Resources

FAQs About Integration

 

Why did the integration happen?

What was the rationale for joining these cardiology programs?

So what has changed for me and my family?

What insurance plans do you accept?

What should I do if I think there's a mistake on my bill?

Can I get an estimate of what services will cost before my visit?

Why are some of my hospital bills covered by insurance and some are not?

You mentioned I will receive two bills for my family's visit. Why?

What is a facility charge?

Why is there a facility charge for clinic visits?

Will my insurance cover the facility charge?

What is a professional fee?

Who should I call if I have questions about a bill I've received?

What is a deductible?

What is co-insurance?

What is a co-payment?
 

Cardiologists from Phoenix Children’s Heart Center joined with Arizona Pediatric Cardiology Consultants (APCC) to form a new pediatric cardiology practice with a familiar name: Arizona Pediatric Cardiology (APC).

APC is the provider of pediatric cardiology services to the Phoenix Children's Heart Center, with services on the main campus of Phoenix Children's Hospital (PCH) within the Children's Heart Center, and at clinics within the metropolitan Phoenix area.

Additionally, APC continues to provide the same services as before at other hospitals and practice sites throughout Arizona

Why did the integration happen?

For several years, cardiologists from PCH have worked with APCC to build the Phoenix Children's Heart Center. We share a common vision: to provide a high-quality, integrated and seamless continuum of pediatric cardiology care to the community. The integration greatly enhances our efforts to offer our patients and their families the very best cardiology care and related support services at a location close to you. The ultimate goal is to ensure our patients and their families continue to receive the excellent clinical care and customer service they've come to expect from Phoenix Children's Heart Center and Arizona Pediatric Cardiology Consultants.

What was the rationale for joining these cardiology programs?

APCC and PCH created an integrated pediatric cardiology practice to improve patient care, access to providers and patient satisfaction. This type of integration benefits our patients and their families by offering improved care and better outcomes. This formalizes the relationship between APCC and PCH that patients and families have benefited from for many years.

This new pediatric cardiology practice is also the latest step in the continued evolution of Phoenix Children's Hospital's Heart Center, which in 2011 experienced a similar integration when cardiovascular surgeons, cardiologists and pediatric intensivists from St. Joseph's Hospital and Medical Center joined the Children's Heart Center as part of a strategic alliance between PCH and Dignity Health.

So what has changed for me and my family?

There are a few changes:

  • Letters and communication from our offices are under the new name, Arizona Pediatric Cardiology.
  • Certain APCC clinic locations in the Phoenix metro area became licensed as PCH provider-based clinics. For specialty care visits at these locations, you will receive two separate billing statements: one for hospital services and one for physician services.

APCC Offices that are now PCH Provider-based Clinics:

GLENDALE
5757 W. Thunderbird Rd., Suite E353
Glendale, AZ 85306
Phone: (602) 843-0700
Fax: (602) 843-8333

MESA
Watch for future news and information about this new location

PHOENIX
1920 E. Cambridge Ave, #301
Phoenix, AZ 85006

Moving to:
Phoenix Children's Hospital Heart Center
1919 E. Thomas Rd.
Phoenix, AZ 85006
The Heart Center is located in the Main Building, 2nd Floor
Phone: (602) 253-6000
Fax: (602) 256-2878

SCOTTSDALE
10250 N. 92nd St., Suite 212
Scottsdale, AZ 85258
Phone: (480) 551-5154
Fax: (480) 551-4931

*APCC offices in other locations in Arizona will become APC offices.

The most significant change is you now have the combined and coordinated resources of both organizations to serve your needs. This clinical integration that combines the cardiac subspecialists of Phoenix Children's Heart Center and APCC offers patients a better continuum of care, improved efficiency and clear focus on customer service.

What insurance plans do you accept?

APC and PCH will accept most insurance plans, but if you have any questions about your coverage, please call your insurance company.

What should I do if I think there's a mistake on my bill?

For APC billing questions, call (866) 315-4058.
For PCH billing questions, call (602) 933-6700.

Can I get an estimate of what services will cost before my visit?

For APC locations, please contact (866) 315-4058.
For PCH provider-based clinics, the Hospital's Pre-access Department can provide an estimate of the cost of medical services in advance. If you receive treatment in the Phoenix Children's Emergency Department, the Hospital's Financial Counseling Department can provide this information for non-scheduled services.

Why are some of my hospital bills covered by insurance and some are not?

Hospital coverage often has a deductible or out-of-pocket expense you are responsible for paying before full coverage applies. Because each insurance plan is different, please review your benefits carefully and contact your insurance company if you have questions about coverage or eligible expenses.

You mentioned I will receive two bills for my family's visit. Why?

You will receive two bills only when you receive inpatient services at PCH or receive care at one of the PCH provider-based clinics.

In order to comply with Centers for Medicare and Medicaid Services and insurance industry regulations, PCH is required to bill separately for facility and professional services. So when you visit PCH or one of its provider-based clinic sites you may receive more than one bill. The bill you receive from PCH is for use of our facility (facility charges). The physician's, professional services will be billed by APC. We all work together to provide excellent care for your child.

What is a facility charge?

A facility charge covers the cost of running the facility (hospital or clinic). This includes supplies, equipment, exam rooms and non-physician staff. The facility charge varies based on whether your child is a new or established patient, the type of visit, and the hospital resources required to effectively treat your child.

Why is there a facility charge for clinic visits?

PCH provider-based clinics are licensed by the state of Arizona as provider-based clinics. These clinics are considered a PCH facility, with the same services, resources and expertise provided at the main campus. These clinics are subject to the same licensure and The Joint Commission requirements as the Hospital, including facility, life safety and environmental standards. Thus they incur the same facility charge as a visit to the main campus. This is a standard practice for most other provider-based clinics across the country.

Will my insurance cover the facility charge?

This varies by insurance carrier. Some insurance companies cover the entire charge; others cover a percentage and patients are required to pay the outstanding balance. It's best to check first with your insurance company on their coverage of provider-based clinic facility charges so you will know what to expect.

What is a professional fee?

This is the bill from the doctor(s) who treated your child. You will receive a bill directly from the provider practice for its professional fees. Depending upon the complexity of your child's condition and the services provided, you may receive bills from multiple physicians, as is the case anytime you see multiple physicians.

Who should I call if I have questions about a bill I've received?

If you have questions about your bill, please contact the specific provider at the number listed on your billing statement.

Other Common Questions

What is a deductible?

A deductible is the amount of money you must pay before your insurance company begins covering part or all of your medical expenses. Check your insurance coverage details to confirm the amount of your deductible. Deductibles may apply to any hospital service performed at PCH including hospital stays, specialty and urgent care, or outpatient visits.

What is co-insurance?

After you meet your deductible, co-insurance is a set percentage of the insured medical expenses that you may be required to pay. Check your insurance coverage details to confirm your co-insurance percentage.

What is a co-payment?

This is a set payment you make every time you receive a medical service, according to your insurance coverage. Check your insurance coverage details to confirm the amount of your co-payment, which is due when you receive services.

Contact us

Our commitment is to ensure you understand the registration, admitting, billing and financial assistance processes at APC and PCH.

For APC billing questions please call (866) 315-4058.

PCH has established a dedicated email address, heartcenter@phoenixchildrens.com, to which you can submit questions you may have about billing or other topics related to this integration. A representative will respond to your inquiry promptly.

Share this page: 

|