Clearway
Surgery Center
of Panama City

Background
Medicare initiated the Bundled Payments for Care Improvement (BPCI) that ensures facilities enter payment arrangements that include financial and performance outcomes for episodes of care. These outcomes lead to higher quality and lower cost to Medicare. Previously Medicare would make separate payments to providers for each service provided during a single course of treatment leading to fragmented care and outcomes (CMS, 2016). Patients have the right to price transparency and what is included in bundled services or a single fee that accounts for several components to care.

Beneficiary Choice
Patients can always choose which providers or facilities to obtain care through regardless of participating status with BPCI initiatives. Patients will retain their full Medicare benefits regardless. The redesign is to improve quality of care while lowering the cost of care to Medicare.

Bundled Payment Process
Patients who private pay for services may benefit from bundled payments as it allows for more timely allowance to prepare financially for services. Private pay patients can expect a $399 facility fee that includes imaging, medication and supplies during the procedure in addition to the separate procedure fee. Patients have the choice of what facility they would like to receive treatment from.

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Patients are encouraged to compare pricing for procedures through Florida Health Price Finder.

Patients are expected to pay at time of service Patients will be provided with billing statement 7 business days after discharge. Patients should be reminded that they will receive two billing statements for services; one from the facility and one from the physician. Patients will also receive an Explanation of Benefits from their insurance carrier outlining charges. This is not a bill from the facility or physician. Patients will receive three billing statements and a collection letter if no payment or payment plan have been made. Please reach out to your Patient Billing Liaison with any questions pertaining to your statement to avoid going to collections.

Cost Sharing patients should contact their insurer or health maintenance organization regarding the cost-sharing responsibilities.

Questions about your bill can be directed to the Patient Billing Liaison at (855) 527-PAIN.

Services may be provided in this health care facility by the facility as well as other health care providers who may separately bill the patient and who may or may not participate with the same health insurers or health maintenance organization as the facility.

BMR Anesthesia 4133 Castle Gate Drive Pace, Florida 32571 Telephone: 1.800.433.1439

Patients and prospective patients may request from the facility and other health care providers a more personalized good faith estimate of charges and other information. Patients and prospective patients should contact each health care practitioner who will provide services in the ASC to determine the health insurers and health maintenance organizations with which the health care practitioner participates as a network provider or preferred provider. Patients may pay less for a procedure or service at another facility that the provider is credentialed with.

Patients are required to have a responsible driver over the age of 18 years old with a valid driver’s license accompany the patient to the procedure and remain at the facility during the procedure until discharge.  Patients should not bring any children to the facility.

Providers providing services at Clearway Surgery Center of Panama City may have direct financial interest in the facility.

Patients are encouraged to review the quality measure outcomes and statistics in relation to our facility and other facilities through Medicare Hospital Compare and Florida Health Finder (AHCA)