NAV : Patients and Visitors
Visitor Resources
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Betty Smith's Fibromyalgia Testimonial
Betty Smith was diagnosed with fibromyalgia 15 years ago but could find little relief from this debilitating disease. With the help of Dr. Purvez at Centra's Center for Pain Management,…
To view more Patient Testimonial Videos, click here.
Provider-based FAQs
For Medicare or Medicaid patients of the following
outpatient departments of Centra Lynchburg General Hospital:
• The Cardiovascular Group, Atherholt Road
• Seven Hills Urology, Langhorne Road
Q: What does "provider-based" mean?
A: "Provider-based" or "hospital-based" is a designation status established by Medicare and Medicaid that refers to the billing process for services rendered in a hospital outpatient location. The provider-based designation applies to Medicare or Medicaid patients only. As an outpatient department of Centra Lynchburg General Hospital, The Cardiovascular Group and Seven Hills Urology and its affiliated physicians share a commitment to providing high quality, well-coordinated patient-centered care. This will be measured by our achieving The Joint Commission accreditation status as an outpatient department of Centra Lynchburg General Hospital.
Q: What are Centra's provider-based locations?
A: There are two locations - The Cardiovascular Group located on Atherholt Road and Seven Hills Urology on Langhorne Road.
Q: How will my bills be affected by provider-based billing?
A: Medicare or Medicaid patients who are covered by other supplemental insurance may not have any additional out-of-pocket expenses for care. However, patients who do not have supplemental insurance will have additional out-of-pocket expenses to meet their Medicare annual deductible and Medicare co-pay. That's why we're asking patients with health insurance to check with their insurance providers to determine what will be covered. Depending on specific insurance, some patients may pay more out of pocket for these services and procedures than they would at one of our other facilities.
Q: Can you provide more details on how the billing process will change?
A: Patients will receive two separate bills for services provided at The Cardiovascular Group on Atherholt Road and Seven Hills Urology on Langhorne Road:
- One bill will be for professional services delivered by the physicians and other providers,
- And a second bill will be for facility costs associated with the visit.
As a result of the two bills, some patients will receive two Medicare Summary Notices from Medicare. Once Medicare processes their portion of the claims, the balance will be submitted to a secondary insurance, if one is provided. Patients who have a balance after the secondary insurance or who do not have supplemental insurance will receive two bills for the remaining balance:
- One bill from the Centra Medical Group and
- One bill from Centra Lynchburg General Hospital.
Q: Will Centra help me with my insurance company or offer any assistance with out-of-pocket expenses?
A: Centra offers a variety of payment options and assistance programs for qualified patients having financial difficulty. A Centra Customer Service Representative is available for assistance at 434.200.3777.
Q: Who should I contact if I have more questions?
A: For hospital billing, contact a Centra Customer Service Representative at 434.200.3777.
For urology billing, contact the Centra Medical Group at 434.200.3656.
For cardiovascular billing, contact The Cardiovascular Group at 434.200.5252.
Tag Cloud: Provider Base, Provider Based Billing, Outpatient, Out Patient, Outpatient Department, Out Patient Department, Outpatient Dept, Out Patient Dept
