Along with the many physicians, nurses, therapists, and technicians that are actively working to help you recover, our expert financial team is ready to assist you with your financial needs.
Utilization Review
Our Utilization Review team is made up of nurses trained to work with your insurance company to assist you during your stay. The level of your care assignment (outpatient, outpatient surgery, observation and inpatient) can impact what you owe based on your individual insurance benefits. We encourage you to discuss your care assignment with your insurance company to help you understand how that impacts your bill.
Patients covered under Medicare and Medicare Advantage who have an inpatient care assignment have the right to request an immediate appeal of their discharge according to the Centers for Medicare and Medicaid Services. Our Utilization Review team assists patients who desire to place an appeal.
Patients with a question about a Utilization Review issue during their hospital stay should let their nurse know so that a member of the Utilization Review team can follow-up and assist as needed.
Case Management
Our Case Management team of social workers and nurses work with patients and their families to help arrange care needed following the hospital stay.
The Case Management team works closely with physicians, nurse practitioners, dieticians, pharmacists, therapists and others regarding individual patient needs after discharge. In addition, the team assists our patients and their families in making informed decisions about services available at discharge, as well as providing helpful community resources.
The Case Management team is available to our hospital patients seven days a week. We encourage our patients to let their nurse know if they have any questions so that the case manager may follow-up and assist as needed.
Financial Counselors
Financial Counselors assist patients in understanding the healthcare billing process and any potential financial obligations. Financial Counselors can help patients with Medicaid, Social Security Disability, Polk Healthcare and our Financial Assistance Policy for those who qualify.