Billing & Payments

Our knowledgeable staff will help you navigate the insurance and billing information associated with surgery.

We participate with most insurance plans. Please call your insurance company's member services department to verify physician participation, coverage, network benefits, and patient responsibilities such as; copays, co-insurance and deductibles. The member services number is usually located on the back of your insurance card.

Patients are responsible for obtaining all referrals required by their insurance policy.


Insurance & Billing Information

Mohs Surgery:
For all patients scheduled for Mohs surgery, you will need to provide the member services department of your insurance company with additional information to ensure maximum benefit coverage. They will need to know that you are scheduled for Mohs Surgery (procedure code 17311) for skin cancer (diagnosis code C44.300).

Plastic Surgery:
There are a few plastic surgery procedures, such as breast reconstruction and breast reduction, that may be covered by your insurance company. Our billing specialists will work with you to understand your insurance options and any pre-authorization requirements. If your particular insurance plan does not cover a procedure, you will be responsible for payment. Our billing specialists can help you make financial arrangements, including providing information on financing through Care Credit®.

Ambulatory Surgical Center:
Notify your insurance company that the Ambulatory Surgical Center may be utilized if you are covered by the insurance plans listed below. You may have a separate copay, co-insurance and deductible for the surgical center.
    - Medicare (not required to notify)
    - All supplemental insurance carriers
    - Aetna
    - Anthem
    - Cigna
    - Sentara / Optima Health

Multiple Bills:
You and/or your insurance company may receive up to two (2) separate bills — one statement for the physician's professional fee and the other statement for the Ambulatory Surgery Center facility fee. If you are having the Slow Mohs procedure, you will incur additional fees and receive a laboratory bill from an outside laboratory. If you are sent to an outside facility for surgical repairs, you will incur additional fees and receive a separate bill from that facility.

Cancellation Fees:
If you need to cancel your surgical procedure and give us less than two (2) business days notice, you will be charged a cancellation fee.

Copays & Deductibles:
Copays are due at time of service. All co-insurance and deductibles are due 30 days from your statement date. Any procedures not covered by your insurance policy are due at time of service.

Payments:
Payments that are mailed may take up to 10-14 business days to credit to your account. We accept cash, check and credit cards, including Visa, Mastercard and Discover. Failure to meet your financial obligation will result in additional fees incurred to collect the balance owed on your account.

Returned Checks:
You will be charged a return check fee of $35.00 for any check return for any reason.

 

You can read our complete Financial Policy by clicking here. If you have any questions regarding your account, please contact billing@mohsvirginia.com or call 804-282-4940.

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