Provider-Based Billing at Mon General Hospital
As a result of organizational changes at Mon Health Medical Center, several of the hospital’s outpatient offices became departments of Mon Health Medical Center. This change was made to enable us to more closely coordinate care for our patients, both inside and outside the hospital. These departments include:
- Mon Health Cancer Center
- Mid Atlantic Gynecologic Oncology of Mon Health Medical Center
- Mon Health Cardiac & Vascular Center (aka Cardiac and Vascular Associates of Mon Health Medical Center)
- Mon Health Surgical Care (aka Heiskell, King, Burns and Tallman and Morgantown Surgical Associates)
- Mon Health Digestive Care (aka Gastroenterology of Mon Health Medical Center)
- Mon Health Urology (aka Morgantown Urologic Associates)
- Mon Health Wound Center
- Mon Health Vein Center
- Mon Health Primary Care
- Mon Health Dermatology
- Mon Health Pulmonary Care
Other offices may be added as Mon Health continues to grow.
You will notice new signs at these offices designating that they are departments of Mon Health Medical Center. Patients or their insurers may be billed a separate facility charge in addition to the physician or professional fee. This change may also affect the amount of co-pay or other out-of-pocket expenses for patients.
Answers to some common patient questions:
What does this mean to me?
Neither your care nor the people who provide it will change. However, you or your insurer may receive two bills for a visit: one for professional services and a separate facility charge. Your co-insurance amount may change, depending upon your insurer’s policies.
Can I talk with someone about my bill?
Yes. Mon Health Medical Center’s Patient Accounting Department is available to answer your questions and help resolve any issues related to your bill. You can contact them at 304-598-1560
What are professional services and facility charges?
The ‘professional service’ bill covers the medical care provided to you by a Mon General doctor or another health professional. The ‘facility’ bill covers the cost of office space and equipment, operations, medical record keeping and other services provided by the hospital to make the healthcare possible.
Why is this being done?
Mon Health Medical Center has changed the management structure for our patient care operations, both inside and outside the hospital. One major goal of this process is to make sure that every time you seek care from Mon Health Medical Center, we make sure to coordinate among all the physicians and providers you may see, and between outpatient offices and our hospital, in the event you need hospital care.
Designating a clinic as a hospital department (provider-based status) recognizes the coordination we provide among all the locations of care, and helps the organization receive proper payment for all the services provided.