patient

How Can Our Patient Advocate Department Help You?

We are Your Spokesperson, Supporter, Guide & Patient Navigator

 

There are many services our Patient Advocate can help patients and their families with, including:

  • Help resolve grievances and complaints about our services
  • Assist during a crisis
  • Help you communicate with our physicians
  • Make you aware of your rights as a patient
  • Mediate and resolve conflicts with your insurance provider

From this list, perhaps the most important ones are getting to know your rights and making sure your insurance policy covers your medical bill.

kim gries lake jackson and baytown patient advocate

Know When it’s Time to Ask for Help.

When Should You Approach Our Patient Advocate Department?

 

We’re here to help you during your emergency.  Our Patient Advocate Department is available to assist you with anything you require during your visit to our centers especially matters concerning your insurance and billing needs.

We can help you understand the benefits you are entitled to with your insurance policy, we can even speak to your insurance representatives and provide them with any information they request.

Something most people don’t know is that State Insurance Law ensures that true emergencies such as patients injured during a crash, heart attacks, or internal bleeding injuries must be covered by your insurance policy regardless of the treatment facility being In-Network or not.

after patient care patient advocate

Know Where to Go in Case of an Emergency.

The Real Job Begins After Your Visit

We help ensure hassle-free billing. Even after you have left our centers, our Patient Advocate Department continues to work on your behalf, by reviewing all EOB (Explanation of Benefits) sent to us by insurance companies to make sure your coverage was applied correctly.

And if your insurance provider did not process your claim correctly, we will help by filing an appeal on your behalf. This means we will fight the insurance companies to make sure you are treated fairly and honestly. You should know that reprocessing and appeals could take up to an additional 90 days, during which time our Patient Advocate Department will do regular follow-ups and keep you informed of any developments.

The Patient Advocate Department at Altus Emergency Centers can also assist you with financial arrangements, hardships, and assistance. We understand that nobody is fully prepared for an emergency and we all need help from time to time, which is why we establish payment plans to fit your budget.

Our Promise is to Always Help Find the Best Solutions in Benefit of our Patients

Altus Emergency is happy to offer special customer care billing management services through Patient Advocate.  This is our promise to you:

  • At Altus Emergency we have the ability to establish payment plans.
  • Within these payment plans, Altus Emergency has the ability to consider financial hardships.
  • Altus Emergency offers a special customer care service, Patient Advocate.  We will work with the insurance company for a complete payment.

Get Peace of Mind, Call Patient Advocate

If you have any questions regarding your billing, 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.

couple with patient advocate emergency room

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 emergency room 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 to the 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!

Tell-Tale Signs of a Broken Bone

How to Know if your Bone is Broken?

You know what they say about sticks and stones?  Well, a broken bone really hurts!  Bookmark this easy guide of the signs of a broken bone to know what to do if you or someone you love ever has an accident in the future.  Bone fractures, like most other injuries, vary in severity, and diagnosing is not easy without the use of advanced imaging technology like X-rays.

Some folks believe they can tell if a bone is broken by whether the patient can use it or put weight on it or not. Unfortunately, that is a myth; it’s surprising how often people who have a broken bone don’t even realize it because they can move it.

That is why it’s important to know the signs of a broken bone and get the issue fixed before it becomes an even bigger problem.

Signs of a Broken Bone

1. Bruising and Discoloration

Most of us tend to ignore our bruises thinking they are not that big of a deal, but they could be the first sign that your fall or accident led to a broken bone.

Bruising occurs when tissue capillaries get damaged, and blood leaks out of them. The bigger the bruising area is, the more likely damage involves deep tissue, possibly bone deep.

 

2. Swelling

 

There are many reasons behind swelling, but when it occurs after a trauma, it could be a sign of a broken bone. Swelling occurs when fluids and sometimes blood from an injury start to leak into the surrounding soft tissue like muscle, fat, and skin. The extra fluids cause the tissue to swell and become hard and painful to touch.

 

3. Deformity

 

If your injured arm, leg, hand, or foot look deformed, chances are you broke it. If your arm or leg bends in strange ways, this is a clear indicator that you need to come into the nearest Altus Emergency Center to get this issue fixed.

4. Crepitus

 

This word sound ominous and it is. Crepitus is when you can feel or hear crunching beneath your skin. Trust us when we say, that’s not supposed to exist anywhere in your body; and if it does, then this is a sign there are broken pieces of bone rubbing against one another.

