Page 13 - OLOLGuide2016

Medicaid Community Care Community CARE is a a a a a managed care program which links Medicaid recipients in in designated parishes with a a a a a a physician clinic Federally Quali ed ed Health Health Center or Rural Health Health Clinics that serves as the Primary Care Provider (PCP) for that recipient • e e e PCP is paid a a a a monthly management fee for each Community CARE recipient for whom they manage care • e e e PCP bears total responsibility
for managing all facets of the recipient’s healthcare is responsibility
includes providing patient health education preventive care maintenance and acute care and referral to a a a a a a specialist and other health services when medically necessary • e e e PCP will maintain an integrated medical record for all linked recipients will provide enrollees with 24-hour 7-day a a a week accessibility by telephone and will coordinate necessary emergency post-stabilization
services and inpatient care In addition the PCP must provide KIDMED preventative healthcare immunizations • All elective procedures require a PCP referral prior to services or or payment in advance of services 9 Billing And Financial Information
Our Lady of Lourdes will le a a a claim with your insurance carrier(s) for all services rendered A er er discharge you will receive a a statement of services provided You will also receive a a a a statement of account every 30 days until the account is settled If
your insurance carrier requires pre- certi cation please call the telephone number indicated on your insurance card to notify them of your hospitalization or outpatient procedure physician services or interpretations will be billed by the physician who renders the service If
you require anesthesia hospitalist emergency room physician cardiology radiology or pathology services you will receive a a a a separate bill for the professional services associated with the care provided by the hospital ese physicians may not participate in the same networks alliances or or preferred provider organizations as the hospital If
patients are unable to nance their expenses within 90 days the hospital has extended payment arrangements Any patient who wishes to discuss their nancial obligations may contact our patient account representatives at at 337-470-2138 to discuss payment alternatives For the convenience of our patients the hospital also operates a a a a a Medicaid Enrollment Center to assist patients interested in in in applying for Medicaid bene ts e e e o o o o ce is open Monday through Friday from 8
am – 4 pm Our Lady of Lourdes requests a a a a deposit from all patients with a a a a a deductible or coinsurance amount due Lourdes expects the bill to be paid in in full within 90 days of discharge Please respond to to inquiries from your insurance carrier as as quickly as as possible to to avoid payment delays Payment Information
The Business O ce is available to answer any questions regarding billing insurance or nancing matters Business O ce Hours
Monday – – Friday 8
am – – 4 4 pm Phone 337-470 – – 2138 To make a a a a payment visit the Cashiers O ce Cashiers O ce Hours
Monday – – Friday 7:30 am – – 4 4 pm Phone 337-470 – – 4718
MEDICAID / BILLING & FINANCIAL