No Surprise Medical Bills Here!

No Surprise Medical Bills Here!

Altus™ Emergency Is At The Forefront of Patient Advocacy

Last year Altus Emergency Centers announced their bold plan to eliminate surprise bills from their billing process.

After more than six months of having implemented their revolutionary plan, their senior management team confirms that their strategy has surpassed all their expectations.

When asked to comment on how the measures to prevent surprise bills have impacted their users, Kevin Herrington, MBA, FACHE President Altus™ Emergency Centers said:

KEvin-Altus Emergency

“Patients feel more confident now when they visit our centers to receive emergency medical attention because they know they won’t have to overpay for quality treatment, have excessive wait times or receive a surprise bill in the mail afterward.”

The Law Protects Texas Patients

Starting on January 1st, 2020, Texas law protects patients with state-regulated health insurance from surprise medical bills in the event of a medical emergency.

Altus Emergency Centers applauds the lawmaker’s decision to place patient interest first; however, it’s important to note that this law only covers an estimated 16% of Texans.

The approach Altus Emergency Centers has taken, on the other hand, benefits all their patients, including servicemen and women and their families covered through TRICARE. Additionally, Medicare patients are now accepted at the Altus Baytown ER and very soon to be at Altus Lumberton Hospital.  Best of all, there are no surprise medical bills here!

Know Where to Go in Case of an Emergency.

How Has Altus Emergency Centers No Surprise Bill Strategy Impacted Patients

Patients who visit any of the Altus ER locations have always benefited from top-rated medical care and customer service. With this new strategy, patients have more personalized attention, as the doctors who treat them are now directly involved by Altus management.  Altus also oversees and has control on the billing of these professional services.

The move to partner with doctors, technicians, and nurses directly has helped reduce staff turnover, and as a result, our centers now have a more family-oriented feel, which helps reduce patient stress and create a heightened sense of wellbeing.

The most significant impact, of course, is the financial benefit for the patients. Altus renegotiated all their physician fees to help lower the cost and out of pocket expenses for all patients.

“We were concerned with the financial burden a medical emergency can pose for American families, especially those living in rural areas where the options for quality healthcare are limited. Therefore, our priority was to do everything in our power to help reduce out-of-pocket expenses without compromising the quality of our service. Today we are pleased to say we succeeded.” Kevin Herrington

For the first day, Altus Emergency Centers opened its doors to the public; their primary focus has been the patients. Patient Advocate services are at the center of their business model.

Patients with questions about their insurance plan coverage are advised by experts to ensure they receive the maximum benefits their healthcare plan offers.

Additionally, the Patient Advocate files insurance claims in the name of the customer. And thanks to Altus Emergency Centers’ in-house billing system, invoices are now easier to understand.

There’s No Time to Wait in an Emergency!

WHEN THERE’S NO TIME TO WASTE, TRY OUR ONLINE CHECK-IN

Check-In Online

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!

It’s Time to Plan for Health Care

It’s Time to Plan for Health Care

If handling your finances and planning for the future were part of your New Year’s resolution, then this is the right time to start to plan for health care.

January is Financial Wellness Month, so we would like to encourage you to start planning for a future of better health and wealth.

How to Start Planning for Your Health Care Needs

Follow these simple steps to start a great plan for health care now and in the future:

 

1. Get Organized

The best you can do before you start formulating a plan for a better future is to declutter your life.

Start by clearing your desk or workspace. Having an organized workspace will help you achieve more of your goals, and it can also help you improve your time management skills and reduce stress.

 

2. Get a Handle on Your Finances

The first thing to do is to know your monthly expenses. Once you know how much you are spending and on what you start creating a budget.

Analyze your expenses and look for ways to save. Once you’ve done that, create a budget and review it every month. Implementing a budget will help you visualize where you could potentially save money and provide peace of mind.

Make sure to include healthcare coverage in your budget, your health, and that of your family should always be a priority.

Plan for Health Care - financial

3. Review Your Insurance Plan

Our lives and priorities change constantly. So, reviewing your health insurance plan to see if it still meets all your needs is sound advice.

Understanding your coverage and out of pocket expenses is important because in the event of an emergency or long-term illness, you will have a clearer understanding of the potential financial impact and you can start saving for that now.

 

4. Know Where to Go

Most insurance plans work through a network of healthcare providers. Take advantage of your insurance, schedule appointments for routine medical exams, and have a list of doctors and facilities that accept your insurance plan.

It is essential to know that while your insurance will cover services only if an in-network provider offers them, emergencies work differently.

Texas law guarantees you will receive the same coverage benefits for emergency room services regardless of whether the facility is in or out of network.

In other words, during a medical emergency, you can receive treatment at any facility capable of treating you and not have to pay more.

