Billing & Financial Services
Pay My Bill
	We have partnered with Patientco to provide you with a simple method to
			 pay and manage all of your healthcare expenses in one, convenient place.
			 To opt-in for paperless billing and access affordable, self-service payment
			 options, create a free PatientWallet® account by clicking on the link
			 above and follow the instructions. 
	Our Patient Financial Services office is located at 233 North Houston Road
	 in the Roy H. "Sonny" Watson Health Pavilion, Entrance E4. Our
	 office may be reached by calling
	(888) 263-9025. We are pleased to be your provider of choice and hope you will find the
	 following information helpful.
Insurance and Billing
	We accept all types of health insurance. The Patient Financial Services
	 Office will bill your insurance carrier for you. The hospital will also
	 file multiple insurances for you if you have more than one policy. All
	 payments by debit or credit card can be made over the phone. If you have
	 any questions about your insurance or any statement you’ve received,
	 please contact the Business Office at
	(888) 263-9025. The office is open from 8:30 am until 5 pm, Monday through Friday.
Medicare & Medicaid
If you are admitted under the Medicare plan, you must be responsible for
	 the deductible, co-insurance, and non-covered items. If you are admitted
	 under the Medicaid/Georgia Better Healthcare plan, you must present a
	 valid Medicaid card. Houston Healthcare also participates in the PeachState,
	 Amerigroup, and Caresource health plans.
TRICARE
We participate in TRICARE - Active Duty (Resource Management), TRICARE
	 Prime and TRICARE Standard.
Indigent and Charity Care
We serve our patients with dignity, respect, and compassion, no matter
	 their financial situation. We assist patients who cannot pay for their
	 care to qualifying patients. Because we understand not all patients are
	 able to pay their hospital bills due to financial hardship, we provide
	 free care and discounted services.
As further described below, our financial assistance policy:
	- Includes eligibility criteria for financial assistance
- Describes the basis for calculating amounts charged to patients eligible
		 for financial assistance under this policy
- Limits the amounts that Houston Healthcare will charge for emergency or
		 other medically necessary care provided to individuals qualified for financial
		 assistance to no more than the lowest amounts generally billed (received)
		 by Houston Healthcare
- Describes the method by which patients may apply for financial assistance
- Describes how Houston Healthcare will widely publicize the Policy within
		 the community served by each hospital facility
- Describes Houston Healthcare's collection Policy
We remain committed to serving the emergency needs of all patients, regardless
	 of their ability to pay.
Financial Assistance Forms:
Price Transparency
The “Hospital Price Transparency Final Rule” requires hospitals
	 to establish, update, and make public a list of their standard charges
	 for items and services they provide. CMS interprets “items and services”
	 provided by the hospital to include all items and services that could
	 be provided by a hospital to a patient in connection with an inpatient
	 admission or outpatient department visit, including all individual items
	 and services and all “service packages” for which the hospital
	 has established a standard charge.
	- 
		Hospital is defined as “an institution in a State in which State or applicable
		 local law provides for the licensing of hospitals, that is licensed as
		 a hospital pursuant to such law, or is approved, by the agency of such
		 State or locality responsible for licensing hospitals, as meeting the
		 standards established for such licensing.”
	
- 
		Items and Services include each item or service appearing on the hospital’s charge
		 description master (“chargemaster”) and services performed
		 by non-physician practitioners.
	
- 
		Standard Charges are defined by CMS to mean “gross charges” and “payer-specific
		 negotiated rates.”
		
			- 
				Gross charges – The charge for an individual item or service that is reflected
				 on Hospital’s chargemaster. This rate does not include any discounts.
			
- 
				Payer-specific negotiated rates – The charge that Hospital has negotiated with a third-party payer
				 for an item or service. This rate does not include the amount ultimately
				 paid by the insurer or patient for an item or service, just the negotiated
				 base rate. Additionally, this rate does not include non-negotiated payment
				 rates, such as those for fee-for-service Medicare and Medicaid. Charges
				 negotiated by third-party payer managed care plans (i.e., Medicare and
				 Medicaid managed care plans, etc.) are required and included in these
				 negotiated rates.
			
- 
				Discounted cash price – This rate is the discounted rate Hospital charges individuals
				 who pay cash, or the cash equivalent, for an individual item or service
				 or service package. The published rate is unrelated to any charity care,
				 financial assistance, or bill forgiveness that Hospital may apply to a
				 particular individual’s bill as part of its documented financial
				 assistance program.
			
- 
				De-identified minimum and maximum negotiated rate – These charges are the lowest and highest charges a hospital has
				 negotiated with all third-party payers for an item or service. The lowest
				 and highest de-identified negotiated rate is published for each item or
				 service the hospital provides.
			
 
Disclaimer(s)
	- Fees and/or costs provided via this tool are only estimates and your final
		 bill may be higher or lower than the estimate for various reasons including
		 but not limited to differences in the number of comorbid conditions among
		 patients having the same or similar primary procedures, differences in
		 physician ordering practices, unforeseen complications, etc. To obtain
		 an estimate of charges for services, please call 478-922-4281.
- This is not a guarantee of benefit plan coverage or payment and the actual
		 payer and patient portion reflected in your final bill may also be higher or lower.
- The shopping service/pricing estimator and/or machine-readable file DOES
		 NOT include other services billed for separately by independent contractors
		 including but not limited to physician or practitioner fees including
		 but not limited to pathologist, radiologist, anesthesiologist, emergency
		 room physicians, etc.
- A single line-item charge may not represent a complete medical service;
		 in general, multiple charge line items are necessary to represent all
		 components of a service (e.g. procedure(s), supplies, and drugs).
Final Billing
Once you have been discharged from the hospital, you will receive the final
	 bill for your hospital stay. This statement will reflect any outstanding
	 balance on your account. Upon request, we can provide an itemized statement
	 for your convenience.
Your hospital bill does not include professional fees from your personal
	 physician, ER physician, and surgeon. Depending on your services and procedures
	 during your stay, you may also receive a separate bill from the anesthesiologist,
	 pathologist, or radiologist. All of these physicians are independent contractors,
	 and you will receive a separate bill from them for their services.