 

 

5. Loss of Function

 

Loss of function is an indicator that something is not right, and your injury could have caused a bone to break. If you cannot move your arm, hand, leg, or foot, then you need to be seen by one of our doctors as soon as possible.

Remember being able to walk or move your injured limb does not mean you do not have a fractured bone if you are in severe pain and are experiencing any of the above signs you need to be seen by a doctor as soon as possible.

Know Where to Go in Case of an Emergency.

When to Go to the ER

You should rush to the nearest Altus Emergency Center if you experience any of the following after a fall or other trauma:

  • Heavy Bleeding at the site of the injury
  • Numbness in the injured or surrounding area
  • The area turns a bluish color
  • Severe swelling
  • A visible deformity at the injury site
  • Bone protruding through the skin (Open fracture)

Dislocations

You should also come in if you have a dislocated joint. In many ways, a dislocated joint can be even worse than some types of fractures. Dislocations are serious orthopedic injuries, and they happen when a joint such as a knee or shoulder become severely misaligned.

Dislocations always involve deformity and can cause stretching or even tearing of ligaments and tendons. These types of injuries will always require emergency medical attention.

 

The only sure way to know if you have a broken bone or another type of orthopedic injury is with advanced imaging tests like X-rays, MRI’s, and ultrasounds.

At Altus Emergency Centers we have invested heavily in the most advanced diagnostic technologies available. This equipment allows our physicians to provide faster and more accurate diagnosis and treatment of our valued patients.

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 emergency room 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 to the 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!

American Heart Month – Guide to a Healthy Heart

Today is the Day to Learn to Love Your Heart!

This Valentine’s Month, it’s all about the heart!  Many of us are planning the perfect date night to show our partners just how important they are to us and how much we love them.  Altus Emergency Centers wants you to pause and pay a little more attention to all of the beautiful hearts in your life, starting with your own.

This year we are partnering with the Million Hearts® initiative to bring awareness of how dangerous and devastating heart disease can be, not just on a personal level but for those we love as well.  May this be the February that you learned to love your heart.

Heart Disease Fact Sheet

  • Cardiovascular diseases kill over 800,000 Americans every year
  • Heart Disease, stroke and other cardiovascular diseases are responsible for 1 in every 3 deaths
  • Heart Disease is the leading cause of death for both men and women in the United States

Every 40 Seconds, an American will have a Heart Attack.

  • Coronary heart disease is the most common type of heart disease, and it’s responsible for over 370,000 annual deaths
  • Every year more than 735,000 Americans suffer a heart attack
  • According to studies:

Nearly Two-Thirds of women who die suddenly of coronary heart disease have no previous symptoms.

Sources: CDC & Heart Disease and Stroke Statistics 2018

We all glance over numbers every day like these every day.  Instead of a number, see them for what they really are, a mother, father, teacher, co-worker, best friend, classmate, neighbor, grandma, or the person standing right beside you.  At Altus Emergency Centers, we’re committed to helping you not become a statistic.  Chances are, you are still in time to make the lifestyle changes necessary to keep a healthy heart pumping for much longer.

Heart Disease Death Rates Statistics USA

Safeguarding Your Heart

We’ve all had our hearts broken at some point in our lives, but, as hard as heartbreak can be, we know that in time we will get better and be able to love again. This is not always the case when our hearts get sick, some of us won’t have the luxury of time to heal, which is why we need to start taking better care of our hearts now.

You are always taking care of everyone around you, this month of February make a pledge to start showing yourself some love by making healthier lifestyle and food choices including:

Improve Your Diet

Eat healthier, include more fruits and veggies, choose low-fat dairy products and cut down on the amount of fat you eat.

Fill Up on Fiber

Choose foods that are fiber-rich like oats, whole wheat bread, and beans and legumes. Fiber-rich foods will fill you up more, and they take longer for your digestive system to process, so you will fell fool for a longer time. This will help you eat less and maybe lose a few pounds without having to sacrifice your food intake.

Eat More Fish

Texans love meat, we get it, but try substituting beef for fish at least once or twice a week, a diet rich in Omega-3 fatty acids can help ward off heart disease.

Get Moving!

Just like the song says you’ve got to move it, move it. We know you have a busy schedule but only 30 minutes a day of moderate exercise can make a world of difference. You don’t need to go to the gym, a walk around your neighborhood, or some fun dancing around the house or even putting a little more pep into your housework might do the trick.

Cut Down on The Salt

The American diet has an unusually high amount of salt, and a study published in The New England Journal of Medicine found that cutting the amount of salt we consume can significantly lower the number of strokes, coronary heart disease (CHD), and heart attacks.