 

5. Take Advantage of Altus Emergency Centers Patient Advocate Services

Our Patient Advocate is here to help answer questions regarding your coverage, your Explanation of Benefits (EOB), invoices, as well as services provided at our facilities.

The resource is free, so you don’t need to worry about added costs. We are here to help.

Plan for Health Care for all ages

Know Where to Go in Case of an Emergency.

When Can You Have Access to Our Patient Advocate?

Our Patient Advocate is available to you as soon as you walk through our doors. If you are unsure of how to access your health insurance, they can help.

They can also help you negotiate with your insurance company, and they will take care of all the insurance claim process, including any appeals.

However, most people don’t realize our Patient Advocate can be of great help to them even if they have not visited any of our facilities before.

Our Patient Advocate can help counsel you on what your insurance benefits mean, and which ones are worth increasing. So, if you have a question, give us a call, and we will do everything we can to help.

Plan for Health Care patient advocate

Healthcare Financial Planning for Business Owners

If you own a business and you provide your employees with insurance coverage, you need to take special consideration when budgeting for the year ahead.

Altus Emergency Centers can help reduce your insurance costs. Contact us today so we can negotiate better medical service rates for you and your employees.

 

At Altus Emergency Centers, we want 2020 to be a healthy and prosperous year for everyone. So plan for the future and plan for your health care needs alongside Altus ER.

There’s No Time to Wait in an Emergency!

WHEN THERE’S NO TIME TO WASTE, TRY OUR ONLINE CHECK-IN

Check-In Online

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!

What is a Surprise Medical Bill – We Got Rid of Them!

What is a Surprise Medical Bill?

Don’t Worry, We Got Rid of Them!

Few things are as unpleasant as having an accident that lands you in the ER. The one exception might be getting hit with an unexpected or surpise medical bill.

But why are you getting a surprise medical bill if you are insured?

Here is What Happens

When you visit an emergency room, regardless of whether it is in-network or not; you may be treated by physicians and other medical staff that may not be part of your insurance plan network.

When this happens, the insurance companies won’t cover the full amount, and you will receive a bill saying you owe the out-of-network provider money. These bills are called balance bills and are commonly referred to as surprise medical bills.

What is Balance Billing?

If the emergency room, and doctor that treated you are both in-network, then you will only need to pay for what is negotiated in your plan, usually this involves:

  • Copay fees
  • Deductibles
  • Co-insurance amounts

However, if the ER or the doctor is an out-of-network provider, you will receive a balance bill, which is the difference between what the doctor charged and what the insurance company paid.

Know Where to Go in Case of an Emergency.

What Can You Do?

During a medical emergency crisis, nobody has the time to check if a doctor is part of their insurance network.

But fear of not being able to pay for healthcare should never stop you from getting it.

Therefore, in case of an emergency, come to the nearest Altus Emergency Centers immediately. Let us save your life first, and we will resolve the financial part later.

When you receive a balance bill or in other words a surprise medical bill, here are the steps you should follow:

 

 

1. Always Request an Itemized Invoice

 

Texas law requires providers to present an itemized bill upon request. Some providers will send it automatically, but if you don’t get it, ask for it!

Reviewing your bill could help reduce the amount owed in two ways:

  • You can verify there are no duplicate charges
  • You can confirm you are only being charged for procedures, tests, and treatments you received.

Billing departments handle vast amounts of data every day. So, it’s possible for some unintended errors to occur. Carefully reviewing your balance bill is the best way to avoid overcharges.

 

 

2. Call Patient Advocate

 

If you received a balance bill from us, the first thing you should do is contact our Patient Advocate.

Our staff is available to answer any questions and address any concerns you have regarding your bill.

Additionally, our Patient Advocate may be able to negotiate rates with insurance companies to help lower your bill.

We can even offer financial aid or customize a payment plan that works for you.

Surprise Medical Bills May Soon be a Thing of the Past in Texas

Earlier this month, in a unanimous vote, the Texas House approved Senate Bill 1264.

When signed into law, SB 1264 will prohibit out-of-network providers from invoicing patients for their services directly.

Instead, the law would allow providers and insurers to negotiate with one another to secure payment. The legislation also creates state regulatory authority over that arbitration process.

What this means for you as a Consumer

This is excellent news for you as a consumer!

This Senate Bill will give us more leeway to push insurance companies to pay fair prices for the services provided without having to burden you.

Altus Emergency Centers Goes the Extra Mile

 

In case you haven’t heard the news,  at Altus Emergency we directly control physician billing to ensure you superior service.

Since June 2019, all patients are treated exclusively by our in-house local doctors.

Additionally, this means we control the entire billing process so you will never receive a surprise medical bill from us. Physician services will still be billed separately for transparency purposes.

