Bills Claimed Higher Level of Service Than Was Documented. Sound Physicians is a Tacoma, Wash.-based provider of hospitalists and other physicians to hospitals and other medical facilities. BBB asks third parties who publish complaints, reviews and/or responses on this website to affirm that the information provided is accurate. There is a one time fee for the initial set up. Our unparalleled service, backed by our expertise, sets us apart from all other billing companies. Cellnetix Consultants (pathology) 800-374-4045. All payment plans require that you make a monthly payment based on the contracted schedule and amount established by Overlakes financial counselors. Resources to help you navigate the billing process. 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. 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. However, if they do not have a contract with your insurance, it might be fine. We service multiple healthcare practices throughout WA and Arizona. Give us a call or email for an estimate. 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. Sound Physician would not state that it wasn't sent but could not give an exact date that it was sent. A staff member may come to your room, if you are a self-pay patient. Have a question about our billing practice, please send us a message. Sound Physicians is a provider of inpatient physician services in hospitals in the United States. Wash.). Seattle Emergency Physicians 855-736-2781. UPMC's Patient Financial Services Center can help you with your financial needs. 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 *****. BBB Business Profiles may not be reproduced for sales or promotional purposes. We welcome any questions regarding insurance plans or fees incurred while utilizing our services, and about financial assistance programs that may be available for you. 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. View instructions about how to sign up for eStatements on MyUPMC (PDF). 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. Practice Management and Billing SPECIALISTS! In accordance with CMS HospitalPrice TransparencyFinal Rule, we are posting a comprehensive file of our standard charges for all hospital items and services and aprice estimator tool. In particular, any requirements related to co-payments, co-insurance, deductibles, non-covered services, referrals and authorizations. 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. please contact the appropriate billing office below: Sound Physicians Emergency Medicine of Maryland - 253-341-6327; Improving care and reducing costs in the communities we serve. 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. Get in Touch. Out-of-pocket costs for Premera members will not be impacted. C09-5301RBL (W.D. Improving Clinical Outcomes for 20 Years. All rights reserved. Patient Privacy | Price Estimates and Applying for Assistance, Financial Help While You're in the Hospital, 2023 UPMC I Affiliated with the University of Pittsburgh Schools of the Health Sciences, Supplemental content provided by Healthwise, Incorporated. 2022 Sound Medical Billing Solutions, LLC. 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). Olympic Medical Center and Olympic Medical Physicians continue to be in-network. Craig Thomas v. Sound Inpatient Physicians, Inc. and Robert A. Bessler, Civil Action No. I have over 28 years of experience any only employ the best for your company. Seattle Nuclear Medicine 206-320-4476. Pittsburgh, PA 15213 For questions about your bill or account or to request an itemized bill, contact the Frederick Health Hospital billing office by phone or mail. If you choose to do business with this business, please let the business know that you contacted BBB for a BBB Business Profile. 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. The physicians and staff of Southwest Pulmonary Associates thank you for your interest in our practice. Sound Physicians was founded by Robert Bessler, MD, in 2001 in a quest to improve care for his patients. If they try to bill you the balance, it can be illegal depending on what state you live in. Physicians Billing Office. Sound Physicians cannot bill a patient an amount more than their in-network cost share. 2023 Franciscan Alliance, Inc. All Rights Reserved, 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. BBB Business Profiles are subject to change at any time. One of the most powerful tools in this effort is the False Claims Act. 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. This company offers to provide physicians to hospitals in need of coverage for certain programs such as emergency medicine, critical care and hospital medicine. 2950 Cleveland Clinic Blvd. Office: 519 S. Peabody Street, Port Angeles, WA 98362 I have over 28 years of experience any only employ the best for your company. Phone: (888) 927-8023, Phone: (828) 398-5222 Hours: Open Monday Friday, 8:00 am 4:30 pm, For questions about the professional portion of your radiology bill. As a successful, multi-specialty, national medical group, we know what works and what doesnt across a broad spectrum of specialties. Patients of UPMC Cole should select the UPMC Cole Connect Patient Portal. Coming to a Cleveland Clinic location? Compliance. 