sound physicians billing department

Were so confident in our ability to generate positive results for our partners, we regularly will take on risk. Have a question about our billing practice, please send us a message. Olympic Medical Center and Olympic Medical Physicians continue to be in-network. Find billing information and financial assistance at Cleveland Clinic Florida, plus FAQs. We strive to stay in communication with our clients. OMC is not contracted with except the Cascade Select Public Option. View instructions about how to sign up for eStatements on MyUPMC (PDF). These providers may or may not participate in the same health plans as the hospital. Commonly used billing terms and definitions. Billing. A lock (LockA locked padlock) or https:// means youve safely connected to the .gov website. Out-of-pocket costs for Premera members will not be impacted. Your community is distinct. If you are a patient at one of our Martin Health facilities, you can use our online quick payment option. Members of Premera can expect an updated notice soon with additional clarity regarding Sound Physicians being out-of-network, and how the No Surprises Act prevents members from paying more than they would for an in-network provider for emergency services. One of the most powerful tools in this effort is the False Claims Act. Martin Health 772.223.5680. SOUND MEDICAL BILLING SOLUTIONS, LLC seeks to provide new and established Outpatient Rehabilitation Private Practices with a management solution that is SOUND MEDICAL BILLING SOLUTIONS, LLC is a full service Practice Management Medical Billing Company offering customized services designed to meet the needs of today's Outpatient Rehabilitation Private Practice. 2950 Cleveland Clinic Blvd. Depending on your insurance plan and type of service, you may pay lower out of pocket costs when you visit an in-network provider. Sound Physician would not state that it wasn't sent but could not give an exact date that it was sent. Additionally, services determined not medically necessary prior to receiving them are often patient responsibility as your carrier will send you a letter outlining why the authorization is denied. BBB Business Profiles are subject to change at any time. We partner with hospitals across the country and are dedicated to ensuring your experience as a patient is one that makes you and your family feel confident in the care you receive. Phone: (360) 417-7111 or (800) 854-2844 Select MyUPMC to access your UPMC health information. Seattle Radiology (First Hill) 888-737-4455. In particular, any requirements related to co-payments, co-insurance, deductibles, non-covered services, referrals and authorizations. All rights reserved. All customer reviews are handled by the BBB where the company is Headquartered or a central customer review processing location. This company is a health care, social assistance & service organization. Copyright 2023 Sound Physicians. All payment plans require that you make a monthly payment based on the contracted schedule and amount established by Overlakes financial counselors. OMC is not contracted with their Ambetter product. If you would like to compare our charges to other providers please visit the following sites: Patients can view their statements and pay electronically through our guest payment option in MyChart. Yes. OMC is not contracted with their HMO products. For over 20 years, Sound Physicians has energized our partners with talented, motivated physicians, APPs, and, CRNAs, who are trained to innovate and lead through an ever-changing healthcare landscape. We embed technology into our physicians workflows to promote consistent clinical excellence and help eliminate unwanted variations. With easy to access over 75 reports, youll always know exactly whats happening in your practice and where you stand financially. Terms of Use | Your challenges reflect broad healthcare trends across the U.S. but also your specific realities on the ground. Privacy Policy | UPMC's Patient Financial Services Center can help you with your financial needs. The hospital will gladly bill your insurance company for your hospitalization when the proper information is given at the time you check-in to receive your services and benefits are assigned. Pittsburgh, PA 15203. Business hours at the Hospital Financial Services office are 8 a.m. to 5 p.m., Monday through Friday. Our job as your strategic partner is to use our expertise to help you innovate around the obstacles and opportunities you face each day. However, BBB does not verify the accuracy of information provided by third parties, and does not guarantee the accuracy of any information in Business Profiles. Fraudulently inflated billing of government