Reducing the Confusion
You will probably receive more than one bill for services rendered by the hospital. Usually, one bill is sent for the use of hospital equipment, supplies, your room and board, and the time the nurses and other staff spend meeting your health care needs. The hospital bill does not include fees of any treating physicians.
You may receive separate bills from your personal physician, and any other physicians involved in interpreting tests or performing other services. For example, a cardiologist, pathologist, radiologist or anesthesiologist will each send a separate bill for his/her services. The physicians providing professional services in Anesthesia, Radiology, Pathology and the Emergency Department are not employees of HackensackUMC Mountainside. They are independent contractors. You will receive a separate bill from each of these independent contractor groups if these services are utilized during your hospitalization.
If you are covered by managed care, an HMO, or other insurance, the hospital will automatically bill the insurance company (or companies) on your behalf. This can only be accomplished if the hospital is provided with correct insurance information.
In most cases you are responsible for any charges not covered or approved by your medical insurance company or managed care organization. You must pay your bill promptly or notify the hospital if you cannot. In the case that you won’t be paying your own bill, you must tell us who will.
How charges are determined
Hospital charges are determined by Medicare or Medicaid – or are based on the hospital’s charges or negotiated rates with insurance companies. These parties do not pay for a hospital stay that is not medically necessary. Upon determination that hospitalization is no longer medically necessary, you and your physician will be notified as required by state regulation.
Calculating the cost of hospital care
If you request an itemized bill, the hospital will provide one – and will explain any questions you may have. You have a right to appeal any charges. We can also assist you in obtaining public assistance and the private health care benefits to which you may be entitled.