CPS IS CURRENTLY PARTICIPATING WITH THE FOLLOWING INSURANCE PROVIDERS:
BEECH STREET - VIANT NETWORK
BLUE CROSS AND BLUE SHIELD OF FLORIDA – ALL HEALTH PLANS
CIGNA – ALL HEALTH PLANS
COMMUNITY HEALTH PARTNERS: HEALTHY KIDS, SEMINOLE TRIBE OF FLORIDA, COLLIER COUNTY HEALTH CONSORTIUM, COLLIER COUNTY PUBLIC SCHOOLS, DISTRICT SCHOOL BOARD OF COLLIER COUNTY, COLLIER COUNTY GOVERNMENT
CONCENTRA – SEE SEPARATE LIST
HEALTH PAYORS ORGANIZATION
MEDICARE - INCLUDING PART B
NATIONAL CARE NETWORK –SEE SEPARATE LIST
PREMIER HEALTHCARE EXCHANGE
PRIME HEALTH SERVICES
SANFORD HEALTH PLAN
THREE RIVERS PROVIDER NETWORK
Legislative Policies: Pathologists are board-certified physician specialists, like your primary care physician and surgeon. Federal and state certification standards, including, without limitation, the Clinical Laboratory Improvement Amendment of 1988 (CLIA 88), the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) and the College of American Pathologists (CAP), require that hospital laboratories contract with pathologists to provide professional services.
Billing Overview and How Services are Billed: : The total cost of pathology services is typically split into "technical" and "professional" components. Their combined amount constitutes the “global” bill. The technical component is the hospital or facility fee, which includes the technical staff's time, use of the testing equipment and facilities, and any supplies used for the test. The professional component is the fee for the pathologist, which includes interpretation of test results, issuing diagnoses for all tissue biopsies and for providing supervision of each and every lab test performed in the Hospital Labs.
CPS, the exclusive hospital-based pathology group, will be sending you a separate bill for your laboratory and pathology professional services. This bill is the pathologist's fee for analyzing and interpreting your lab results. If there is a lab charge on your Hospital bill, it is for medications, supplies and equipment (= the technical component), not for the physician pathologist professional services (= the professional component). The pathologist’s professional charge applies not only to tests directly performed by a pathologist but also to tests performed under the supervision and direction of a pathologist, commonly referred to as professional component of clinical pathology services.
Why utilizing a Hospital Lab makes sense: Your doctor has selected our Hospital Lab because of consistent quality, rapid turn around time of tests results, immediate access to a pathologist for review or discussion of test results and for consultations regarding appropriate lab tests. All tests are performed on the Hospital premises (except for unusual tests sent to a national reference Lab). Your doctor has immediate access to all tests results via electronic and secure communication, avoiding delays and mistakes when paper report are generated from outside Labs. CPS Pathologists are continuously present on the Hospital premises or available through pager and can access your results and discuss significant finding with your physician. CPS Pathologists function as consultants for your doctor on any aspect of laboratory medicine and pathology. CPS pathologists have also access to your electronic medical chart and physicians’ note, to correlate pathology/lab findings with your clinical condition.
Quality Improvement - a committment to excellence: Collier Pathology Services, PA is committed to maintaining and providing the highest quality of patient care. As specified in the above Legislative section, Pathologists insure that tests performed at the Hospital Lab comply with all applicable Federal and State regulation. A multidisciplinary team from CAP inspects the Hospital Labs every two years, insuring that all Lab operations follow and conform to strict quality and performance criteria. Our Labs have consistently passed every CAP inspection since opening in the spring of 2001!
Billing Issues: Check with the registration desk at your physician’s office to verify if CPS is currently participating with your health insurance plan. If not, please contact our customer service number (you can find this on your patient statement) or 1-866-568-3620 to make alternative payment arrangements. Full payment is necessary for us to provide our high level of service. Regarding your health insurance plan, please understand that our charges are ultimately your responsibility whether your insurance carrier pays or not. Your insurance policy is a contract between you and your insurance carrier. Some, and perhaps all, of the services provided may be non-covered services and not considered reasonable and necessary under the plan and provisions of your policy, or be subject to a high deductible or out-of-pocket payment. Please contact your insurance carrier for clarifications on what services are covered under your individual plan. Some insurance plans may have reduced the amount of coverage for your lab services or mandate that your testing be done at outside facilities in order for you not to receive a bill. Our team of billing specialists can give you valuable information regarding the type of services our Hospital lab provides and can suggest alternative approaches, such as appeals to your insurance carrier or set up convenient alternative payment arrangements.