BILLING/INSURANCE

Financial Assistance Policy

Our financial assistance policy offers patients the ability to complete financial arrangements for services rendered by Riverwalk Ambulatory Surgery Center. Our arrangements may offer patients a reduced financial responsibility while still complying with state and federal regulations and insurance contract obligations. You may request Riverwalk Ambulatory Surgery Center provide details for any of the elements within the financial assistance policy as outlined below. Please contact the Riverwalk Ambulatory Surgery Center Business Office via telephone at (941) 782-5434 for additional information. Your surgeon, anesthesia provider, and other service providers such as laboratories and pathologists bill for their services separately from Riverwalk Ambulatory Surgery Center and maintain their own financial policies and arrangements.

Payment Plans

Each patient is expected to pay their estimated financial responsibility on or before the day of service. In the event a patient is unable to pay their estimated financial responsibility in full, Riverwalk Ambulatory Surgery Center may offer a short-term payment schedule after an adequate initial payment is made. For an extended payment schedule, a patient may need to secure financing with an outside source. Please consult the Riverwalk Ambulatory Surgery Center Business Office for further information.

Charity Care

Patients who are not eligible to access surgical services paid for by an insurance company or other third-party payment source, or believe they are medically indigent, may be eligible to receive charity care via discounted pricing from Riverwalk Ambulatory Surgery Center. The discounted price is an established percentage of the lowest insurance company or third-party payment reimbursement available to Riverwalk Ambulatory Surgery Center for performing a surgical procedure. At the sole discretion of Riverwalk Ambulatory Surgery Center, charity care via discounted pricing and a payment plan may be extended to a patient that requests this financial arrangement. There is no formal application process for obtaining charity care via discounted pricing at Riverwalk Ambulatory Surgery Center. Please call Riverwalk Ambulatory Surgery Center at 941-216-3963 to request charity care via discounted pricing. If a patient’s surgical procedure is subsequently found to be covered by insurance or another third-party payment source, the discounted price will be disallowed.

Out-Of-Network Insurance

Patients receiving services at Riverwalk Ambulatory Surgery Center that are covered only by out-of-network insurance, may be eligible to receive an adjustment to their out-of-network patient responsibility, assuming Riverwalk Ambulatory Surgery Center not prohibited from offering out-of-network adjustments under state or federal law or restrictions imposed by the out-of-network insurance company. If not prohibited, the application of any out-of-network adjustment is subject to the patient’s benefit coverage.

Collection Procedures

We will file insurance and third-party payment claims on behalf of patients when insurance or third-party payment benefits associated with the claim have been assigned to Riverwalk Ambulatory Surgery Center. Patients are expected to provide a timely response to requests for information by their insurance company or third-party payer. Unpaid claims by an insurance company may result in the patient’s outstanding balance being fully transferred to the patient for collection. Patients are expected to complete their financial responsibility in a prompt manner. Payment of patient responsibility for a surgical procedure is expected by the day of service. Riverwalk Ambulatory Surgery Center will make reasonable attempts to collect patient financial responsibility in a prompt manner.  If any patient responsibility is considered delinquent, the account may be placed with an agency or attorney for collection.

Other Providers

Surgical services are provided by Riverwalk Ambulatory Surgery Center as well as other providers who will separately bill the patient and/or their insurance company for the services they provide. Other providers may or may not participate with the same insurance companies as Riverwalk Ambulatory Surgery Center.

Patients and prospective patients may request from Riverwalk Ambulatory Surgery Center and other providers a specific estimate of patient financial responsibilities and other information, such as billing practices. Patients and prospective patients should contact each provider that may provide services at Riverwalk Ambulatory Surgery Center to determine their specific charges and insurance company coverage for services rendered. Contact information for other providers is listed below: 

Laboratory

Quest: 866-697-8378

SaraPath: 941-309-7000 – Option 2

Genesis Care Labs: 239-936-4507

Anesthesia

RASC Anesthesia, LLC

200 3rd Avenue West, Suite 170

Bradenton, FL 34205

(941) 782-5439

for Dates of Service before 01/01/2023

Intrepid Anesthesia

LB# 8247 PO Box 95000

Philadelphia PA 19195-0001

888-851-4642

Innovative Practice Strategies

for Dates of Service prior to 10/18/2021

4754 East State Road 64

Bradenton, FL 34208

(941) 209-4445

https://ipsmgmt.com

FloridaHealthFinder.gov

Patients may access the State of Florida’s Agency for Healthcare Administration website at this link for information about this facility, https://www.floridahealthfinder.gov.

Information concerning facility payments made for defined bundles of services and procedures is available at https://pricing.floridahealthfinder.gov/.  

Service bundle information is a non-personalized estimate of costs that may be incurred by a patient for anticipated services, and actual costs will be based on actual surgical services provided to the patient.

Your Rights and Protections Against Surprise Medical Bills

When you receive treatment, you are protected from surprise billing. Click here for more information regarding your rights and protections against surprise medical bills.

ACHA Pricing Website

Click here to view the AHCA Pricing Website.

Additional Information

Please note that information provided regarding services is an estimate and actual costs will be based upon services provided,

You have the right to request a personalized estimate from our center.

Please contact the health care practitioners anticipated to provide services regarding your personalized estimate, billing practices, and participation with your insurance provider or HMO as those practitioners may not participate with the same health insurance or HMO as our center.