health care programs puts those programs at risk, and impacts the systems ability to care for the neediest in our communities, said Jenny A. Durkan, U.S. Attorney for the Western District of Washington. The service bundle information is a non-personalized estimate of costs that may be incurred by the patient for anticipated services and that actual costs will be based on services actually provided to the patient. If you have a question about your bill, your payment options, or applying for or receiving financial assistance, you should contact us. Bills Claimed Higher Level of Service Than Was Documented. SSMB also offers consulting services for medical practitioners to help improve and streamline your practice at an additional cost. For more information on your rights related to billing specifically surprise billing or balance billing please review the Balance Billing Protection Act/Federal No Surprises Act Consumer Notice, courtesy of the Washington State Office of the Insurance Commissioner. Find federal eligibility guidelines and learn how to request help if you are not able to pay your bill. Billing & Insurance. 2023, International Association of Better Business Bureaus, Inc., separately incorporated Better Business Bureau organizations in the US, Canada and Mexico and BBB Institute for Marketplace Trust, Inc. All rights reserved. Sound Physicians is a provider of inpatient physician services in hospitals in the United States. Obstetrix Medical Group (First Hill) 800-463-6628. Sound Physicians 866-765-0513 Other MultiCare Physicians All Locations MultiCare Medical Associates 253-274-1642 Pathologist All Locations Western Washington Pathology 877-433-8003 Pediatric Intensive Care Auburn, Good Samaritan, Mary Bridge, Tacoma General Pediatrix Medical Group 866-315-4058 C09-5301RBL (W.D. 800-533-8762. Practice Management and Billing SPECIALISTS! We put a premium on their well-being and regularly monitor for burnout. The partnership between the two departments has focused efforts to reduce and prevent Medicare and Medicaid financial fraud through enhanced cooperation. While we will bill your insurance carrier as a service to you, you are ultimately responsible for your account with us. As a successful, multi-specialty, national medical group, we know what works and what doesn't across a broad spectrum of specialties. (210) 703-8375. Copyright 2021 South Sound Medical Billing - All Rights Reserved. Your health information, right at your fingertips. Includes Exchange Cascade Standard plans, but NOT Cascade Select (Public Options Plans), Regence (all non-Medicare and non-Medicaid products), Includes Exchange Cascade Standard plans, but NOT Cascade Select (Public Option Plans), Regence Medicare Advantage PPO PPO product ONLY, Uniform Medical (currently administered by Regence), United Healthcare (Commercial, Apple/Medicaid and Medicare). UPMC's Patient Financial Services Center can help you with your financial needs. BBB Business Profiles generally cover a three-year reporting period. SSMB charges a percentage based on what is collected each month. In all cases, please review your medical benefits information. Please see below for a list of insurance companies with which Olympic Medical Center is contracted or in-network. If it was your insurance company's fault for the delay, ask if there's anything they can do about your out of pocket costs. Physicians who participate in Medicare and other federal health care programs must document and bill for their services accurately and honestly, said Stuart F. Delery, Acting Assistant Attorney General for the Civil Division. Physicians Billing Office. When you receive emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. This staff member can: If you have questions during your hospital stay, please ask your case manager. Learn more. Website: SoundPhysicians.com, 939 Caroline Street Sound Physicians is a Tacoma, Wash.-based provider of hospitalists and other physicians to hospitals and other medical facilities. Give us a call or email for an estimate. SSMB stays up to date on the latest rules and requirements in order to maintain maximum reimbursement. When Sound Physicians begins providing emergency medicine physician services in October, patients will receive two bills: A facility and services bill from Olympic Medical Center, and a professional (provider) bill from Sound Physicians. Having a hard time figuring out your physician and hospital bill? Looking for more information? Contact the Patient Financial Services Center, Email Address: PatientFinancialServicesCenter@upmc.edu, Address: The Department of Justice is committed to ensuring that Medicare and other federal funds are expended appropriately.. Turnaround time