Some WMCHealth medical practices are changing the way charges appear on patient bills. You may notice that some charges that used to be shown together may now be shown separately, or even on separate bills. They are still connected to the same visit and do not mean you are being billed twice.
Why your bill looks different
Some WMCHealth medical practices are now billed as hospital-based practices. Because of this, your bill may show separate charges for:
Professional services
This charge is for the care provided by your physician, nurse practitioner, physician assistant or other healthcare professionals. Examples include:
Office visits
Consultations
Procedures
Diagnostic interpretations
Facility services
This charge is for the resources that support your visit, such as:
Examination and treatment space
Medical equipment and technology
Clinical support staff
These services may appear as separate charges or separate statements, even when they are related to the same visit.
What is not changing
Your healthcare provider
The care you receive
How you schedule appointments
Your access to services
What may change
How charges appear on your bill
How your insurance processes those charges
What you owe will depend on your insurance coverage and benefits.
No. The charges are for different parts of the same visit:
Professional services provided by your healthcare professional
Facility services that supported your care
Hospital-based practices bill professional services and facility services separately. In the past, these charges may have appeared together. Now, they may be listed separately so each part of your care is shown on your bill.
You may. Depending on your insurance plan and how charges are processed, you may receive more than one statement for the same visit.
Provider-based billing is used by medical practices that are part of a hospital system. It means the care provided by your healthcare professional and the resources used to support your visit may be billed separately.
As some WMCHealth practices become hospital-based practices, the way charges appear on your bill may change. Services that may have appeared together before may now be listed separately.
No. You will continue to receive care from the same healthcare professionals.
Coverage depends on your insurance plan. If you have questions about your benefits, deductible, copayments or coinsurance, please contact your insurance carrier.
An Article 28 practice is a medical practice licensed as part of a hospital system under New York State rules. For patients, this means the practice is connected to the broader WMCHealth network and supported by hospital resources, technology and clinical services. Because of this structure, you may see separate charges for the care provided by your healthcare professional and the resources that supported your visit.
If you still have questions, please call Patient Billing at 914-493-7000.
