GRACE SURGERY CENTER

Privacy Policy

Summary of Privacy Practices

  • Treatment Such as when our physicians and nurses discuss your care.
  • Payment Such as when we bill your insurance company for services provided to you.
  • Operations Such as when we work to make the quality of the care that that we provide better. When we give out information about the different services we provide.
  • Other ways such as when we respond court requests, funeral directors, and state reports.

Transparency in Healthcare

  • Healthcare billing is often difficult to understand. It is our desire to help you understand. There will be at least four separate bills for your surgery.
  • Our Bill: Grace Surgery Center is the facility bill. We will be billing you for the use of the surgery suite, recovery room, medications, supplies, equipment.
  • Surgeon Fee: This is for the professional services provided by your surgeon. Please contact the surgeon's office for fees.
  • Anesthesia services: At GSC, anesthesia is provided by Apex Anesthesia Providers, LLC. Questions concerning their fees can be directed to their billing department.
  • Pathology: If your surgeon sends a specimen for pathology, culture, the pathologist who examines the specimen will bill you for his/her services.
  • "Physicians who may separately bill the patient may or may not participate with the same health insurers or HMO as the facility"
  • All accounts are expected to be paid in full within 90 days.

Florida Health Finder

http://www.floridahealthfinder.gov/index.html

Charity Care Policy

  • Grace Surgery Center charitable care policy provides financial relief to patients who receive care and do not qualify for state or Federal assistance and are unable to pay the estimated or remaining financial responsibility in part or in full. A patient must meet the policy's household income qualifications which are based on Federal Poverty Level Guidelines established annually by the Department of Health and Human Services. Submission of supporting documentation is required to validate a patient's qualifying status.
  • The patient may be asked to supply all or any of the following: a copy of their last two pay stubs; current year Federal 1040 tax return; unemployment benefits; Social Security benefits; Department of Social Services grants and/or food stamps amounts. Additional information may be requested in order to qualify.

Collection Process

  • As a courtesy to our patients, we will file an insurance claim on behalf of the patient to his/her insurance plan. If an insurance plan requests additional information from the patient, we require prompt response in order to minimize payment delays.
  • Patients are expected to pay their financial obligations in a timely manner. Denied/ $0 pay claims by the payer may result in the entire contractual amount transferred to the patient for collection.
  • For all outstanding patient balances, the facility will attempt to reach patients by any method available to us to secure payment including monthly statements and patient phone calls. If the account becomes delinquent, the balance may be placed with an outside collection agency.

Estimate of Charges

Grace Surgery Center will verify your health insurance benefits prior to surgery and bill your carrier following your procedure. Estimated patient responsibility of co-pay portions, deductibles, and/or out of pocket fees are expected on the day of surgery. We accept cash and credit cards. We also are able to offer financing of your portion of the bill through Care Credit, an organization established for this purpose.

Good Faith Estimate

  • You have the right to receive a GOOD FAITH ESTIMATE explaining how much your health care will cost.
  • Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of their bill for health care items and services before those items or services are provided.
  • You have the right to receive a GOOD FAITH ESTIMATE for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, and hospital fees.
  • If you schedule a health care service at least three business days in advance, make sure your health care provider or facility gives you a GOOD FAITH ESTIMATE in writing within one business day. If you schedule services at least 10 days, the health care provider or facility gives you a GOOD FAITH ESTIMATE in writing within three business days. You can also ask any health care provider or facility for a GOOD FAITH ESTIMATE before you schedule an item of service.
  • If you receive a bill that is at least $400.00 more for any provider or facility than your GOOD FAITH ESTIMATE from that provider or facility, you can dispute the bill.
  • For questions or more information about your right to a GOOD FAITH ESTIMATE, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@sms@sms.hhs.gov, or call 1-800-985-3059

State of Florida Transparency in Healthcare Legislation

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 organizations as the facility. Patients and prospective patients may request from this facility and other health care providers a more personalized 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. The following providers are contracted with Grace Surgery Center to provide services for patients:

Paul Jo, MD

Phone: (352) 351-0029

Brent Compton, MD

Phone: (352) 350-6500

Alethia Pantazis, MD

Phone: (352) 804-2397

Brent Carter, DPM

Phone: (352) 388-4680

Stephanie Frey, DPM

Phone: (239) 276-6173

Marcus Frey, DPM

Phone: (352) 574-6995

Apex Anesthesia

Phone: (352) 362-8438

Emeritus Laboratories

Phone: (949) 418-7225

Quest Laboratories

Phone: 1-866-697-8378

Summary of State Balance Billing Protections

  1. Arizona

    • Arizona also provides various balance billing protections. In most instances, your health plan must hold you harmless for charges above your in-network cost share amount for emergency services provided by out-of-network providers at in-network facilities. Claims over $1,000 may also be eligible for dispute resolution. For more information about your specific rights under Arizona law, visit www.difi.az.gov.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.difi.az.gov for more information about your rights under Arizona law.

