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Billing & Collection Policy

Policy Statement

It is the policy of St. Cloud Surgical Center to collect patient balances within 60 days of sending the first statement.

Procedure

  • Patient Billing
    • It is the goal of the St. Cloud Surgical Center to bill insurance claims as appropriate and on a timely basis. The timeliness of billing and claims processing is dependent on accurate information and timeliness of payer systems. St. Cloud Surgical Center will send statements and/or provide notifications to patients for any outstanding balances and will help patients resolve them by discussing payment options.
    • All patients have the opportunity to contact St. Cloud Surgical Center regarding payment arrangements.
    • Patients with no active insurance coverage are required to pay for their procedure in full prior to the day of service. Patients will be refunded or billed the difference if the procedure changes from what has been estimated prior to the day of service.
  • Payer Discrepancy
    • If a claim is denied (or is not processed) by a payer due to a St. Cloud Surgical Center error, St. Cloud Surgical Center will not bill the patient for any amount in excess of that for which the patient would have been liable had the payer paid the claim.
    • If a claim is denied (or is not processed) by a payer due to factors outside of St. Cloud Surgical Center’s control, St. Cloud Surgical Center will follow up with the payer and patient as appropriate to facilitate resolution of the claim. If resolution of the claim does not occur after reasonable follow-up efforts, St. Cloud Surgical Center may bill the patient.
  • Patient Collections
    • At least 3 statements for collection of account balances are mailed to patients to the current address on file. It is the patient/guarantor’s obligation to provide a correct mailing address at the time of service or upon moving.
    • With billing statements, letters, phone calls and other approved means of communication, St. Cloud Surgical Center will take diligent follow up actions to contact patients to resolve outstanding balances within 120 days. If accounts are not resolved at the conclusion of the billing statement process, qualifying outstanding balances may be referred to a third-party collection agency.
  • Customer Service
    • During the billing and collection process, St. Cloud Surgical Center and its teammates will provide quality customer service by implementing the following:
      • After receiving communication from a patient regarding a billing question or dispute, St. Cloud Surgical Center teammates will return phone calls to patients promptly as possible, but no more than one business day after the call was received.