Billing Information for Missouri Psychiatric Center
Health Care System Billing Guidelines
University of Missouri Health Care strives to apply fair and equitable billing practices to all who seek our services. While we work to maintain good financial practices, we also measure our success in community goodwill and patient satisfaction. Our patient accounts department respects patient rights. All billing records and documents will be made available to patients or their responsible party - such as a parent or spouse - upon request. Please note: Patients receiving medical care may receive additional bills from University Hospital and Clinics, University Physicians, other consulting physicians, anesthesiologists, pathologists, emergency medical physicians and radiologists. Separate payment for services rendered by these professionals must be made to the appropriate billing offices.
Frequently asked questions
Below are frequently asked questions. If you have additional questions, please call (573) 884-3300 or
toll-free (877) 363-6441 for assistance.
Admission and registration
What do I need to present at admission?
University of Missouri Health Care will pre-admit all patients whenever possible. We will verify the responsible party's method of payment prior to admission. Patients who do not have verifiable third-party insurance coverage or whose coverage may be inadequate will be asked to pay their portion upon admission or checkout. Patients are asked to bring their insurance card at the time of registration and be prepared to pay any applicable deductible and copayments.
What will I be asked to sign, and what does it mean?
Patients or their responsible party will be asked to sign an admission form acknowledging permission for medical treatment, authorizing the release of information to third-party payers and accepting responsibility for payment of charges. The form and its contents will be fully explained. A copy will be provided upon request. Our Medicare patients also will receive both advance directives and "Important Message from Medicare" statements.
Does it matter if I'm a Medicare or Medicaid patient?
University of Missouri Health Care follows all admission and billing requirements and all federal and state regulations regarding Medicare and Medicaid patients. You will receive the same high quality care, regardless of your method of payment.
Charging for services
University of Missouri Health Care will provide emergency care to all patients regardless of the source of payment or a patient's ability to pay. Emergency patients who qualify for assistance should be identified before discharge. All other patients who qualify for full or partial assistance should be identified before or at admission or discharge, if possible. These patients will be treated with the same courtesy and respect that all patients of University of Missouri Health Care enjoy and deserve.
What if I can't pay?
We may decline nonemergency medical services, including hospital admission, to patients who have current bad debt accounts. Before providing services or admitting these patients, we will give them or their responsible party an opportunity to pay the bad debt account or make other arrangements to meet requirements for the current admission. We also may decline or defer nonemergency services to patients unable or unwilling to make satisfactory arrangements for payment before the services are provided.
When do you decline emergency service?
We provide emergency outpatient medical services to patients regardless of the source of payment or a patient's ability to pay. A patient's physician or a University of Missouri Health Care emergency department physician will determine whether it is necessary to admit the patient to the hospital. Emergency inpatient services also will be provided regardless of the source of payment or a patient's ability to pay. Outpatient accounts are to be paid at the time medical services are provided unless acceptable insurance coverage is presented. Emergency department patients may be asked to settle their accounts before leaving the hospital unless acceptable third-party insurance is presented but only after a medical screening examination has been completed and any emergency medical condition has been stabilized. We will perform diagnostic services for patients regardless of their ability to pay when they are referred to the hospital by a member of the medical staff on an emergency basis. Any charges incurred as the result of a vehicle accident or public liability are the personal responsibility of the patient. We will not become involved in third-party disputes.
How do you handle workers' compensation?
If a patient is admitted because of a workplace injury, the charges may be covered by workers' compensation, and we will bill the employer or the employer's insurance carrier. In these cases, we require a letter or other documentation from the patient including the name of the employer, the name of the employer's workers' compensation insurer, if known, and the claim number for a workers' compensation claim, if one has been filed. It is the patient's responsibility to supply us with this information. Those patients who will not or cannot give us appropriate billing information will be designated as self-paying. If the workers' compensation claim is denied through the administrative process, the patient will be treated as a self-paying patient.
How do you handle children's accounts?
Divorce, separation and remarriage often lead to difficult questions regarding financial responsibility. Determinations made as a result of court actions are not binding on our billing process. The family member who brings a child to our facilities and signs the child's admission forms will be the person we identify as the responsible party. In the state of Missouri, both parents ultimately are responsible for paying a child's health care expenses.
I'm from another state. Will Medicaid cover my care?
University of Missouri Health Care does not accept out-of-state Medicaid as payment for services.
Insurance and third-party billing
Will you submit my insurance claim?
As a courtesy to our patients, University of Missouri Health Care bills third-party insurers. However, it is the patient's responsibility to see that an account is paid in full. The filing of claims with third-party carriers in no way relieves the patient of this obligation. We will not submit claims to insurance companies originating outside the United States.
What information do you need to file a claim?
It is the patient's responsibility to supply us with all necessary insurance billing information at the time of service. This information often is included on an insurance card.
- Pre-certification and referrals: We will seek pre-certifications or referrals from insurance companies we have not contracted with as courtesy to the patient. We will follow all applicable conditions of any managed-care contract in which we participate.
- Assignment of third-party benefits: We will file third-party claims for patients without an assignment of benefits only when an account is paid in full.
How long does my insurance company have to pay?
We will allow third parties an appropriate amount of time at our discretion to pay a bill. Prompt and regular follow-up will be performed on all accounts. Patients or their responsible party will be required to pay for deductibles, copayments and non-covered charges.
How long do I have to pay if I don't have insurance coverage?
Patients will be expected to pay for all scheduled procedures or services prior to the procedure or service. Accounts not paid within 30 days of discharge are considered delinquent.
Can I pay in installments?
University of Missouri Health Care may accept monthly payments subject to a patient's ability to pay. We are under no obligation to accept monthly payments without prior approval. Patients requesting monthly payments may be asked to complete a financial statement. Discounts are offered on bills paid in full.
What if I don't pay what I owe?
Accounts that are deemed to be bad debts will be placed for collection with a professional collection agent or attorney. Legal action may be initiated by University of Missouri Health Care to expedite the collection of charges for services rendered.
Who gets to see my records?
Medical records, which are confidential, are only accessible to those who are involved in your care, preparing or collecting your bill (including contractors) or other hospital operations. Your medical records will not be released to any other party without your written permission, unless required by law. We may require prepayment of a fee for copying costs.
Who decides how much my care costs?
We will not allow insurance carriers to set the amount we charge for our services. Great care is taken to determine the amount of our charges, and they will not be reduced for insurance carriers unless the reduction is agreed to in advance for a specific patient.
Please note: Patients receiving medical care may receive additional bills from University Hospital and Clinics, University Physicians, other consulting physicians, anesthesiologists, pathologists, emergency medical physicians and radiologists. Separate payment for services rendered by these professionals must be made to the appropriate billing offices.
If you have billing questions, please call (573) 884-3300 or toll-free (877) 363-6441 for assistance.