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. Any portion of charges not covered by your insurance company will be due at the time those charges are identified, with the exception of elective cosmetic procedures, which must be paid prior to the procedure. *Please note that we are NOT contracted with First Health. We are a medical billing and management company located in Tumwater, WA. We service multiple healthcare practices throughout WA and Arizona. Physicians Billing Services does not process, submit or collect for hospital charges. This billing practice is common in health care, and one OMC patients experience already if they have had a diagnostic imaging procedure or a surgery utilizing anesthesia. Find a UPMC health care facility close to you quickly by browsing by region. We deliver against partners' clinical and operational priorities while providing extraordinary patient care during and after the acute care episode. By Phone: Call (425) 688-5124 . Copyright 2023 Sound Physicians. Indian River 772.563.4774. Celebrating 18 YEARS serving the Outpatient Rehabilitation Private Practice Community. Call 877-285-6920; TTY: 877-893-8199. The hospital will follow-up with you health insurance or plan to ensure payment for insurance portions. Compliance, Payment Address: PO Box 743522, Los Angeles, CA 90074-3522, Correspondence Mailing Address: Zotec Partners, Attn: SNDP Scanning, 11460 North Meridian Street, Carmel, IN 46032, Payment Address: PO Box 748996, Los Angeles, CA 90074-8996, Correspondence Mailing Address: Zotec Partners, Attn: SNED Scanning, 11460 North Meridian Street, Carmel, IN 46032, Payment Address: PO Box 741658, Los Angeles, CA 90074-1658, Correspondence Mailing Address: Zotec Partners, Attn: SNDA Scanning, 11460 North Meridian Street, Carmel, IN 46032. COVID-19 Update: Learn about precautions - including visitor guidelines - in place at our hospitals for your safety, and for our patients and caregivers. 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. Our clinicians are committed to providing the best care to patients and their families in the communities we serve. Thomas will receive $2.7 million of the $14.5 million settlement for exposing Sound Physicians inflated claims. Since 2015, we have managed 1M episodes and over $10B under value-based contracts. Physicians and Surgeons Information Bureaus, International Association of Better Business Bureaus, Sound Physicians Emergency Medicine Of Texas PLLC. Copyright 2023 Sound Physicians. To learn more, visit healthwise.org. Your culture is its own. Your organization is unique. We welcome any questions regarding . South Sound Medical Billing has done a great job accurately submitting claims for me and following up on past accounts. The claims resolved by the settlement are allegations only, and there has been no determination of liability. Terms of Use | SSMB submits claims to Medicare, Medicaid, No Fault/Personal Injury, Workers Compensation and all commercial carriers. Welcome to South Sound Medical Billing. Hours: Open Monday Friday, 8:00 am 4:30 pm. I am Kimberly Williams the founder of SSMB. Turnaround time can be as quick as two weeks for electronic claims. 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. Since January 2009, the Justice Department has recovered a total of more than $14.7 billion through False Claims Act cases, with more than $10.7 billion of that amount recovered in cases involving fraud against federal health care programs. John Karpel, I have nothing but wonderful things to say about my experience with South Sound Medical Billing! For easy and secure payment options and details please visit our patient portal at MyDocBill.com. We care deeply for our patients and for the community we serve. Our aggressive follow up system allows your practice to maximize claims paid which increases your profitability. 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. 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. Overlake is an award-winning, nonprofit, independently operated regional health system. 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 For example: mail or courier service, fax, email or web based programs. The Company provides services across the acute episode of care through emergency medicine, critical care, hospital medicine, transitional care and advisory services to improve quality outcomes for patients and help improve the performance of healthcare systems. 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. Contact the Patient Financial Services Center, Email Address: PatientFinancialServicesCenter@upmc.edu, Address: 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. 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. 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. Your independent, personal physician or other physicians providing you with services related to your hospital stay or visit will bill you separately. Quantum One, 1st Floor The portal for all UPMC patients EXCEPT those in Central Pa. (It might be smart to do this first tbh). All information is viewed and submitted over a SSL encrypted connection. As a successful, multi-specialty, national medical group, we know what works and what doesn't across a broad spectrum of specialties. To speak with a customer service associate, please call 412-864-0284 or toll-free 1-844-591-5949. UPMC's Patient Financial Services Center can help you with your financial needs. SSMB charges a percentage based on what is collected each month. If your insurance requires a co-pay, we will collect it before you leave the hospital. Sound Physicians 1498 Pacific Avenue, Suite 400 Tacoma, WA 98402. A lock (LockA locked padlock) or https:// means youve safely connected to the .gov website. Jennifer Hogan. New users can learn how to sign up and select the portal most relevant to you. Our services include prevention, treatment and care of pulmonary diseases and sleep related breathing disorders. Learn about precautions - including visitor guidelines. These providers may or may not participate in the same health plans as the hospital. The portal for UPMC patients in Central Pa. If there is any patient responsibility such as a co-payment, co-insurance or deductible a patient statement is sent out. All customer reviews are handled by the BBB where the company is Headquartered or a central customer review processing location. Patients can now view their statements and pay electronically in MyChart, offering a secure option for managing your account that is available 24/7. 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. Were so confident in our ability to generate positive results for our partners, we regularly will take on risk. We embed technology into our physicians workflows to promote consistent clinical excellence and help eliminate unwanted variations. We are glad to work with you to establish an interest-free payment plan. 