AccuMed Blog

Facility Bills: Why Your Clients’ Surgery Estimate Should Include Them

Jul 30, 2017

Your client has been injured in an auto accident. They have received a surgery estimate from a doctor and you are ready to send in the damages claim to the insurance company.

Hold on a second.

Before you talk to the insurance company, ask yourself one question: does this surgery estimate include the facility bill? If not, your client may only be getting 1/5th or even 1/10th of the actual charges.

Facility bills explained

When doctors give a projection of the total charges of a certain procedure, they may only be including what they charge – not what the facility charges. When doctors see patients at centers or hospitals outside their own offices, patients are also responsible for fees for the facility. Facilities often charge 5 to 10 times more than the doctor’s, so it is essential that they’re included in your clients’ surgery estimate.

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