If your insurance is provided by Medicare, receiving care at one of Campbell
County Medical Group’s Clinics (or provider-based locations) may
result in a facility charge as well as a professional or physician charge
for outpatient services and/or procedures.
Depending on your insurance coverage, you may pay more for services and
procedures. You are welcome to call Patient Financial Services at 307-688-2690
to receive an itemized statement, which will reflect these charges. This
billing process is not unique to Campbell County Health or to our Clinics—it
is happening in many health care systems across the country.
PBB refers to the billing process for services rendered in a hospital outpatient
clinic or department. This is the national model of practice for integrated
health care systems where the hospital owns space, and employees support
personnel involved in patient care. This billing model also is known as
hospital outpatient billing.
Will there be a change in how patients receive care?
No. You will continue to receive excellent, quality care from the providers
you have come to know and trust. Scheduling for appointments and tests
will not change.
How does PBB affect the billing process?
Charges for services are the same for all insurance providers. Under the
PBB model, you may potentially receive two (2) charges. One charge represents
the facility or hospital charge, and one charge represents the professional
or physician fee. All other insurance health plans and networks do not
require charges be shown and billed separately. They are listed as one charge.
Please call Patient Financial Services at 307-688-2690 to receive an itemized
statement, which will reflect these charges.
Please note: Medicare beneficiaries are responsible for the co-insurance
amount on the services you receive. These amounts are determined by Medicare
and are based on the services performed.
Will Medicare patients pay more for services?
Depending on your particular insurance coverage, it’s possible you
may pay more for certain outpatient services and procedures at our provider
based/clinic locations. We recommend that you review your insurance benefits
or contact your insurance provider to determine what your policy will
pay and what out-of-pocket expenses you may incur. Some Medicare patients
may be covered by supplemental insurance and may not have to pay more
out-of-pocket.
Are all patients billed using provider-based billing?
Listing facility charges and professional services separately is required by the
Centers for Medicare and Medicaid (CMS). Only patients with Medicare and select Medicare Advantage plans
are billed with the PBB method. All other insurance health plans and networks
do not require charges be shown and billed separately—it’s
just one charge.
Who do I contact if I have questions about my insurance coverage?
Please contact your insurance provider.
Questions or concerns?
Contact a Campbell County Health
Patient Financial Services representative today at 307-688-2690 or
pfs@cchwyo.org for more information or for answers to your questions and concerns.
Zero Interest Payment Option
Campbell County Health provides the ClearBalance® patient-friendly
payment option. The program is a zero-interest revolving credit account
with flexible payment terms. Use the ClearBalance program to manage your
out-of-pocket expenses, including deductibles and insurance copayments,
for care at Campbell County Health and Powder River Surgical Center. Call
us for more information: 307.688.1482.
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