Billing Frequently Asked Questions( FAQ)
What is the difference between Preventative and Diagnostic coded services? We code a visit based on information provided by the ordering / referring provider. Preventive and Diagnostic describe two types of health care you receive.
• Preventive care is related to routine physical or checkup. Preventative care coverage will vary based on your insurance plan benefits and allowed frequency.
• Diagnostic care is what you receive when you have signs, symptoms or risk factors and your doctor wants to diagnose them. Diagnostic visits and tests typically result in a higher patient responsibility.
• Ex: If you have a diagnosis of osteoporosis and require a yearly DEXA scan, it will be considered, and coded as, diagnostic.
To best understand your out of pocket responsibility, contact your insurance company.
Why was my final charge more than my estimate? Based on the level of care for you and your individual healthcare needs, you may find the estimate to differ from the final charges billed to you or your insurance. More specifically, each physician may order different tests after clinical assessments are performed; additional supplies and medications may be needed as well. Surgical procedures can also vary in duration, which may impact the accuracy of the estimate you were given prior to a planned surgical event. All of these examples could be factors that contribute to how closely your estimate is compared to final billed charges.
What happens if my paid estimate exceeds my final charge? Renown’ s commitment to providing exceptional care includes proactively identifying and taking action on situations where we received excess payment. After we receive payment from your insurance and we verify that you have no other outstanding account balances with us, we will mail a refund check to the updated mailing address you provided during your visit.
What is Guarantor Billing? A guarantor is the person who accepts financial responsibility to pay for the patient’ s bill. In most cases, the guarantor is the adult patient receiving the service. If the patient is a child, the responsible party may be the child’ s parent or legal guardian.
Guarantor Billing is a statement that combines all services for each patient with the same guarantor into one monthly billing cycle. Each patient will receive just one monthly statement on their charges. Additionally, the State of Nevada requires that we send you a summary of your charges after services are rendered. This is an
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