Live Smoke-Free!

Smoking is one of the top risk factors for heart disease, and it’s not enough to decrease the number of cigarettes you smoke per day, you need to stop smoking altogether.

Recognizing a Heart Attack

The possibility of a heart attack is real.  Heart disease is the leading cause of both men and women in the US.  Although medical studies have shown that you can drastically lower your possibility of having a heart attack through lifestyle changes, the odds are still 1 of every 4 people in America die from heart disease.  For this reason, another way to help save hearts is to get to know the signs of a heart attack and to take action.  While men and women will have different types of symptoms and not all chest pains indicate a heart attack, there are some tell-tale signs that should spark an immediate warning sign.

Here are five of the most common signs of a heart attack:

  • Pain or Discomfort in Chest

  • Lightheadedness, Nausea or Vomiting

  • Jaw, Neck or Back Pain

  • Discomfort or Pain in Jaw or Shoulder

  • Shortness of Breath

Time is a major factor, the sooner the better.

The recommended window of time to get treatment for a heart attack is of only two hours away from the first signs as those listed above.  If you risk waiting longer, the damage will be greater as the chances of survival will be lowered.

If you or someone you know experiences any of the symptoms listed here, the best thing you can do is have someone bring you to the nearest Altus Emergency Center so we can evaluate you. When it comes to heart attacks and strokes, the faster you get treatment, the greater your chances of recovery and survival will be.

It’s been said that the greatest gift we can give anyone is love, so this Valentine’s Day make a pledge to take better care of your heart so you can be around for many more years to gift love to your friends and family.

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.  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!

Texas Law Covers Traffic Accidents

Insurance Companies Must Cover ER Trips Involving Traffic Accidents

Danger on the Road – Traffic Accident Statistics

With nearly 264 million vehicles registered and over 218 million individuals with a valid driving license, our roads are some of the busiest in the world. This, unfortunately, means traffic accidents are more common than any of us would like.

Annual Car Accidents in The United States

Every year the National Highway Traffic Safety Administration (NHTSA) issues a briefing based on reported car accidents nationwide. The NHTSA keeps track of injuries, fatalities as well as the factors that might have contributed to the crash such as speeding, alcohol, and distractions.

From these reports we can gather the following statistics:

car accident

The Impact of Motor Vehicle Accidents in Texas

Data from the National Highway Traffic Safety Administration, the state of Texas has the most traffic fatalities of any state in the country.

car accident trauma emergency

Most Common Causes of Traffic Accidents

Distracted Driving

Distracted driving is the leading cause of road accidents in America. Drivers can become distracted by several things while driving:

  • Cell phones
  • Eating
  • Drinking from a mug or bottle
  • Talking
  • Children
  • Pets in the car

Not paying attention to the road while driving can have dire consequences; the NHTSA reports 3,142 fatalities in distraction-affection crashes in 2019. There were also an estimated 697 deaths due to drowsy driving during the same year. Source: NHTSA.

In addition to these tragic deaths, thousands of victims who experience long-term disabilities.

Speeding

The second most common cause of road accidents in the United States is speeding, and because most of these accidents typically occur at high speeds, it is also a significant cause of traffic accident-related deaths with an estimated 9,478 deaths in 2019.  Source: nsc.org

Drunk Driving

Road accidents involving drunk drivers are another major cause of injuries and fatalities, especially during the weekend and holidays. Drinking slows down our response time and our ability to focus on the road, and it can also make us drowsy.

According to data from the NHTSA,

“29% of the total fatalities of road accidents were in alcohol-impaired-driving crashes.”

In our own state of Texas:

Out of the 3,722 road accident deaths in 2017, 1,468 or 39% of them occurred in an accident caused by a drunk driver.

Getting Prompt Medical Attention Can Help Save A Life

According to the CDC for every person killed in a road accident,

“8 were hospitalized, and 100 were treated and released from the Emergency Room.”

Anyone who is involved in a severe motor vehicle accident should be taken to the nearest Emergency Room for evaluation, given that some injuries can only be diagnosed with advanced imagining technology.

During a crash, victims might have suffered internal injuries or head trauma that if not treated promptly can lead to long-term disabilities or even death.

Some injuries are more time-sensitive than others, in these cases it is better to transfer the patient to a Free-Standing ER facility such as any of the Altus Emergency Centers where they can be treated by a licensed emergency physician right away, rather than transport them to a Hospital ER where their treatment might be delayed due to overcrowding issues.

