Billing / Insurance

At Acuity Healthcare, our number one priority is our patients’ medical experience and satisfaction.  We honor our commitment to patients, their families and the community by accepting a vast array of insurance providers.  This is so our patients can receive proficient, cost-effective medical treatments.

We strive to provide effective, compassionate, and personalized medical services that are accessible to the entire community.

What are the differences between Medicare and Medicaid? Click here for the document taken directly from CMS or Click here to be taken directly to the CMS website.

Frequently Asked Questions

Who do I call when I have a question about my bill?

Call us at 1-877-228-4893, option 3, then press 2. 

How do I read my Explanation of Benefits (EOB)?

Your insurance company will issue an EOB for every doctor’s visit or hospital stay. This EOB is a statement explaining your coverage for that individual stay. The EOB gives a detailed breakdown of what was billed, what they paid, and what you may owe the Hospital or Provider.

Click here for Understanding an EOB document

 

What does it mean if my insurance considers Acuity to be Out-of-Network?

Out-of-Network simply means Acuity has not signed a contract with your particular insurance provider.

I have more than one bill, why?

You may receive multiple bills from providers who have seen you while you were under our care. This is dependent upon what type of care you received. Types of bills you may receive include, but are not limited to, Radiologist, Anesthesiologist, etc.

Why do I owe a balance if I have insurance?

Many times your insurance company will pay the Hospital on your behalf but they often also leave a patient balance. This generally includes deductibles, coinsurance, and/or copayments.

What happens to my bill once I leave the hospital?

Once you are discharged from the facility, your bill is then generated and sent to your insurance company. Your insurance company then pays your bill and sends an Explanation of Benefits to both you and the Hospital. If you have supplemental or secondary insurance coverage, we will then bill your secondary coverage any outstanding balances prior to billing you.

Please keep in mind, there are instances that you may be required to reach out to your insurance company to clarify any questions they may have, prior to payment of your bill.

Can I get Financial Assistance?

Patients who wish to discuss options for financial assistance or payment may do so by calling our Customer Service Department at 877.228.4893, option 3, then press 2.

The Acuity Specialty Hospital financial assistance program is designed to ensure assistance is provided to patients demonstrating a financial need and to ensure Acuity Specialty Hospital complies with any required Federal or State regulations related to financial assistance. Those eligible for financial assistance will never be billed more than the amounts generally billed to an insured patient.

Patients can apply for financial assistance by clicking on the link below.

Acuity Specialty Hospital Financial Assistance Application

Applications should be mailed to:

Acuity Specialty Hospital Business Office
Attention: Financial Counseling Department
10200 Mallard Creek Road, Suite 300
Charlotte, NC 28262
Or fax to 704.731.8668

Health Insurance

Acuity Specialty Hospital accepts Medicare and most commercial insurance plans. Hospitalization insurance information is obtained prior to admission. The Admissions Department works closely with all insurance plans to verify coverage benefits, policy limitations and authorization. The hospital routinely contracts with out-of-network insurance plans on a patient-by-patient basis.  Patients should check with the physicians involved in their care to determine whether they are in or out-of-network.  Using an out-of-network provider could increase the patient’s financial responsibility.  Upon request, we are happy to provide you with an estimate of charges.

For those patients who are not covered by a health plan, financial arrangements will be discussed prior to the patient’s admission.

As new contracts are signed regularly, please contact the hospital to see if your plan is covered. To learn more or to make a referral to Acuity Specialty Hospital, please contact our Admissions Department at 855.281.5728.

Acuity Specialty Hospital of Ohio Valley

If your insurance company is not listed below, don’t worry, we may be able to partner with your existing carrier to approve your stay.

Aetna
America’s Choice Provider Network
Buckeye Health Plan
Cigna
Federal Black Lung Program
Galaxy Health Network
HAA Preferred Partners
HealthSmart
Highmark BCBS WV
Highmark BCBS PA
Integrated Health
InterGroup Services
Medical Mutual
Meridian
Molina
MultiPlan
PA Health & Wellness
Paramount
PMCS
Prime Health
Qualcare
Rockport
The HealthPlan
Three Rivers
United Healthcare
United Mine Workers Assn. (UMWA)
UPMC for Life
VA Choice Program

Price Transparency

Acuity Specialty Hospital is committed to empowering patients, in partnership with their care team, to make informed decisions about their healthcare. This includes helping patients understand the cost of their care, as well as financial assistance that may be available.