can be as quick as two weeks for electronic claims. Manage your Cleveland Clinic account. sign up and select the portal most relevant to you, Financial Assistance Application Form (PDF), Financial Assistance Process Policy (PDF), Medicare Provider Utilization and Payment Data, Plain Language Summary of Financial Assistance Policy (PDF), Review of Hospital Charge Description Master (CDM) Files (PDF), Sign in to UPMC Cole Connect Patient Portal, Apply for governmental assistance, like Medical Assistance (MA) programs, Review the Financial Assistance program and whether or not you may qualify, Pay for urgent, medically necessary services for those who do not have insurance or are underinsured, To set upa payment plan for an outstanding balance, To make a payment or talk about yourpayment options, Help you fill out Medical Assistance application, Help you figure out next steps if you do not meet Financial Assistance criteria. If you choose to do business with this business, please let the business know that you contacted BBB for a BBB Business Profile. It is common to have questions about the billing process, and we are here to help. It employs more than 700 hospitalists and post-acute physicians, who provide services at 70 hospitals and a growing network of post-acute facilities in 22 states. Seattle Emergency Physicians 855-736-2781. Si necesita ayuda con el pago de su cuenta, aunque tenga seguro o no, por favor pngase en contacto con nuestra oficina de ayuda financiera. Overlake is an award-winning, nonprofit, independently operated regional health system. Pittsburgh, PA 15213 Port Angeles, WA 98362, Copyright document.write(new Date().getFullYear()); | Olympic Medical Center | All rights reserved, Financial Assistance Plain Language Summary, Balance Billing Protection Act/Federal No Surprises Act Consumer Notice, Staff Illness Reporting Tool COVID Safety, Employee Initial Leave Request HR Leaves, One-year, interest-free payment plan on accounts over $300.00, Pre-approved bank loan program offered through Strait View Credit Union, Financial assistance for qualified individuals, Aetna (all non-Medicare and non-Medicaid products), Cigna (all non-Medicare and non-Medicaid products), Community Health Plan of Washington (CHPW) (Apple Health/Medicaid, Medicare), Coordinated Care (Apple Health/Medicaid Only). Weston 866.621.6385. 2 Hot Metal Street Sound Physicians is a Tacoma, Wash.-based provider of hospitalists and other physicians to hospitals and other medical facilities. When considering complaint information, please take into account the company's size and volume of transactions, and understand that the nature of complaints and a firm's responses to them are often more important than the number of complaints. BBB encourages you to check with the appropriate agency to be certain any requirements are currently being met. Olympic Medical Centers Finance Department is pleased to provide you with the following information to help address questions regarding your bill. Franciscan Health Facilities and Franciscan Alliance d/b/a Franciscan Physician Network comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We service multiple healthcare practices throughout WA and Arizona. Office: 519 S. Peabody Street, Port Angeles, WA 98362 Overlake Medical Center Foundation raises funds to support Overlakes vital programs, ensuring that we meet the health and wellness needs of our growing Eastside community. We are here to help you meet your practice goals. Financial Assistance Plain Language Summary We deliver against partners clinical and operational priorities while providing extraordinary patient care during and after the acute care episode. If you are requesting patient billing for legal purposes, please visitwww.chartswap.com. We provide comprehensive lists of charges for each of our hospitals. Please contact them directly to verify that they participate in your health plan. We are a medical billing and management company located in Tumwater, WA. Patient Financial Services Office Learn about precautions - including visitor guidelines. Overlake Medical Center & Clinics Attn: Patient Financial Services 1035 116th Ave NE Bellevue, WA 98004 Insurance Billing Patients have no out of network benefits, so it should be treated as self-pay. Visitation and mask requirements, Need a vaccine or booster? Toll-Free: (877) 350-3511, Phone: (855) 768-6363 If you have questions about your account you can call our automated attendant 24 hours a day, 7 days a week to get your balance or make a payment. For patients of UPMC-affiliated doctors in Central Pa, select UPMC Central Pa Portal. For over 20 years, Sound Physicians has energized our partners with talented, motivated physicians, APPs, and, CRNAs, who