Billing Guidelines

Surprise Billing

 In accordance with New York’s “Emergency Medical Services and Surprise Bills” law, New York Center for Ambulatory Surgery (the “Center”) must provide certain information to patients including the names of all health plans in which the Center participates and all affiliated hospitals. This law is intended to provide consumer protections against “surprise” medical bills received from out-of-network physicians/facilities in order to reduce costs to patients. Prior to your surgery, we will contact your insurance carrier to determine coverage. You are encouraged to verify with your insurance plan as well to confirm network status at New York Center for Ambulatory Surgery. If the center is not contracted with your insurance plan, then your claim will be billed at an out-of-network. Our Patient Liaison will contact you to review benefits and outline potential financial responsibility for the facility. If we do not participate with your plan, you may request that the center disclose in writing it's fees, for which you will be responsible. Such fee disclosure is an estimation only and is subject to unforeseen medical or other circumstances that may arise when the health care services are provided. Please contact us with any additional questions you may have. 

Good Faith Estimate

Under the law, health care organizations need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.   You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.  This includes related costs like medical tests, prescription drugs, equipment, and Ambulatory Surgery Center fees.  Make sure your health care organization gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care organization, and any other organization you choose, for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.  Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or Call 240-522-0185 to speak with our Business Office.