It’s important to remember that insurance companies are obligated to offer emergency room coverage in their policies. If you are involved in a car accident and need to go to the emergency room, your insurance policy will cover your visit.

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.

Daily Pandemic Denials

JOIN THE CAUSE,

TOGETHER, WE CAN PUT A STOP TO DAILY PANDEMIC DENIALS

Article & Video Source: Pandemic Denials

Health Insurance companies are making record profits at your expense

During this pandemic, Health Insurance companies are making record profits while at the same time increasing our premiums and denying our claims. Here’s how they did it…

Sign the Petition Today

1. Delayed or Deferred Care

When The pandemic lockdowns began, suddenly millions of people were staying home, avoiding or delaying their medical treatment. As we all know, this lasted for MONTHS, so while we all kept paying our monthly premiums, insurers simply didn’t need to pay out as much as they normally would, leading to gross profit margins in excess of 24% more than in 2019.

2. Pandemic Premiums

Even though the insurers had just seen record profits in the first three quarters of 2020 they still increased premiums by as much as 9.91% in Texas. Media stories of overrun hospitals and fears of soaring pandemic-related healthcare costs helped insurers to justify increasing their rates. But, in the fourth quarter, when the COVID waves hit the hardest and began to wreak havoc on our healthcare system, they deployed their most insidious tactic yet…

3. Daily Denials

Since the onset of the COVID-19 pandemic, medical claim denials have risen 11% nationwide, with the most denial rates found in the Pacific Coast (13.1%) and the Northeast (12.9%).  The two regions that were hit hardest by the first wave of COVID-19 outbreaks.

Worse yet…the same study showed 86% of those denials were potentially avoidable due to bureaucratic delays. Unbelievably 48% of those claims cannot be recovered.

Plainly put, this allows insurers to keep money that should have made its way back to our frontline workers when they needed it the most.

This isn’t right. We know it…and they know it.

Sign the Petition Right Now!

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, 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 for the Benefit of our Patients from the time you walk in, to when you are personally assisted with the billing process.  We are here to help you get well and stay well!

Know Where to Go in Case of an Emergency.

High Blood Pressure Education Month – It Starts with Your Heart

Understanding High Blood Pressure

It Starts with Your Heart

May has been designated by the Centers for Disease Control and Prevention (CDC) as National High Blood Pressure Education Month.

Because of this, at Altus Emergency Centers we will focus our attention during this month on the education and prevention of high blood pressure in the communities we serve.

What is Blood Pressure?

Every time your heart beats it pumps blood through your arteries so it can transport oxygen and nutrients to the rest of your body.

As the blood moves, it pushes against the sides of the blood vessels. The strength of this pushing is your blood pressure.

Your blood pressure will rise and fall throughout the day, but if it stays high for a long time, it can damage your heart. High blood pressure also known as hypertension can cause heart attack, stroke and lead to other severe health problems.

Know Where to Go in Case of an Emergency.

Understanding Your Blood Pressure Reading

When a doctor or nurse takes your blood pressure, the reading consists of two numbers, which represent your systolic and diastolic blood pressures.

Systolic Blood Pressure: This is the highest level your blood pressure reaches when your heart beats.

Diastolic Blood Pressure: This is the lowest level your blood pressure reaches as your heart relaxes between beats.

Source American Heart Association

Alarming Facts of High Blood Pressure in America

According to the Centers for Disease Control and Prevention (CDC):

  • 75 million American adults have high blood pressure that is 1 in 3 Americans
  • 1 in 3 adults has a condition known as prehypertension (higher than normal blood pressure but not yet in the high blood pressure range)
  • Only about 54% of hypertensive patients have their condition under control
  • High blood pressure is the primary or contributing cause of death for approximately 410,000 American’s a year, that is close to 1100 deaths a day
  • Between 30 and 32% of Texans ages 20 and older have high blood pressure

4 Things You May Not Know About High Blood Pressure

Here are some surprising facts about high blood pressure you may not have heard of:

1. There is a Link Between Hypertension and Dementia

Recent studies show a link between high blood pressure and an increased risk of dementia. The studies showed that having uncontrolled hypertension during midlife (45-65 years old) increased the risk of developing dementia later in life.

2. It’s Not an Old Folks Condition

High blood pressure can affect anyone regardless of age, gender and ethnicity. Statistics show that 1 in 4 men and nearly 1 in 5 women age 35-44 have high blood pressure.

 

3. Hypertension Usually Has No Symptoms

The condition is popularly known as the “silent killer” because it doesn’t always show symptoms like headaches or sweating.

