Mercy Center for Pain Medicine is a hospital outpatient clinic at Mercy Medical Center – Des Moines. The billing process for this type of facility is known as provider-based or hospital outpatient billing. This method of billing means patients receive two separate bills. One bill will come from Mercy Medical Center – Des Moines for a facility charge. A second bill will come from Medical Center Anesthesiologists (MCA) for the professional services provided by your doctor.
The method of billing mentioned above follows a national model of billing practices and mimics the process for billing patients who receive care during a stay at the hospital. Patients who receive two bills are not being over-charged for the visit. Rather, the overall amount billed is divided accordingly and sent from the organization providing the actual service.
Insurance plans vary greatly and many pay for health care services provided in an outpatient hospital clinic differently than those provided in a doctor’s office. Individual insurance plans may require patients to meet an annual deductible before paying for health care services received at an outpatient hospital clinic.
Insurance companies may also require patients to pay a percentage of the bill, known as co-insurance, rather than an office co-payment. Patients are encouraged to review their insurance benefits or contact their individual insurance provider to determine the level of coverage and identify any out-of-pocket expenses that may result from this doctor’s visit.