In compliance with federal and state law, Acuity Specialty Hospital will provide standard chargemaster prices to anyone who requests it. However, the list price of a hospital service is irrelevant, and not the actual amount a patient will pay. The amount a patient pays is based on many factors, including health insurance and other applicable discounts, and the unique needs of the patient.

To help patients plan for their medical care, we provide estimates for many common hospital services. Call 877.228.4893 (option 3 and press 2) Monday through Friday, 8:30 a.m. to 5:00 p.m. to speak with one of our patient financial services representatives.

Annually, Acuity Specialty Hospital formally reviews our hospital prices to ensure they accurately reflect the high quality care we seek to provide. In some cases, our prices are different from other providers when we offer a higher level of care and unique clinical expertise. Overall, Acuity Specialty Hospital works with patients, providers and partners to lower the cost of care through wellness, disease management and quality care.

To request a full listing of our standard chargemaster prices, you can call 877.228.4893, option 3, and press 2, or click the following links:
Standard Charge List – Ohio Valley.

Average Charge by DRG – Belmont, OH      Average Charge by DRG – Weirton, WV     Average Charge by DRG – Wheeling, WV

Medical Records

HEALTH INFORMATION MANAGEMENT (HIM)

Medical records hold important information about your health history, diagnoses, conditions and treatment plans; including medications, you received while at our hospital. Our hospital is transitioning to digital medical records, which will enable us to help provide seamless information sharing between your doctors and the hospital. Regardless in what format your medical record is kept, you have the right to access it.

Since your medical record is the property of the hospital, all medical providers involved in your care must first document your condition, treatment, and the care you received before it can be released to you.

Please keep in mind that medical records are confidential and, to protect your information, your written authorization is required before a copy can be released. If you’re age 18 or older, you can request an authorization form from the medical records office. A fee may be required.  (Be sure to look at the fees for the city and state in which the hospital resides.)
          Fees in:   Belmont, Ohio                              Weirton, West Virginia                              Wheeling, West Virginia

Patient Right of Access

You have the right to review and/or request a copy of your protected health information. This includes the right to ask the hospital to transfer a copy to a selected person or other healthcare provider of your choosing. You have a right to access your protected health information for as long as the information is maintained by the hospital.  This rule also extends to a patient’s personal representatives who have the right to make healthcare decisions on the individual’s behalf (power of attorney, legal guardian, parent of a minor, etc.).

For a copy of your medical records or other protected health information, please complete the Patient Request for Access to Protected Health Information form for the city and state in which the services were provided, and mail or fax your signed request to one of the following hospitals:

Patient Request for Belmont, OH               Patient Request for Weirton, WV             Patient Request for Wheeling, WV

Acuity Specialty Hospital of Ohio Valley at Belmont
Health Information Management – ROI
4697 Harrison Street – 2nd Floor
Bellaire, OH 43906
Ph: 740-671-2089
Fax: 740-671-2095

Acuity Specialty Hospital of Ohio Valley at Weirton
Health Information Management – ROI
601 Colliers Way – 9th Floor
Weirton, WV 26062
Ph: 304-919-4285
Fax: 304-787-0168

Acuity Specialty Hospital of Ohio Valley at Wheeling
Health Information Management – ROI
1 Medical Park – 6th Floor
Wheeling, WV 26003
Ph: 304-242-9029
Fax: 304-238-5758

For additional information, please call the hospital Health Information Management department as indicated above.

Third Party Requesting Medical Records

What third party representatives need to know.

For a copy of medical records or other protected health information, please submit a HIPAA compliant patient authorization or complete the Authorization to Disclose Protected Health or Billing Information form listed below. Please submit this completed form to your hospital’s Health Information Management (HIM) department by faxing or mailing a signed version of the form to the above address.
Third Party Fees for:    Belmont, OH              Weirton, WV              Wheeling, WV
Authorization to Disclose for:  Belmont, OH          Weirton, WV           Wheeling, WV

Since the request is not being made directly by the patient, but by a representative, the Patient Right of Access rules do not apply.

For additional information, please call the hospital’s Health Information Management department as listed above.

Frequently Asked Questions

How do I request my medical records?