are trained to innovate and lead through an ever-changing healthcare landscape. If there is any patient responsibility such as a co-payment, co-insurance or deductible a patient statement is sent out. Access the headquarters listing for Sound Physicians Contact Information PO Box 120153 Grand Rapids, MI 49528-0103 Get Directions Visit Website (616) 464-9501 Customer Complaints 202 complaints. BBB asks third parties who publish complaints, reviews and/or responses on this website to affirm that the information provided is accurate. We strive to provide the most advanced pulmonary and critical care services and to compassionately meet the needs of our patients. This bill is for the services provided by the clinician that delivered care. This service is available for U.S. patients only and services provided at Cleveland Clinic Florida Weston Hospital and Cleveland Clinic Indian River Hospital outpatient clinics. Below you will see a few options. South Sound Medical Billing is HIPAA compliant. Real-time, risk-adjusted feedback and coaching improves quality on all the key clinical measures. Quantum One, 1st Floor Access the headquarters listing for Sound Physicians. New users can learn how to sign up and select the portal most relevant to you. Your healthcare provider may fax the referral directly to our financial services office at (425) 688-5969 or you may bring it with you on the date of service. Phone: (360) 417-7111 or (800) 854-2844 All rights reserved. We service multiple healthcare practices throughout WA and Arizona. First Choice Network (all cards with First Choice logo)*, Kaiser Permanente Options (via First Choice card must have a First Choice logo), Labor and Industries/Self-Insured Workers Compensation, Premera (all non-Medicare and non-Medicaid products). To speak with a billing representatives, please contact Customer Service at 866.621.6385 (toll-free). Sound Inpatient Physicians Inc. will pay $14.5 million to settle allegations that it overbilled Medicare and other federal health care programs, the Justice Department announced today. However, if they do not have a contract with your insurance, it might be fine. We care deeply for our patients and for the community we serve. SOUND MEDICAL BILLING SOLUTIONS, LLC is a full service Practice Management Medical Billing Company offering customized services designed to meet the needs of today's Outpatient Rehabilitation Private Practice. Whether we're expertly managing our programs at community, teaching, or safety net hospitals, everything we do is about empowering our innovative clinicians with the training and tools to provide outstanding clinical care. Todays settlement addresses allegations that, between 2004 and 2012, Sound Physicians knowingly submitted to federal health benefits programs inflated claims on behalf of its hospitalist employees for higher and more expensive levels of service than were documented by hospitalists in patient medical records. Sound grasps better than anyone the link between providing your patients with great care and your ability to generate needed financial results. Sound Physicians of Wyoming LLC Contact Information Principal Renee Avillanoza Customer Contact Renee Avillanoza Additional Contact Information Phone Numbers (901) 303-8883 Other Phone (855). The Sound Physicians settlement was the result of a coordinated effort by the Department of Justice, Civil Division, Commercial Litigation Branch; the U.S. Attorneys Office for the Western District of Washington; the Department of Health and Human Services Office of Inspector General; the Department of Defense, Office of Inspector General, Defense Criminal Investigative Service; the Office of Personnel Management Office of Inspector General; the Department of Veterans Affairs Office of Inspector General; and the TRICARE Management Activity Office of General Counsel. Patients of UPMC Cole should select the UPMC Cole Connect Patient Portal. Seattle Nuclear Medicine 206-320-4476. Thomas will receive $2.7 million of the $14.5 million settlement for exposing Sound Physicians inflated claims. We welcome any questions regarding . The physicians and staff of Southwest Pulmonary Associates thank you for your interest in our practice. Since 2015, we have managed 1M episodes and over $10B under value-based contracts. The hospital or clinic will gladly bill your insurance company when the proper information is given and benefits are assigned. Compliance. We use cookies to analyze website traffic and optimize your website experience. There are a variety of ways to pay your hospital or clinic bill: If you have insurance, we will bill your insurance for you. We are a medical billing and management company located in