The only sure way to know if you have high blood pressure or not is to have it checked regularly.

 

4. Many People with High Blood Pressure Don’t Know They Have It

The CDC estimates that as many as 11 million American’s suffer from high blood pressure and don’t know it, and as a result, are not being treated.

Tips to Prevent High Blood Pressure

At Altus Emergency Centers we believe preventing illnesses and accidents is the best policy. To reduce your risk of developing high blood pressure you should:

  • Maintain a healthy weight
  • Exercise Regularly
  • Eat a healthy, balanced diet
  • Reduce sodium (salt) in your diet
  • Limit the amount of alcohol you drink
  • Quit smoking
  • Cut back on caffeine
  • Reduce your stress
  • Monitor your blood pressure regularly
  • Speak to your doctor if you notice your blood pressure is higher than normal

What to Do During a Hypertensive Crisis

A hypertensive crisis or high blood pressure crisis happens when your blood pressure rises quickly and severely with readings of 180/120 or over.

If your blood pressure reaches 180/120 or over and you experience symptoms such as chest pain, shortness of breath, back pain, numbness or weakness, changes in vision, or difficulties speaking, you are experiencing a hypertensive emergency and need to get to the nearest Altus ER Center for immediate medical attention.

 

At Altus Emergency Centers we have the best emergency doctors and registered nurses 24/7, they are trained to work under pressure and save lives. While we advocate for prevention, we are ready to treat hypertensive crisis and other high blood pressure-related medical emergencies.

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, 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!

Free Backpacks With School Supplies and a Chromebook Giveaway!

Enter to Potentially Win!
Free Backpacks With School Supplies and a Chromebook Giveaway!!

YES! We agree that this year has been a bit insane but we can help you safeguard the wellness of your children. 

Each year of a child’s formation is vital in so many ways.  From everything beginning with academic, social, and emotional needs, each child parent has unique hurdles.  Now, let’s put this all into the concept of present day, 2020…  As parents, we really understand your plight.   Yes!  We thank the incredible work done by teachers and parents to ensure that the educational system will work.  At Altus Healthcare systems, we want to help!  For this reason, we are bringing you the opportunity to participate in our Free Backpacks With School Supplies and a Chromebook Giveaway!

IT’S FREE! How it Works

IT’S 100% FREE TO PARTICIPATE IN THE FREE BACKPACKS WITH SCHOOL SUPPLIES AND A CHROMEBOOK SWEEPSTAKES GIVEAWAY!

It’s Easy to Participate in our Free Backpacks With School Supplies and a Chromebook Giveaway! Hurry! Five lucky winners will receive 1 backpack filled with school supplies each and one lucky winner will be able to get a Chomebook in their stash!  The winner’s name will be announced on August 19th, 2020.  All Sweepstakes Official Rules Apply.

SIGN UP NOW!

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1.  THROUGH FACEBOOK

Tune in on Aug. 19, 2020 for the Winners!

Keep your eyes and ears glued to find out the outcome!  On August 19, 2020 we will announce the winners of the sweepstakes.  Thank you for everyone who participates and good luck!  Don’t forget that we are here for you 24/7 as the safest ER option near you.  We cover all ER needs from babies to Medicare.  Stay safe and take care.

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, and 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.  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!

Is a Direct Contract with Health Services Worth It?

What All Employers Should Know:

How to Save Money through a Direct Contract with Health Services.

Rising healthcare costs are a sad sign of our times; few understand this better than employers that sponsor self-insured employee health benefit plans (“self-insured employers”).

Up until now, the model has been to have employers shop around for the best pricing for their employees for their business. Then the employee selects what health benefit is provided through the plan you purchased as a business owner.  

We get in this vicious cycle of an uncontrolled expense based off of employee health issues.

Cost continue to rise for the business man because there is no set control on where employees go. This leads to higher deductibles, premiums, payment year after year all because of lack of control.  What if you could shop for cost-effective medical services, which would, in turn, reduce costs?

When it comes to medical emergencies, it is unreasonable to expect anyone to research affordable care.

You cannot expect someone to drive long distances, during an emergency at which time, every second counts.  In these instances, the decision of where to receive care should be based on proximity, convenience, with little to no wait times.  A decision based purely on cost could put their health or even life at risk.

A Viable Solution to Lowering Health Care Costs

A much better option for self-insured employers is to consider sidestepping health insurers and negotiate directly with local health care providers like Altus Emergency Centers

to lock in reasonable pricing for health services.

