Thank you for selecting MercyOne Iowa Heart Center as your cardiovascular care provider of choice.
As an outpatient department of MercyOne Des Moines Medical Center the below locations are provider based.
PROVIDER-BASED BILLING LOCATIONS
MercyOne Iowa Heart Center Des Moines
411 Laurel Street, Suites A250 & 1225
Des Moines, IA 50314
5880 University Ave.
West Des Moines, IA 50266
MercyOne Iowa Heart Center Ankeny Cardiovascular Testing
800 E. First St., Ste 2600
Ankeny, IA 50021
MercyOne Ames Sleep Center
1816 Philadelphia Street
Ames, IA 50010
What does "provider-based" or "hospital outpatient" billing mean?
"Provider-based" or "hospital outpatient" billing refers to the billing process used for services provided in a hospital outpatient clinic. This is the national model of practice for large, integrated health care systems (such as MercyOne Des Moines Medical Center) where the hospital owns space and employs support personnel involved in patient care.
How does this affect my billing?
Under this model, the care you will receive will result in two separate bills. You will receive one bill from MercyOnes Des Moines Medical Center for the facility charge as well as a bill from MercyOne Iowa Heart Center for the professional services or physician charge from the physician who provides your treatment.
Why this billing process?
Inpatients traditionally receive a facility fee and a professional services or physician charge on their hospital bill. Following this same type of billing in the outpatient setting ensures more appropriate payment for services provided by hospital staff and physicians and distinguishes facilities that function as hospital departments, but are not located inside of the hospital.
Does this mean patients will pay more for services?
Many insurance plans pay for health care services provided in an outpatient hospital clinic differently than those provided in a doctor's office. Your insurance plan may require you to meet your annual deductible before it pays for health care services you receive in an outpatient hospital clinic.
Your insurance company may also require you to pay a percentage of the bill, called co-insurance, rather than just an office co-payment. We recommend you review your insurance benefits or contact your insurance provider to determine your coverage and identify any out-of-pocket expenses you may incur.
In Summary
Receiving care at MercyOne Iowa Heart Center will result in two separate bills. You will receive one bill from MercyOne Des Moines Medical Center containing the facility charge and a separate bill from MercyOne Iowa Heart Center containing the professional or physician charge from the physician who provides your treatment.
Depending on your insurance coverage, your insurance provider may treat these hospital outpatient charges differently than those provided in a doctor's office. We recommend you review your insurance benefits or contact your insurance provider to determine your coverage and identify any out-of-pocket expenses you may incur.
If you have additional questions about hospital outpatient provider based billing, call 515-633-3839.