For a copy of your medical records or other protected health information, please complete the Patient Request for Access to Protected Health Information (above) and mail or fax your signed request to the hospital in the state you were hospitalized below:

Acuity Specialty Hospital of Ohio Valley at Belmont Acuity Specialty Hospital of Ohio Valley at Weirton Acuity Specialty Hospital of Ohio Valley at Wheeling
Health Information Management – ROI Health Information Management – ROI Health Information Management – ROI
4697 Harrison Street – 2nd Floor 601 Colliers Way – 9th Floor 1 Medical Park – 6th Floor
Bellaire, OH 43906 Weirton, WV 26062 Wheeling, WV 26003
Ph: 740.671.2089 Ph: 304.919.4285 Ph: 304.242.9029
Fax: 740.671.2095 Fax: 304.787.0168 Fax: 304.238.5758
How can I request medical records for someone else who has given me permission?

You will need to submit a HIPAA compliant patient authorization or complete the Patient Requesting Medical Records form (above) by mailing or faxing a signed copy to one of the following hospitals in which you were hospitalized:

Acuity Specialty Hospital of Ohio Valley at Belmont Acuity Specialty Hospital of Ohio Valley at Weirton Acuity Specialty Hospital of Ohio Valley at Wheeling
Health Information Management – ROI Health Information Management – ROI Health Information Management – ROI
4697 Harrison Street – 2nd Floor 601 Colliers Way – 9th Floor 1 Medical Park – 6th Floor
Bellaire, OH 43906 Weirton, WV 26062 Wheeling, WV 26003
Ph: 740.671.2089 Ph: 304.919.4285 Ph: 304.242.9029
Fax: 740.671.2095 Fax: 304.787.0168 Fax: 304.238.5758

Since the request is not being made directly by the patient, but by a representative, the Patient Right of Access rules do not apply.

How long will it take to receive my records?

Although we make every effort to respond to all requests as quickly as possible, the law allows us up to 30 days to respond.

How will the information I requested be sent to me?

You can state which format you prefer your medical records to arrive, but if no preference is noted, the hospital will make every effort to provide the most affordable option to you. (See above for fee schedules)

What information will I receive?

It will be based on the information requested and/or authorized. There are various components to a medical record which can be individually requested and we encourage patients and requestors to only request what is needed for their purposes.  

Will I have to pay for my medical records?

Associated fees are determined by both the nature of your request and the format you choose for your records to be delivered. For fee schedule information, please see above.

Why have I received an invoice for the information requested?

Invoices for medical records are in compliance with HIPAA and state laws. We’re required to notify you up front of any fees associated with your request and the invoice is this notification. With price options, you’ll be able to decide which is most affordable. You may contact the hospital for any questions you may have.

How can I pay an invoice from an Acuity Healthcare hospital?

We currently accept checks or money orders. Please mail all payments to the hospital in which you were hospitalized below:

Acuity Specialty Hospital of Ohio Valley at Belmont Acuity Specialty Hospital of Ohio Valley at Weirton Acuity Specialty Hospital of Ohio Valley at Wheeling
Health Information Management – ROI Health Information Management – ROI Health Information Management – ROI
4697 Harrison Street – 2nd Floor 601 Colliers Way – 9th Floor 1 Medical Park – 6th Floor
Bellaire, OH 43906 Weirton, WV 26062 Wheeling, WV 26003
Ph: 740.671.2089 Ph: 304.919.4285 Ph: 304.242.9029
Fax: 740.671.2095 Fax: 304.787.0168 Fax: 304.238.5758
Email: ROI_BE@acuityhealthcare.net Email: ROI_WE@acuityhealthcare.net Email: ROI_WH@acuityhealthcare.net
How do I have my records sent to my new physician?

You may call or have your new physician submit a formal request for records on a copy of their letterhead to the hospital in which you stayed below and we’ll forward your records to their office at no cost to you or your new physician.

Acuity Specialty Hospital of Ohio Valley at Belmont Acuity Specialty Hospital of Ohio Valley at Weirton Acuity Specialty Hospital of Ohio Valley at Wheeling
Health Information Management – ROI Health Information Management – ROI Health Information Management – ROI
4697 Harrison Street – 2nd Floor 601 Colliers Way – 9th Floor 1 Medical Park – 6th Floor
Bellaire, OH 43906 Weirton, WV 26062 Wheeling, WV 26003
Ph: 740.671.2089 Ph: 304.919.4285 Ph: 304.242.9029
Fax: 740.671.2095 Fax: 304.787.0168 Fax: 304.238.5758
Why am I being asked to submit additional documentation to Acuity Specialty Hospital?

Acuity Specialty Hospital values each patient’s privacy and we occasionally need additional documentation in order to validate the requests we receive, so that we may continue to ensure the highest privacy standards are met. We apologize for any inconvenience this may cause.