A direct contract arrangement will allow employers to negotiate bundled case rates with provider organizations, which is a huge benefit for those businesses looking to cut their health care costs, while still guaranteeing quality care for their employees.

Know Where to Go in Case of an Emergency.

How it Works

When a direct contract is negotiated, a price is arranged for each treatment, diagnostic test, or health service.  This means that the employer will make a single payment to providers and healthcare facilities for all services to treat a specific condition or provide a particular treatment.

Because the middle man was cut out, the providers can lower costs, making it more affordable for self-insured employers.

Benefits of a Direct Contract with Health Services

When you eliminate the middle man, in this case, the insurance company, there are benefits all around.

In a Direct Contract scenario, the course of treatment will be the same, but now at a fixed cost rather than variable.

There wouldn’t be a need to worry about prior authorizations and self-insured employers save money in the long run.

Additionally, employers have more control over employee health benefits.

Direct Contracting with Altus Emergency Centers

We encourage any employer who wishes to negotiate a direct contract for emergency health services, to visit us. We are willing to work with you to provide the best health care possible to your staff and their families.

 

We treat a wide range of conditions including:

  • Primary Emergency Care
  • Pediatric Emergencies
  • Head, back and neck injuries
  • Sports injuries
  • Flu symptoms and complications
  • Chest pain
  • Cuts and scrapes
  • Abdominal pain
  • Orthopedic pain
  • Acute headaches

Additionally, all our facilities are staffed by top-rated emergency doctors and nurses, as well as the most technological diagnostic equipment.

All our centers provide the following services:

  • Dedicated Pediatric Rooms
  • Private Adult Patient Rooms
  • CT Scan
  • Digital X-Ray
  • Ultrasound
  • EKG
  • Full-service Diagnostic Lab

 

If you are a self-insured employer and would like to know more about how you can reduce your health care costs with a direct contract for health services with Altus Emergency Centers, contact us or give us a call and schedule an appointment, together we can provide better care at a more affordable price.

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!

$100 Free Gift Card Giveaway to Support Your Favorite Restaurant!

$100 Free Gift Card Giveaway in Support of Local Restaurants and our Community

Why the $100 Free Gift Card Giveaway?

These are challenging times during the Coronavirus (COVID-19) pandemic.  As a result, many families and local businesses have been struggling.  At Altus Emergencies, we believe from the bottom of our hearts that we are all in this together.  We have remained open 24/7 serving our communities to ensure that they have a safe haven when they are in need of emergency medical care.  We offer the alternative to crowded hospital ERs in order to ensure our patients will not contract a secondary infection.  How do we do this? We abide by strict safety guidelines according to the CDC, we have a far lower patient to nurse ratios, in fact, our patients will enjoy no wait times.  They will not have to sit in the lobby dangerously next to anyone else, unlike hospital ERs.  This said we applaud the brave works of the hospital ERs as, like ourselves, they are working hard in the face of these uniquely dangerous times.

This $100 Free Gift Card Giveaway is to help support our local restaurants and give a family the opportunity a chance to enjoy a much deserved great meal of their choice.

What Else Have We Been Doing About It?

At Altus, we have began to reach out to our local restaurants to help support them by being their customers as well!  Yes!  You can social distance, you can order express or do take out being careful to distance yourself, not touch your face while you are outside and wash your hand vigorously.  Here are some of the places that we have recently visited and published on social media along with #ShopLocal, #WeSupportLocal and #WeAreAllInThisTogether.  This is a time to truly bring our communities together.

IT’S FREE! How it Works

It’s 100% FREE to Participate $100 Free Gift Card Giveaway!

 

It’s Easy to Participate in our $100 Free Gift Card Giveaway. Hurry! Two lucky winners will receive one (1) $100 free gift card each!  The winner’s name will be announced on May 4, 2020.  All Sweepstakes Official Rules Apply.

1.  THROUGH FACEBOOK

  • You can participate through the location nearest to you:  Altus ER Lake Jackson, or Altus ER Waxahachie
  • Comment a Photo or Video of a Fun Family Activity During Quarantine
  • Invite a Friend (by tagging them) that you think will love to participate as well!

2.  THROUGH INSTAGRAM

  • Follow our Instagram Pages: altusemergencycenters
  • Comment your a Photo or Video of a Fun Family Activity During Quarantine with Hashtag #AltusSupportsLocal,
  • Invite a Friend that may wish to participate

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, and 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.  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!

HEALTH NEWS, EVENTS & MORE.

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😱 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

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