  2. California

    • California also provides various balance billing protections. In most instances, you cannot be charged more than your in-network cost share amount for emergency and non-emergency services. California also has a voluntary, non-binding dispute-resolution process for emergency services. For more information about your specific rights under California law, visit www.insurance.ca.gov.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.insurance.ca.gov for more information about your rights under California law.

  3. Colorado

    • Colorado also provides various balance billing protections. In most instances, you cannot be charged more than your in-network cost share amount for emergency and non-emergency services. For more information about your specific rights under Colorado law, visit www.doi.colorado.gov.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.doi.colorado.gov for more information about your rights under Colorado law.

  4. Connecticut

    • Connecticut also provides various balance billing protections. In most instances, you cannot be charged more than your in-network cost share amount for emergency services, and non-emergency services provided at in-network facilities. For more information about your specific rights under Connecticut law, visit www.portal.ct.gov/CID.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.portal.ct.gov for more information about your rights under Connecticut law.

  5. Delaware

    • Delaware also provides various balance billing protections. In most instances, your health plan must hold you harmless for emergency services provided by out-of-network providers at out-of-network facilities. Providers also cannot balance bill you for non-emergency services provided at in-network facilities without obtaining your consent. For more information about your specific rights under Delaware law, visit www.insurance.delaware.gov.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.insurance.delaware.gov for more information about your rights under Delaware law.

  6. Florida

    • Florida also provides various balance billing protections. In most instances, you cannot be charged more than your in-network cost share amount for emergency and non-emergency services. For more information about your specific rights under Florida law, visit www.floir.com/index.aspx.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.floir.com/index.aspx for more information about your rights under Florida law.

  7. Illinois

    • Illinois also provides various balance billing protections. In most instances, you cannot be charged more than your in-network cost share amount for emergency and non-emergency services provided by out-of-network providers at in-network facilities. For more information about your specific rights under Illinois law, visit www2.illinois.gov/sites/Insurance.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www2.illinois.gov/sites/Insurance for more information about your rights under Illinois law.

  8. Indiana

    • Indiana also provides various balance billing protections. In most instances, you cannot be charged more than your in-network cost share amount for emergency services, and for non-emergency services provided at in-network facilities. For more information about your rights under Indiana law, visit www.in.gov/idoi/.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.in.gov/idoi/ for more information about your rights under Indiana law.

  9. Massachusetts

    • Massachusetts also provides various balance billing protections. In most instances, you cannot be charged more than your in-network cost share amount for emergency and non-emergency services provided by out-of-network providers at in-network facilities. For more information about your rights under Massachusetts law, visit www.mass.gov/orgs/division-of-insurance.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.mass.gov/orgs/division-of-insurance for more information about your rights under Massachusetts law.

  10. Maryland

    • Maryland also provides various balance billing protections. In most instances, you cannot be charged more than your in-network cost share amount for emergency services, and for non-emergency services provided by out-of-network providers at in-network facilities. For more information about your rights under Maryland law, visit www.insurance.maryland.gov.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.insurance.maryland.gov/Pages for more information about your rights under Maryland law.

  11. Michigan

    • Michigan also provides various balance billing protections. In most instances, you cannot be charged more than your in-network cost share amount for emergency services, and for non-emergency services provided by out-of-network providers at in-network facilities. For more information about your rights under Michigan law, visit www.michigan.gov/difs.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.michigan.gov/difs for more information about your rights under Michigan law.

  12. Minnesota

  13. Missouri

    • Missouri also provides various balance billing protections. In most instances, you cannot be charged more than your in-network cost share amount for emergency services provided by out-of-network providers at in-network facilities. For more information about your rights under Missouri law, visit www.insurance.mo.gov.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.insurance.mo.gov for more information about your rights under Missouri law.