Tumwater, WA. You may receive separate bills for services rendered by the following organizations as part of your provider visit, hospital stay, diagnostic imaging or laboratory services. Our fees are competitively priced and vary based on the size of your practice, and the scope of services provided. This company offers to provide physicians to hospitals in need of coverage for certain programs such as emergency medicine, critical care and hospital medicine. For a real-time estimate of an upcoming procedure or exam, please use our cost estimator tools or refer to our list of shoppable services below. Welcome to South Sound Medical Billing. If you would like to speak to a live representative, you can do so between 8 am 4 pm Monday through Friday by calling 1-866-765-0513. The Center can help you with the following things: Apply for governmental assistance, like Medical Assistance (MA) programs; Set up a payment plan Find a UPMC health care facility close to you quickly by browsing by region. All rights reserved. For example: mail or courier service, fax, email or web based programs. You are responsible for acquiring proper referral information from your primary care provider and/or your insurance company prior to your scheduled appointment. This program is also applicable to patients who are eligible under a medical insurance program but have no insurance coverage because they have maximized their benefit limits. Either way, it completely breaks the contract they have with insurance and they can be fined. After several attempts Sound Physicians finally submitted the claim correctly per the most recent EOB: Total covered benefits approved for this claim: $253.94 to SOUND PHYSICIANS OF *****. (En Espaol). This program is available only for medically necessary services where there is no insurance coverage and the guarantors do not qualify for our Financial Assistance Program. The lawsuit is United States of America ex rel. Phone: 855-768-6363 Fax: 253-682-1714 Please enter your full name . Patients can now view their statements and pay electronically in MyChart, offering a secure option for managing your account that is available 24/7. Our services include prevention, treatment and care of pulmonary diseases and sleep related breathing disorders. Our unparalleled service, backed by our expertise, sets us apart from all other billing companies. *Please note that we are NOT contracted with First Health. I am Kimberly Williams the founder of SSMB. Improving care and reducing costs in the communities we serve. Your organization is unique. VA Community Care Network (administered by Tri-West). I will guarantee your reimbursement in a timely manner. Your culture is its own. If you need help paying your bill, whether or not you have insurance, please contact our Patient Financial Services Office. There is no cost to use this service. Weston, FL 33331 |. The portal for all UPMC patients EXCEPT those in Central Pa. The hospital will follow-up with you health insurance or plan to ensure payment for insurance portions. *In Canada, trademark(s) of the International Association of Better Business Bureaus, used under License. Olympic Medical Center TIN = 91-6001709, NPI = 1306845557 The patient is granted a 50% discount at Overlake Medical Center or a 30% discount at Overlake Clinics from the total account charges by paying the full balance within 30 days of the date of the first billing statement. A staff member may come to your room, if you are a self-pay patient. Olympic Medical Center's Finance Department is pleased to provide you with the following information to help address questions regarding your bill. I call the billing center again. Notice Informing Individuals About Nondiscrimination and Accessibility Requirements. I have over 28 years of experience any only employ the best for your company. John Karpel, I have nothing but wonderful things to say about my experience with South Sound Medical Billing! If you have questions about your account you can call our automated attendant 24 hours a day, 7 days a week to get your balance or make a payment. COVID-19 Update: Learn about precautions - including visitor guidelines - in place at our hospitals for your safety, and for our patients and caregivers. Our clinicians are committed to providing the best care to patients and their families in the communities we serve. There is a one time fee for the initial set up. The estimates provided are only related to your Cleveland Clinic providers. Wash.). Labcorp (Dynacare) Laboratory 888-680-4140. Schedule today. The actual monthly payment and length of the contract will be dependent upon your outstanding balance. Craig Thomas v. Sound Inpatient Physicians, Inc. and Robert A. Bessler, Civil