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. Select MyUPMC to access your UPMC health information. 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. They stated that they would request the bill to be submitted and a hold on the. The act allows private citizens to bring civil actions on behalf of the government and share in any recovery. Available for both insured and uninsured patients. Billing is submitted within 24+48 hours of receiving them. We accept a wide variety of insurance plans at our main campus, community hospitals and family health centers. (210) 703-8375. OMC is not contracted with their HMO products. Follow these tips before your visit at Cleveland Clinic. 2 Hot Metal Street (Please do not confuse with First Choice. 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. 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. An invoice is sent to the client at the end of every month. I have over 28 years of experience any only employ the best for your company. The partnership between the two departments has focused efforts to reduce and prevent Medicare and Medicaid financial fraud through enhanced cooperation. Sound Physicians is a Tacoma, Wash.-based provider of hospitalists and other physicians to hospitals and other medical facilities. Olympic Medical Centers Finance Department is pleased to provide you with the following information to help address questions regarding your bill. For patients of UPMC-affiliated doctors in Central Pa, select UPMC Central Pa Portal. If a claim requires an appeal, we will process all of the necessary paperwork required in order to receive payment. 111 Tumwater Boulevard SE Suite 207, Tumwater, Washington 98501, United States. Learn more. Copyright 2021 South Sound Medical Billing - All Rights Reserved. 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. While we will bill your insurance carrier as a service to you, you are ultimately responsible for your account with us. BBB reports on known marketplace practices. If you are requesting patient billing for legal purposes, please visitwww.chartswap.com. By Mail: Mail a check to the following address. Find billing information and financial assistance at Cleveland Clinic Florida, plus FAQs. Please contact them directly to verify that they participate in your health plan. OMC is not contracted with their Ambetter product. To speak with a billing representatives, please contact Customer Service at 866.621.6385 (toll-free). You are responsible for acquiring proper referral information from your primary care provider and/or your insurance company prior to your scheduled appointment. 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. Please enter your full name . I will guarantee your reimbursement in a timely manner. Weston 866.621.6385. Your health information, right at your fingertips. Weston, FL 33331 |. ), Revised June 2021 for dates effective 7/01/2021 SSMB utilizes any method convenient for your practice. For 20 years, our high-performing and affordable care models have combined physician leadership, clinical process, technology, and analytics . Hospitalists are physicians, typically trained in internal medicine, who provide care exclusively to hospital inpatients and have no office or outpatient practice. We service multiple healthcare practices throughout WA and Arizona. Business hours at the Hospital Financial Services office are 8 a.m. to 5 p.m., Monday through Friday. 115 LINCOLN ST. FRAMINGHAM, MA 01702-6358. Find billing information and financial assistance at Cleveland Clinic Florida, plus FAQs. 800-533-8762. 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). For hospital, outpatient department, physician clinic and home health billing. Notice Informing Individuals About Nondiscrimination and Accessibility Requirements. All rights reserved. You may be financially responsible for services rendered that are deemed non-covered benefits under your plan. Schedule today. It is common to have questions about the billing process, and we are here to help. 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. I call the billing center again. Billing & Insurance. We put a premium on their well-being and regularly monitor for burnout. An official website of the United States government. We provide comprehensive lists of charges for each of our hospitals. Depending on your own situation, one option may be better for you. We are here to help you meet your practice goals. We are a medical billing and management company located in Tumwater, WA. SSMB stays up to date on the latest rules and requirements in order to maintain maximum reimbursement. For assistance in the following languages: | | | Nederlands | Franais | Deutsche | | | | Italiano | | | | Pennsylvania Nederlands | Polskie | | Espaol | Pilipino | | Ting Vit. Phone: (360) 417-7111 or (800) 854-2844 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. All rights reserved. Phone: (360) 417-7111 or (800) 854-2844 A .gov website belongs to an official government organization in the United States. SSMB accurately interprets and posts insurance and patient payments to maintain maximum reimbursement. Honestly, they probably won't but you should complain about it. Read the full notice: Franciscan Health Facilities | Franciscan Physician Network, ATTENTION: If you are not proficient in English, language assistance services, free of charge, are available to you. Sound Physicians cannot bill a patient an amount more than their in-network cost share. This rating reflects BBB's opinion about the entire organization's interactions with its customers, including interactions with local locations. South Sound Medical Billing is HIPAA compliant. The actual monthly payment and length of the contract will be dependent upon your outstanding balance. Financial Assistance Plain Language Summary Privacy Policy | Highly recommended! Yes. 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).