Billing Policy - Bronson Healthcare

Bronson Corporate Billing & Collections Policy

Purpose

For the purposes of keeping with their tax-exempt mission and commitment to the surrounding communities, Bronson Healthcare Group hospital facilities (Bronson Battle Creek Hospital, Bronson Lakeview Hospital, Bronson Methodist Hospital and Bronson South Haven Hospital, collectively, “the Hospitals”) each acknowledge that all individuals are not equally capable of paying for their healthcare services. Bronson and its employed physicians strive to ensure that the financial capacity of individuals does not prevent them from seeking or receiving medically necessary care. The Hospitals each recognize their responsibility to offer care for persons in need, and therefore provide and promote access to emergency or medically necessary services without regard to ability to pay.

Policy

Bronson Healthcare Group will ask all patients to provide us with complete insurance information in order to bill the proper insurance company or companies. If insurance company does not make payment, patients will be billed directly. We encourage patients to contact the insurance company directly to resolve any difficulties that may be encountered with payment. Bronson will bill patients for any services not covered by insurance, as well as for any and all copays, deductibles and co-insurance amounts.

For Medicare patients: Medicare will send an “Explanation of Medicare Benefits” (EOMB). This will show the amount that Medicare paid. If an EOMB is not received, contact should be made with Medicare (1-800-MEDICARE) to request one. Bronson will also bill any secondary insurance.

For Self-Pay balances: In the event of non-payment after proper notification of the availability of financial assistance, actions may be taken to collect on balances owed. Reasonable efforts shall be made to determine eligibility and provide notification of available financial assistance in accordance with 501(r) regulations prior to collection agency placement or extraordinary collection action (ECA) initiation. ECAs may include reporting to credit agencies, and judicial or legal actions such as liens or garnishments. At least three (3) statements delivered by mail or electronically will be issued to the responsible party if there is an outstanding balance before consideration for collection agency referral.

Prior to initiation of any ECAs, at least one statement will include notice of collection agency referral and potential ECAs. Such statement will be provided at least 30 days before the initiation of any ECA, and the Bronson Financial Assistance Policy Summary will accompany this notification. It is expected that the patient’s address provided to Bronson is valid; if notice is provided to the address on file, reasonable efforts to provide notification in accordance with Section 501(r) (5) of the Code will have been met. Credit reporting may take place as soon as 90 days from collection agency list date (at least 210 days from first billing statement for services received), and additional judicial or legal actions as soon as 120 days from collection agency list date (at least 240 days from first billing statement for services received).

If an application for financial assistance is made on an account that is with the collection agency no later than the 240th day after Bronson provides the patient with the first billing statement for services received, collection activity shall be suspended for 30 business days until an eligibility decision has been reached. If the application submitted is incomplete or additional documentation is required, the patient will be notified and allowed 10 business days from provided date to return requested documentation in order to continue to evaluation process.

ECAs may be reversed if they have already been initiated. If the evaluation results in a partial adjustment, a determination will be sent indicating the new balance and ECAs may be reversed if already initiated. If the patient does not provide completed application information or is not eligible for financial assistance based on evaluation, a denial will be issued and the agency will resume collection activity.

The Bronson Financial Assistance staff and management are responsible for ensuring reasonable efforts have been met on applicable accounts prior to any ECA initiation. Bronson and their external collection agencies shall be authorized to report unpaid accounts to credit agencies, and to file litigation, garnishment, obtain judgment liens and execute upon such judgment liens using lawful means of collection. Bronson and authorized external collection agencies may also take other actions, including, but not limited to, telephone calls, emails, texts, mailing notices, and skip tracing to obtain payment for medical services provided.

Appendix A

Bronson Financial Assistance Website

Visit our Medical Financial Assistance page for more information including contact information as well as free and printable copies of the Financial Assistance Summary, Bronson Financial Assistance Policy and Bronson Financial Assistance Application in English, Spanish, Arabic and Burmese.

Bronson Billing Department

1-800-699-6117 Monday – Friday 8:30 a.m.-5:30 p.m.

Bronson Financial Assistance Mailing Address

Bronson Healthcare Group
Patient Accounting Attn: SP
601 John St - Box J
Kalamazoo, MI 49007-5341

Bronson Financial Counseling Departments
For patients needing financial assistance while at the hospital facilities or who require help completing the application, financial counselors are available on-site to provide assistance. Hours: Monday – Friday 8:30 a.m. – 4:30 p.m.

  • Bronson Battle Creek Hospital – 269-245-8124
    300 North Avenue, Battle Creek, MI
    Financial Counselors are located in the Registration Department to the right, past the Greeter Desk. Enter through the Outpatient Center entrance, parking lot entrance off Emmett Street.
  • Bronson Lakeview Hospital – 269-657-1532
    408 Hazen Street, Paw Paw, MI
    Financial Counselors are located on 1st Floor, North Entrance in the Outpatient Registration area.
  • Bronson Methodist Hospital – 269-341-6120
    601 John Street, Kalamazoo, MI
    Financial Counselors are located in the Financial Services office on the 1st Floor Main Campus directly behind the main Information Desk.
  • Bronson South Haven Hospital – 269-639-2865
    955 South Bailey Avenue, South Haven, MI
    Financial Counselors are located in the Cashier’s Office on the 1st floor across from the Gift Shop. Enter through the door marked Main Entrance and turn to the left.