  14. Mississippi

    • Mississippi also provides various balance billing protections. In most instances, you cannot be charged more than your in-network cost share amount for emergency services, and for non-emergency services provided by out-of-network providers at in-network facilities. For more information about your rights under Mississippi law, visit www.mid.ms.gov/about/commissioner.aspx.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.mid.ms.gov/about/commissioner.aspx for more information about your rights under Mississippi law.

  15. North Carolina

    • North Carolina also provides various balance billing protections. In most instances, your health plan must hold you harmless for amounts beyond your in-network cost share amount for emergency services provided by out-of-network providers. For more information about your rights under North Carolina law, visit www.ncdoi.gov.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.ncdoi.gov for more information about your rights under North Carolina law.

  16. New Jersey

    • New Jersey also provides various balance billing protections. In most instances, you cannot be charged more than your in-network cost share amount for emergency services, and for non-emergency services provided by out-of-network providers at in-network facilities. For more information about your rights under New Jersey law, visit www.state.nj.us/dobi/index.html.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.state.nj.us/dobi/index.html for more information about your rights under New Jersey law.

  17. New Mexico

  18. Nevada

    • Nevada also provides various balance billing protections. In most instances, your health plan must hold you harmless for amounts beyond your in-network cost share amount for emergency services provided by out-of-network providers and facilities. For more information about your rights under Nevada law, visit www.doi.nv.gov.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.doi.nv.gov for more information about your rights under Nevada law.

  19. Ohio

    • Ohio also provides various balance billing protections. In most instances, your health plan must hold you harmless for amounts beyond your in-network cost share amount for emergency services by out-of-network providers, facilities, and ground ambulance service providers, and for non-emergency services by out-of-network providers at in-network facilities. For more information about your rights under Ohio law, visit www.insurance.ohio.gov.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.insurance.ohio.gov for more information about your rights under Ohio law.

  20. Oregon

    • Oregon also provides various balance billing protections. In most instances, you cannot be charged more than your in-network cost share amount for emergency services by out-of-network providers, and for non-emergency services by out-of-network providers at in-network facilities. For more information about your rights under Oregon law, visit www.dfr.oregon.gov/Pages/index.aspx.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.dfr.oregon.gov/Pages/index.aspx for more information about your rights under Oregon law.

  21. Pennsylvania

    • Pennsylvania also provides various balance billing protections. In most instances, you cannot be charged more than your in-network cost share amount for emergency services provided by out-of-network providers. For more information about your rights under Pennsylvania law, visit www.insurance.pa.gov.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.insurance.pa.gov for more information about your rights under Pennsylvania law.

  22. Texas

    • Texas also provides various balance billing protections. In most instances, you cannot be charged more than your in-network cost share amount for emergency services provided by out-of-network providers at in-network facilities, and for non-emergency services provided by out-of-network providers at in-network facilities. For more information about your rights under Texas law, visit www.tdi.texas.gov.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.tdi.texas.gov for more information about your rights under Texas law.

  23. Washington

    • Washington also provides various balance billing protections. In most instances, you cannot be charged more than your in-network cost share amount for emergency services provided by out-of-network providers, and for non-emergency services provided by out-of-network providers at in-network facilities. For more information about your rights under Washington law, visit www.insurance.wa.gov.
    • Visit www.cms.gov/nosurprises/consumers for more information about your rights under federal law.
    • Visit www.insurance.wa.gov for more information about your rights under Washington law.

Financial Assistance Policy

  • As a courtesy to our patients, we will file an insurance claim on behalf of the patient to his/her insurance plan. If an insurance plan requests additional information from the patient, we require prompt response in order to minimize payment delays.
  • Patients are expected to pay their financial obligations in a timely manner. Denied/ $0 pay claims by the payer may result in the entire contractual amount transferred to the patient for collection.
  • For all outstanding patient balances, the facility will attempt to reach patients by any method available to us to secure payment including monthly statements and patient phone calls. If the account becomes delinquent, the balance may be placed with an outside collection agency.

Find Providers contracted with GSC

P4 Diagnostix Pathology Services

800 Virginia Manor Road, Suite 17

Beltsville, MD 20705

Phone: (877) 744-7781

Quest Laboratory

Website

Contact

Accepted Insurance Providers

Most insurances including Medicare and Medicare Advantage plans.