Page 14 - FCSF New Patient Guide NPG0516 1.30.18

INSURANCE & FINANCIAL SERVICES

for the care provided by FCS. In accordance with your insurance
guidelines, we collect any co-payment, deductible, or co-insurance
amounts at the time of service. A Financial Counselor will meet with
you during your visit to review your insurance benef ts, f nancial
obligations, and they will be able to assist you with any questions you
may have regarding your account at any time while in the of ce. If
your insurance plan provides for direct reimbursement to our of ce,
we are happy to f le insurance claims on your behalf. We will make
our best ef orts to ensure that we have appropriately estimated your
out of pocket responsibility the f rst time; however, your insurance
Explanation of Benef ts (EOB) will be the f nal determination of
your out of pocket responsibility.

Medicare Physician Quality Reporting (PQRS)
FCS participates in Medicare’s Physician Quality Reporting System
(formally PQRI). T is Medicare initiative requires FCS to report
specif c quality metrics related to your care. T is will not be an
additional cost to you. For more detailed information about this
Medicare initiative, visit www.cms.gov or by phone at 1-866-288-
8912. TTY users should call 1-877-715-6222.

Limited Nurse Visits

During your visits to FCS, you may meet with a nurse who will
INSURANCE & FINANCIAL SERVICES evaluate your condition on behalf of the physician in order to
FCS is committed to being a supportive resource for our patients. All provide you with the best care. Please be aware that your insurance
FCS of ces have a dedicated Financial Counselor that will be your plan may institute a f nancial responsibility when this charge is
point of contact for any insurance related questions while you are in the billed. It will be your responsibility to pay for any charges applied
of ce. Additionally, FCS has a centralized business of ce in Ft. Myers, by your insurance company.
FL that will verify your insurance coverage, obtain authorizations, f le
your insurance claims, and work with your insurance company. Our Diagnostic Testing
central business of ce can be contacted at 1-877-327-2228 should As part of your care at FCS your physician may order additional
any issues arise related to your insurance. diagnostic testing that will assist in monitoring your health.
Please be aware that your insurance plan may institute a f nancial
Patient Assistance responsibility when charges are billed for diagnostic testing,

If you are concerned about your ability to make a payment or have whether through a non-FCS diagnostic partner or FCS’ diagnostic
f nancial questions about your out of pocket expenses, our Financial services. Any information about the type of tests your physician is
Counselors are available at every FCS location to help you determine ordering can be discussed with your physician.
the scope of your insurance coverage, discuss options for payments,
and provide information regarding various foundations and funding Waivers
that might be available. You may also contact our Patient Assistance During your visit with your physician, you may make a choice to
Department at 1-877-327-2228 to review any potential funding undergo a treatment that may not be covered by your insurance. If
options for your care. this situation occurs, a Financial Counselor will discuss this with you
in advance of your treatment to review your options. In accordance
Financial Policies with insurance guidelines, you will be asked to sign a waiver so FCS
For your convenience, we will verify your insurance eligibility and has written consent of your decision. A waiver is not required for all
benef ts at the time of service or in advance of your appointment. treatment choices and your Financial Counselor will go over this in
T e insurance carrier will inform us of your f nancial responsibility detail if your situation requires a waiver.

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