 

What Does that Mean to You?

 

  • We hire local doctors. Therefore, you can expect to see a friendly and familiar face every time you visit us.
  • Better Quality Control & Greater Accountability
  • More Qualified Physicians. We hold our physicians to a higher standard than that required by the State Board.  Visit our Altus Physicians Group page for more information.
  • We control billing in house. No Balance or Surprise Billing
  • Transparency. Physician bills will remain separate to maintain transparency. You will be able to see and review the breakdown of the costs.
  • Local Billing. Bills will come from our Regional office in Southeast Texas

 

At Altus Emergency Centers, we are always looking out for your health and your finances. Contact our Patient Advocate if you have any questions or concerns with your bill.

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!

What to Do When You Can’t Afford Your ER Bill

What to Do When You Can’t Afford Your ER Bill

Regardless of how organized you are with your money, nobody is ever fully financially prepared to deal with a medical emergency.

In recent years, most American’s have developed a real fear of having to visit a hospital or emergency room.  According to a study done by Harvard University, medical expenses were responsible for 62% of total bankruptcies in the US with 72% of those who filed bankruptcy due to medical costs had some form of insurance. If you are insured, you should be covered, right?  The fact is insurance companies with do everything possible to avoid paying claims.

With the growing trend of insurance companies looking for unlawful ways to deny emergency room visit claims, what can you do to avoid financial distress?

1. Don’t Panic!

We know having to deal with unexpected medical bills is a source of dread and anxiety, but, the worst thing you can do once you receive a bill from the emergency room is to panic.

Allowing anxiety to take over can cause more problems for you down the road. Keeping a clear, calm attitude will let you to review your bill and figure out what your next step should be.

PROTECT YOUR RIGHTS!

2. Review the Bill for Errors

Calmly check the bill to make sure you are being billed for the treatment you received; there have been cases where a patient was double billed for the same service by mistake, or even being charged for a procedure they did not receive.

  • If your bill does not include a detailed description of the charges, call the provider and ask them to send it to you.
  • It’s important to know that healthcare providers use codes known as Current Procedural Terminology (CPT) to report medical, surgical, and diagnostic procedures and services, you can search for them on the internet to decode their meaning.
  • Make a list of any items you have questions about.
  • Call the billing department at Altus Emergency Centers to make an appointment to review your bill as soon as possible. If there is one, they will be corrected, and a new statement will be sent to you.

3. Contact Your Insurance Company

If you have health insurance and feel you should not have to pay the amount owed, you need to contact your insurance agent as quickly as possible to ask why they are not honoring the terms of your insurance plan.

  • If your insurance company says the CPT code on the insurance claim is not covered by your plan, ask them which codes are covered by the program. This is important because in some cases our billing department might be able to change the code for a similar one that is covered by your insurance plan.
  • When your claim was denied because your insurer did not consider your procedure to be medically necessary, our doctors would be happy to write a letter explaining why the course of treatment was required.
  • If the insurance company is refusing to pay for your emergency room visit because the ER was not in network, let them know you are aware of your rights as a patient, and that the law requires insurance companies to pay for emergency medical treatment regardless of whether the facility is in network or not.

4. If All Else Fails, File an Appeal

There will be times when your insurance company will try to use fear tactics to get you to back down and pay out of pocket for services that should clearly be covered in your plan.

If you have tried to reason with them, and it has not worked, contact the Patient Advocate team at Altus Emergency Centers and bring them up to speed with everything you have done up to that point. They will try to speak to your insurance provider, and if they are unable to resolve the issue, they will gladly file an appeal on your behalf.

If your formal appeal is denied, you can refile another, and if the insurance company declines that one too, then you can request your claim to be reviewed by an independent third party who will give a final resolution.

5. Negotiate

If all your appeals are denied, or you are uninsured or are unable to pay the out of pocket amount, there are options available for you.

At Altus Emergency Centers we offer financial assistance for patients who cannot afford to pay their bills at once.

The first thing we will recommend is that you request a payment plan rather than use your credit card to pay for the amount due. Our Patient Advocate personnel can design a payment plan that fits your budget.

 

While it’s always a good idea to save for a rainy day, a medical emergency can happen at any time and to anyone. At Altus Emergency Centers we firmly believe that no patient should ever hesitate or fear to come in for treatment for fear of receiving a bill they cannot afford. For this reason, our Patient Advocate staff will work hard to ensure you receive the full benefits of your health insurance plan.

Contact our Patient Advocate department if you feel your insurance company is not honoring the terms of your healthcare plan, we can help you understand your benefits and your rights as a patient. We can also assist with the lengthy and often confusing health insurance appeal process.

Remember Altus Emergency Centers and the law are on your side!

MY EMERGENCY, MY CHOICE!

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!

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