Billing and Financial Information
Once you have received medical services at UM Charles Regional Medical Center, you or your insurance company will receive a bill for services provided.
It is important that you make sure to provide us with accurate and up-to-date information on your insurance coverage for billing purposes at the time of service. Incomplete or inaccurate information could cause denial of payment from your insurance company. If your insurance company denies your medical claim, you will be financially responsible for the bill.
Please be aware that UM Charles Regional Medical Center only bills patients for facility charges related to your stay at the hospital, and that you may receive services from other professional providers such as anesthesiologists, emergency department physicians, and radiologists who will bill you or your insurance company for their services.
If you do not have insurance, you will be registered as a self-pay patient and will be asked to pay a deposit. A bill will be sent to you shortly after services are rendered requesting payment of the balance due. If you are unable to pay the entire amount, please contact our financial counselors at 301-609-4400. Financial counselors are available to assist you with billing questions.
To make payment on a bill in person, visit our cashier’s office located in Outpatient Services on ground floor of the hospital. This office is open Monday-Friday, 8:30 am to 4:00 pm.
Patient Financial Aid Program
Hospital care is available to all patients regardless of their race, color, national origin, age, gender, or ability to pay. Patients with balances due resulting from limited or no insurance coverage may qualify for our Financial Assistance Program, which assists patients who are financially in need of help. UM Charles Regional Medical Center uses poverty guidelines issued by the U.S. Department of Health and Human Services to determine a person’s eligibility. We may consider other financial assets and liabilities of the patient and family when determining the ability to pay.
The patient is responsible for providing information requested during the qualification process. Bills will continue to arrive until eligibility has been determined. For additional information on UM CRMC’s Financial Assistance Program or to receive a copy of the application, please call 301-609-4400 between 8:30 am and 4:00 pm, Monday through Friday.
Your Rights While You Are a Medicare Patient
You have the right to receive all the hospital care that is necessary for the proper diagnosis and treatment of your illness or injury. According to Federal law, your discharge date must be determined solely by your medical needs, not by Medicare payments.
You have the right to request a review by a Peer Review Organization (PRO) of any written Notice of Non-coverage that you receive from the hospital stating that Medicare will no longer pay for your hospital care. PROs are groups of doctors who are paid by the Federal Government to review medical necessity, appropriateness, and quality of hospital treatment furnished to Medicare patients. The phone number and address for the PRO for your area is:
9240 Centreville Road; Easton, MD 21601
Talk to Your Doctor About Your Stay
You and your doctor know more about your condition and your health needs than anyone else. Decisions about your medical treatment should be made between you and your doctor. If you have questions about your medical treatment, your need for continued hospital care, your discharge, or your need for possible post-hospital care, don’t hesitate to ask your doctor. The hospital’s social worker will also help with your questions and concerns about hospital services.
If You Think You are Being Asked to Leave the Hospital Too Soon
Ask a hospital representative for a written notice of explanation immediately, if you have not already received one. This notice is called a “Notice of Non-coverage.” You must have this Notice of Non-coverage if you wish to exercise your right to request a review by the PRO.
The Notice of Non-coverage will state either that your doctor or the PRO agrees with the hospital’s decision that Medicare will no longer pay for your medical center care.
If the hospital and your doctor agree, the PRO does not review your case before a Notice of Non-coverage is issued. But the PRO will respond to your request for a review of your Notice of Non-coverage and seek your opinion. You cannot be made to pay for your hospital care until the PRO makes its decision, if you request the review by noon of the first workday after you receive the Notice of Non-coverage. If the hospital and your doctor disagree, the hospital may request the PRO review your case. If it does make such a request, the hospital is required to send you a notice to that effect. In this situation the PRO must agree with the hospital or the hospital cannot issue a Notice of Non-coverage. You may request that the PRO reconsider your case after you receive a Notice of Non-coverage, but since the PRO has already reviewed your case once, you may have to pay for at least three days of hospital care before the PRO completes this reconsideration. IF YOU DO NOT REQUEST A REVIEW, THE HOSPITAL MAY BILL YOU FOR ALL THE COSTS OF YOUR STAY BEGINNING THE DAY FOLLOWING THE DAY OF RECEIPT OF THE HOSPITAL NOTICE OF NON-COVERAGE.
How to Receive a Review of the Notice of Non-coverage
If the Notice of Non-coverage states that your physician agrees with the hospital’s decision: You must make your request for review to the PRO by noon of the first workday after you receive the Notice of Non-coverage by contacting the PRO by phone or in writing. The PRO will ask you for your views about your case before making its decision. The PRO will inform you by phone and in writing of its decision on the review. If the PRO agrees with the Notice of Non-coverage, you may be billed for all costs of your stay beginning at noon of the day after you receive the PRO’s decision.