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CEO Forum

11/17/2014 Employee Forum

Caring is our calling

Caring is our Calling; California's Community Hospitals.

Patient Accounts Payment & Collection | FAQ

Q: How does Riverside County Regional Medical Center obtain my insurance billing information?


A: The insurance information that you provided at the time of your registration will be submitted to your insurance carrier on your claim form. Please contact our Customer Service Representatives at (951) 486-5360 if you need to update or change the information that you provided to us at the time of your registration.

Q: Why am I receiving multiple bills from Riverside County Regional Medical Center?


A: You will receive a separate billing statement for each hospital stay and for every outpatient visit. Patient Registration Services will issue a new account number for each visit. The account number is located below the patient name on the billing statement.

Q: What is included in my inpatient billing statement?


A: Your inpatient bill includes the hospital charges for all services you received during your stay. The inpatient billing statement does not include any physician fees (i.e. anesthesiologist, radiologist, pathologist professional fee bills). You will also receive two separate bills if you are hospitalized in an acute bed and then transferred to a Skilled Nursing bed, or vice versa.

Q: What is included in my outpatient billing statement?


A: Your outpatient billing statement lists the hospital services you received on each visit. The outpatient billing statement does not include any physician’s professional fees.

Q: I am receiving weekly/monthly treatment for a medical condition. What is included in my outpatient recurring billing statement?


A: Your monthly recurring outpatient billing statement lists the hospital services you received on each visit. Recurring outpatient billing statements retain the same patient account number throughout your course of the patient’s treatment. The recurring outpatient billing statement does not include any physician’s professional fees. The following medical conditions are usually billed on a recurring outpatient billing statement:
·  Physical Therapy
·  Infusion Therapy

Q: Why am I receiving bills from physicians I did not see?


A: There are physicians that interpret your laboratory and radiology tests that do not schedule a patient appointment with you. The anesthesiologist and the assistant surgeon provided services to you while you were in the surgical suite. These physicians are required to submit separate professional fee billing statements to you and your insurance company. If you have questions about these statements, please call the telephone number listed on each individual statement.

Q: Do all physicians practicing at Riverside County Regional Medical Center contract with my insurance carrier?


A:
All physicians practicing at Riverside County Regional Medical Center are private practice physicians and contract separately with insurance companies. Please contact your physician or your insurance carrier regarding insurance coverage questions.

Q: Why am I receiving a bill when I expected my insurance to pay for everything?


A: Many insurance companies have a deductible, co-payment, or out-of-pocket patient liability. Some also do not pay for items they consider your responsibility, or “convenience” items – such as slippers or facial tissues. Please contact your insurance company or review your benefits booklet for more information on your individual insurance plan if your personal liability balance is larger than you expected.

Q: The charges on my billing statement are confusing. How can I get an explanation for these charges?


A: Please contact our Customer Service Representatives at (951) 486-5360. Our Customer Service Representatives are available from 8:00 AM to 4:00 PM Monday through Friday. Our representative will assist you with your questions and concerns.

Q: How can I apply for financial assistance?


A: There are two programs offered:

* MISP (County Program) contact them at 486-5423
* DPSS (State Medi-Cal Program) contact them at 486-5750

Q: I am unhappy with some aspect of my treatment or my charges. Whom can I talk to about my medical care?


A: Our Hospital Patient  Advocate is available to assist you with any patient care or service issues. Please contact them at (951) 486-4313. Please contact our Customer Service Representative at (951) 486-5360 if you have questions about your hospital bills.