Action No. A .gov website belongs to an official government organization in the United States. South sound medical billing not only provides a great value and insight to a complicated industry but also provides amazing customer service, prompt responses, and solutions. We're available Monday through Friday, 8 a.m. to 4 p.m. You can schedule an appointment for help by calling 1-800-371-8359 option 4. SSMB submits claims to Medicare, Medicaid, No Fault/Personal Injury, Workers Compensation and all commercial carriers. Copyright 2023 Sound Physicians. Sound Physicians 1498 Pacific Avenue, Suite 400 Tacoma, WA 98402. Physicians Billing Services does not process, submit or collect for hospital charges. Get in Touch. South Sound Medical Billing has done a great job accurately submitting claims for me and following up on past accounts. It employs more than 700 hospitalists and post-acute physicians, who provide services at 70 hospitals and a growing network of post-acute facilities in 22 states. Contact Sound Medical Billing Solutions, LLC by phone or email today! Whether were expertly managing programs at partner hospitals, delivering remote patient care via telemedicine, or managing long-term care patient populations, we empower our clinicians with the training, tools, and support needed to provide exceptional clinical care. Our aggressive follow up system allows your practice to maximize claims paid which increases your profitability. All complaints are handled by the BBB where the company is Headquartered or a central customer complaint processing location. Jennifer Hogan. Our unparalleled service, backed by Show More Connect With Us: Recent Reviews: Olympia, WA For questions about your bill or account or to request an itemized bill, contact the Frederick Health Hospital billing office by phone or mail. For contact details for these providers, please use our Find a Doctor search tools for Weston, Martin Health or Indian River. SSMB utilizes any method convenient for your practice. BBB reports on known marketplace practices. SSMB provides patient customer service for all billing inquiries. Call 877-285-6920; TTY: 877-893-8199. Hours: Open Monday Friday, 8:00 am 4:30 pm. Sound Physicians was founded by Robert Bessler, MD, in 2001 in a quest to improve care for his patients. 2023 Overlake Hospital Medical Center. This civil settlement illustrates the governments emphasis on combating health care fraud and marks another achievement for the Health Care Fraud Prevention and Enforcement Action Team (HEAT) initiative, which was announced in May 2009 by Attorney General Eric Holder and Health and Human Services Secretary Kathleen Sebelius. Pediatrix Medical Group 866-866-8542. If you are a patient at Indian River Hospital, you can use our online quick payment option. Billing is submitted within 24+48 hours of receiving them. Allegations that Sound Physicians had improperly billed a variety of federal health care programs were brought to the governments attention through a lawsuit filed by a former Sound Physicians employee, Craig Thomas, under the qui tam, or whistleblower, provisions of the False Claims Act. An invoice is sent to the client at the end of every month. There are a variety of ways to pay your hospital or clinic bill: Online: Click here to be routed to the secure MyChart payment portal. Sound Physicians Emergency Medicine Of South Carolina LLC is a Medical Group that has 3 practice medical offices located in 1 state 3 cities in the USA. By Phone: Call (425) 688-5124 . BBB Business Profiles may not be reproduced for sales or promotional purposes. The claims resolved by the settlement are allegations only, and there has been no determination of liability. If you have a UPMC patient portal account, you can pay your hospital bill on your portal's website. Not sure about what your insurance covers? Again, regardless if Sound Physicians is in-network, Sound Physicians is required by law to accept the average rate paid by Premera and other out-of-network insurances for emergency services. We are a leading physician partner to hospitals, health plans, physician groups, and post-acute providers seeking to transform outcomes for acute episodes of care. If you or a family member were seen in a hospital, emergency room, or post-acute care facility, you might have received a bill from Sound Physicians. ), Revised June 2021 for dates effective 7/01/2021 Follow these tips before your visit at Cleveland Clinic. We focus on four critical aspects to ensure success: From day one, we invest heavily in providing structured training and coaching to inspire our clinicians and develop leaders and high-functioning teams. To learn more, visit healthwise.org. More Details OUR MISSION