We are pleased to provide this information to help you understand our patient billing practices. We take a positive approach to patient billing and collections with the goal of receiving payment for services rendered in the most efficient, timely and customer oriented manner possible. We also understand that billing and collections for health care services can be confusing. To assist you in understanding these billing services and to answer any questions you may have in advance, please review the following material.
If you have questions about your bill or need assistance, please call us at 785-229-3379. We’re here to serve you!
Before hospitalization or use of outpatient services, you are responsible for meeting any special requirements of your insurance plan, such as prior approval, referrals, pre-certification, or obtaining a second opinion.
If you have current insurance coverage, Ransom Memorial Hospital will file your insurance claim for you. In order to meet frequent changes in insurance company requirements, it is necessary for us to have a copy of your insurance card and review it each time you use our services.
We will file your insurance claim, and will ask your insurance company to send payment directly to Ransom Memorial Hospital. If payment has not been received within six weeks of the filing date you will be billed for the unpaid balance.
Worker’s Compensation Injuries
If you believe your injury is work related, you are required to provide Ransom Memorial Hospital with the name and address of your employer. You must report the accident to your employer within 24 hours. Your employer may require authorization for treatment. Failure to do so may result in loss of benefits. Health insurance plans generally will not pay claims determined to be work related.
Motor Vehicle Accidents
Kansas law requires claims related to injuries occurring as a result of ownership, operation, maintenance, or use of a motor vehicle to be filed with motor vehicle insurance. Any claim for an injury arising from contact with a motor vehicle, even if the vehicle is not moving, must first be filed with your motor vehicle insurance. Most health insurance plans will not consider the claim until it has been filed with the motor vehicle insurance.
If you sustain an injury associated with a motor vehicle accident, please provide Ransom Memorial Hospital with information on your motor vehicle insurance carrier and report the injury to your motor vehicle insurance carrier. Failure to do so may leave you financially responsible for the charges.
Payment at the Time of Care
We appreciate your selection of RMH for your health care needs. We understand that you have come to expect the highest level of quality care from RMH & its staff and we want you to know that we do not take your trust and expectations lightly. Healthcare has become a hot topic in the past several years, with mandatory changes and increasing requirements from both patients and healthcare providers. We recognize that these changes can be unsettling and confusing.
RMH wants to help our patients to become more knowledgeable about the costs of their medical services, payment responsibilities and options. RMH has already begun implementation of a new payment process that will assist patients in understanding their portion of their medical care and services costs. The first phase of this process has been learning to utilize real-time technology tools to communicate with insurance plans regarding co-payments, co-insurance portions and deductibles to assist us in determining your financial responsibility or a reasonable estimation of such. Starting summer of 2015, a payment based upon your care is due at the time of service.
Our goal is to continue providing the highest quality healthcare services while assisting our patients to become more informed and engaged consumers of healthcare.
Frequently Asked Questions
How will RMH determine my payment?
The hospital is already utilizing real-time tools to communicate with some health plans, but in the event a patient’s actual benefits cannot be determined, we have determined nominal standard payment for most hospital services.
What if I have to go to the hospital with an emergency?
We assure you that our ONLY priority in an emergency situation is for all staff to focus on assisting the patient with their immediate healthcare needs. If, after medical screening and/or treatment, you are deemed to be stable and ready for discharge to home or your condition is determined to be non-emergency in nature, a registration clerk will ask for payment at that time.
What if I don’t have health insurance?
Patients without health insurance coverage will be asked to pay an amount at the time of care. We will work with them to make arrangements for payments on their remaining balance. These amounts are similar to the most reasonable co-pays paid by those with health insurance. Additionally, you will be offered the opportunity to apply for assistance through Financial Assistance.
What is Price Transparency?
The Centers for Medicare & Medicaid Services (CMS) mandates in the 2019 Medicare Inpatient Prospective Payment System Final Rule, for hospitals to make available a list of their standard charges in machine readable format, effective January 1, 2019. RMH complies with this regulation and the promotion of patients having better access to health care services.
The chargemaster encompasses a list of items and services available at RMH, along with the charge for each item. The charge master does not allow patients to accurately estimate their patient responsibility for services rendered. Things you should consider:
- Charges could change throughout the year, but may only be updated on the website annually. Please call for most up to date charges.
- Tests, procedures and visits often include multiple charge items, depending on services ordered by your physician.
- Visits often include services rendered by other institutions, such as physician clinics, hospitalist physicians, ER physicians, Radiologists, Anesthesiologists as well as Pathology; therefore, charges are not all inclusive. These institutions bill separately for their services; you should reach out the them directly for their charge item inquiries.
- Similar charges may vary depending on the location within the hospital where services were rendered.
- Most patients do not pay the charge amount, as specific adjustments are made depending on a patient’s insurance plan and coverage.
Estimating Patient Responsibility – Estimating patient responsibility, unfortunately, is not as simple as identifying charge items in the charge master; it is complex. In addition to determining charges included in certain types of visits, insurance coverage is another determining factor of estimating patient responsibility.
For patients with insurance, the different insurance payers may contract with each facility at a different payment rate, or allowable amount, which adds to the complexity of price transparency. Every patient has an agreement with their insurance company of what is determined as acceptable for insurance and patient responsibility to be, upon services being rendered. In addition to monthly premiums, a patient’s out of pocket expense includes co-pays, deductibles and co-insurance. Contact your insurance company for specific questions regarding your coverage and benefits.
For an estimate on scheduled hospital services, call our office at 785-229-3383. Staff will review the scheduled procedure ordered by your physician, as well as your insurance coverage and benefits.
Uninsured and underinsured patients may be eligible for discounts.
For those who qualify, financial assistance is also available. To apply, complete the Financial Assistance Application.
See below, machine readable documents regarding RMH charges.
Click HERE for a Financial Assistance application