Patient Resources

Patient
Resources

Patient Resources

In order to provide the best care and avoid any last-minute cancelations, we require a medical history questionnaire be completed. This is available online for your convenience and must be completed at least 24 to 48 hours prior to your scheduled surgical date.
Instructions:

This tool is part of the industry-leading, advanced technology system implementing HIPAA security for your information.

• Please complete all sections
• If a section does not apply, please select the check box for “No Issues”
• Be sure to include your complete medical history including current conditions, prescription and over-the-counter medications (past and present), past medical conditions/surgeries

Upon receipt, someone from our team will call you regarding your appointment. 

What You Will Need:

• List of all medications

• List of allergies and sensitivities

• Name and date of previous surgeries

• Your medical history

Anticipating surgery can be stressful and part of the anxiety can arise out of not fully understanding out-of-pocket expenses associated with a proposed surgery. At East Hills Surgery Center, we believe it is important to make patients aware of their potential financial expense prior to their procedure.
One of our insurance verification specialists will contact you if there is an anticipated out of pocket expense associated with your planned procedure. Please realize charges for your procedure at East Hills Surgery Center are separate from your surgeon’s charge as well as any anesthesiologist* and/or pathologist charges which may be incurred.

East Hills Surgery Center collects all co-payments, or deductible amounts on the day of your procedure. All remaining balances are due within 90 days of service.

If your procedure is not covered by insurance, full payment is required at the time of service unless other arrangements are made in advance.

East Hills Surgery Center is a Medicare/Medicaid certified facility. As such, we are held to strict practice standards. We accept assignment for all Medicare and Medicaid patients as well as participate with the areas major insurance plans.

Patients – or their legal guardians – are ultimately responsible for payment of facility services at East Hills Surgery Center. As a courtesy, East Hills Surgery Center will bill your primary and secondary insurance carriers for you. Please bring your insurance cards with you on the day of surgery. We are under contract with the areas most popular insurance carriers and are required to collect all co-payments from our patients. Such co-payments may include deductibles, co-insurance or any non-covered items identified by your insurance plan.

East Hills Surgery Center accepts cash, checks, any major credit card, a Flexible Spending Account (FSA), a Health Savings Account (HSA), or Care Credit as a financing option.

Feel free to contact our business office at 516-243-8521 Monday through Friday 8:30AM to 4:00pm with questions regarding your billing or insurance information. We will be happy to assist you.

*Anesthesia services at East Hills Surgery Center is provided by New York Cardiovascular Anesthesiologists, P.C. Questions concerning their fees should be directed to their billing service at (516) 627-6624.

The Centers business office staff may contact you to verify your insurance and identify any out of pocket expense you may have. If you do not receive a call before noon the day prior to your procedure, please contact the office at (516) 243-8521. This is also the number to call for all billing questions related to your surgical services at the surgery center.
Pre-Surgical Information
In order to provide the best care and avoid any last-minute cancelations, we require a medical history questionnaire be completed. This is available online for your convenience and must be completed at least 24 to 48 hours prior to your scheduled surgical date.
Instructions:

This tool is part of the industry-leading, advanced technology system implementing HIPAA security for your information.

• Please complete all sections
• If a section does not apply, please select the check box for “No Issues”
• Be sure to include your complete medical history including current conditions, prescription and over-the-counter medications (past and present), past medical conditions/surgeries

Upon receipt, someone from our team will call you regarding your appointment. 

What You Will Need:

• List of all medications

• List of allergies and sensitivities

• Name and date of previous surgeries

• Your medical history

What To Expect
Billing
Anticipating surgery can be stressful and part of the anxiety can arise out of not fully understanding out-of-pocket expenses associated with a proposed surgery. At East Hills Surgery Center, we believe it is important to make patients aware of their potential financial expense prior to their procedure.
One of our insurance verification specialists will contact you if there is an anticipated out of pocket expense associated with your planned procedure. Please realize charges for your procedure at East Hills Surgery Center are separate from your surgeon’s charge as well as any anesthesiologist* and/or pathologist charges which may be incurred.

East Hills Surgery Center collects all co-payments, or deductible amounts on the day of your procedure. All remaining balances are due within 90 days of service.

If your procedure is not covered by insurance, full payment is required at the time of service unless other arrangements are made in advance.

East Hills Surgery Center is a Medicare/Medicaid certified facility. As such, we are held to strict practice standards. We accept assignment for all Medicare and Medicaid patients as well as participate with the areas major insurance plans.

Patients – or their legal guardians – are ultimately responsible for payment of facility services at East Hills Surgery Center. As a courtesy, East Hills Surgery Center will bill your primary and secondary insurance carriers for you. Please bring your insurance cards with you on the day of surgery. We are under contract with the areas most popular insurance carriers and are required to collect all co-payments from our patients. Such co-payments may include deductibles, co-insurance or any non-covered items identified by your insurance plan.

East Hills Surgery Center accepts cash, checks, any major credit card, a Flexible Spending Account (FSA), a Health Savings Account (HSA), or Care Credit as a financing option.

Feel free to contact our business office at 516-243-8521 Monday through Friday 8:30AM to 4:00pm with questions regarding your billing or insurance information. We will be happy to assist you.

*Anesthesia services at East Hills Surgery Center is provided by New York Cardiovascular Anesthesiologists, P.C. Questions concerning their fees should be directed to their billing service at (516) 627-6624.

Health Insurance
The Centers business office staff may contact you to verify your insurance and identify any out of pocket expense you may have. If you do not receive a call before noon the day prior to your procedure, please contact the office at (516) 243-8521. This is also the number to call for all billing questions related to your surgical services at the surgery center.
Download Patient Documents