Medical billing can often be complicated; it involves multiple parties: the insurance company, patient, physician, medical facility, and medical equipment provider (Med One).
Our billing department is highly competent in the area of medical billing. We have some of the top billing experts in Arizona. Below is a list of some of the most frequent billing questions asked by patients. If your billing question is not listed below, please contact us: billingdept@MedOneAZ.com
1. The Amount due on my delivery ticket is different from the amount due on the billing statement Med One sent to me.
• A delivery ticket provides an estimate of what a patient may owe for the products and services received. The delivery ticket does not factor in deductibles or flat cost-shares. A billing statement is the most accurate representation of what you owe, as it includes feedback from your insurance company. The billing statement supersedes the estimated amount due on the delivery ticket. The billing statement amount due can be verified by reviewing the explanation of benefits from the insurance.
• If equipment or supplies are delivered BEFORE the insurance company determined reimbursement for Med One’s services, the amount due on the delivery ticket and the billing statement may vary.
2. After I made a payment, I received a patient pay bill.
• After a patient makes a payment, please allow a minimum of 15 business days for the payment to be posted to your account as “paid”. To expedite payment posting to your account and to ensure billing accuracy, please include the patient ID# OR include the patient's name and DOB (date of birth) when making a payment.
• Unless specified, payments are first applied to the oldest balances on an account.
• There may be pending charges with your insurance company which “open” (are billed) after your payment is sent.
• Some equipment may be billed as rentals, in which case you will receive a bill for each rental month. Some patients wrongly perceive these charges as “duplicates.” You can determine if billing is a duplicate by verifying the status of the equipment (Delivery Ticket) and the dates of the charges.
3. Why did I receive a bill, as I have insurance coverage?
• The insurance information we receive regarding a patient is often initially provided by a referral source serving the patient (skilled nursing, hospital, physician, rehab, etc.) and may be outdated or not accurate. If you have insurance information we do not have on file, please notify us immediately.
• The only way for Med One to determine if a patient changes insurance throughout a year, is when a patient notifies us of updates to their medical policies and coverage.
• Depending on the type of insurance, the patient may be responsible for a portion of the amount billed. Some patients wrongly feel that if they have insurance, they shouldn’t be billed. For example, sometimes patients hear a healthcare professional say “it’s covered”, which means that the insurance will pay 80% of the bill and the 20% co-insurance is the responsibility of the patient. Few insurances cover 100% of the bill.
• Some patients have secondary insurances, even tertiary policies. If you provide us with that information, we can check if the equipment charges not covered by your primary insurance provider, are in fact covered by the secondary insurance.
4. My statement does not say what I'm being billed for.
• The first billing statement issued for a particular charge contains details, such as: item description, payments, credits, and adjustments. Each subsequent billing statement for that charge only shows the current amount owed. The first billing statement contains multiple pages, whereas subsequent billing notices are condensed. Please refer to your first billing statement if you desire to review the detail associated with your charges.
5. Why am I being billed for something I am not using?
• Unless given notice, Med One assumes equipment rented to patients is in use. You can notify us directly to pick up the equipment, or via a discharge notice from the physician.
6. Can rental charges be pro-rated?
• Most rental charges billed through insurance are monthly fees (easier to bill), and the insurance company doesn’t allow for partial month (pro-rate) billing. If the equipment charges for a particular piece of equipment are billed daily or per diem, then pro-rate billing would apply.
7. Why am I getting a bill – I thought I owned the equipment?
• Medicare guidelines state that ownership for an item occurs only after the conclusion of 13 months of rental (oxygen and ventilator systems are excluded from this rule). In addition some non-Medicare insurances also follow this rule or may calculate if the total purchase price has been met (based on contracted rates).