Bundled Payment Program
What is a bundled payment?
One payment paid for a series of services during the day of surgery. This may include services such as the facility, surgeon, assistant surgeon, anesthesia, and medical equipment. Your insurance company has agreed to pay one payment for all these different providers who participate in your care the day of your surgery. This reduces the number of payments you need to make to different providers by only being responsible for one bill. All providers work together to provide you the highest level of coordinated care.
Benefits of the Program:
Concierge Care
Your surgeon has a case manager that will guide you through your steps from preop to postop instructions.
Outpatient Facility
You are not sick and do not need to be in a hospital; therefore, it is safer for your procedure to be performed at an outpatient surgery center, which reduces exposure to viruses and other illnesses. You may be ready to go home the same day or if needed you may receive overnight care and be discharged early the next morning.
Reduced Cost
The amount you owe will be based on your benefit plan and may include coinsurance and deductible amounts for the total cost of care. Your savings come from reduced facility costs using a surgery center versus the hospital. There may be additional savings based on your insurance coverage.
What WE do:
· Case managers guide you through this process. You will be assigned a case manager from your surgeon’s office. The case manager will contact you prior to your surgery and provide follow up phone calls over 90-days after your surgery to also include an annual follow-up.
· We coordinate your care and assist you with preparations for your surgery.
· We provide you an estimated patient payment responsibility to allow time in gathering your financial resources. You will have only “1” bill by which to pay for services rendered the day of your surgery.
What we need YOU to do:
· Attend all scheduled pre-operative and post-operative appointments, including physical therapy.
· Attend pre-operative appointment with the surgery center following the pre-operative appointment with your physician’s office.
· Answer or respond to all calls received from your assigned case manager
· Participate in all pre-op and post-operative surveys sent to you by email or surveyed by phone
· Ask questions. Your team is here to help you. Please contact your case manager or physician’s on call service with all issues.
