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In compliance with state law, Section 395.301, F.S., Encompass Health Rehabilitation Hospital of Sarasota makes available to all patients information regarding quality, price transparency and patient billing information. Below you will find links to the Florida Health Finder, which includes information regarding quality metrics and service bundle pricing information. You will also find information regarding the health insurers and health maintenance organizations (HMO) we contract with, as well as information regarding the physicians contracted to provide services within the hospital. Finally, you will find information regarding how to request estimates or itemized bills. Please see our financial assistance webpage to view policies regarding financial assistance, charity care and collections procedures.
Please contact the hospital direct at 941.921.8600 should you have any questions regarding this information.
The Florida Agency for Health Care Administration makes available on its website health-related data and hospital quality metrics, including readmissions data, mortality rates, complications rates, infections rates, patient experience and other patient safety related data. rel="noopener noreferrer" Click here to visit the floridahealthfinder.gov
The Florida Agency for Health Care Administration provides information on payments made to facilities for defined service bundles. To view average payments for over 200 service bundles in Florida, click here to visit the pricing.floridahealthfinder.gov
Please note the following:
Patients may request an itemized statement or bill. The itemized statement or bill will be provided within 7 business days after the request or the discharge date, whichever is later. The itemized bill will contain a description of the individual charges by date. Physician services may be billed separately; you should contact the physicians providing services to obtain an itemized statement or bill for services provided.
To request an itemized statement or bill, please call us at 941.921.8600 and ask to speak with the Controller.
Billing questions or disputes can be addressed with the hospital’s Controller by calling 941.921.8600. If you are not fully satisfied with the resolution to your questions or disputes, you may contact the Florida Agency for Health Care Administration directly at 888.419.3456 / 800.955.8771.
Encompass Health Rehabilitation Hospital of Sarasota contracts with the physicians below to provide medical services within the hospital. These physicians may bill separately for their services. Please note that these physicians may or may not participate with the same health insurers or health maintenance organizations (HMOs) as Encompass Health Rehabilitation Hospital of Sarasota. You should contact the health care practitioner who will provide services to you to determine which health insurers and HMOs the practitioner participates in as a network provider or preferred provider.
Additional physicians may be added and/or physicians may be presented under an alternate name that may be different from what is listed below. Please call us directly at 941.921.8600 and ask to speak with the Admissions Department, so that we can assist you with the most current and accurate information.
You may request from Encompass Health Rehabilitation Hospital of Sarasota and other health care providers a personalized estimate of reasonably anticipated charges for the treatment of your specific condition.
Our hospitals contracts with the health plans listed below. Patients are encouraged to contact their health plan directly for information regarding anticipated cost sharing responsibilities.
Additional plans may be added and/or plans may be presented under an alternate name that may be different from what is listed above. Please call us and ask to speak with the Admissions Department, so that we can assist you with the most current and accurate information.
Please note that services may be provided our hospital by the facility as well as other health care practitioners, who may or may not participate with the same health insurers or health maintenance organizations (HMOs) as us, and who may bill you separately. You should contact the health care practitioner who will provide services to you to determine which health insurers and HMOs the practitioner participate in as a network provider or preferred provider.You may request from us and other health care providers a personalized estimate of reasonably anticipated charges for the treatment of your specific condition.
ALIGN NETWORKS (OP SERVICES ONLY)
AVMED HEALTH PLAN
BLUE CROSS BLUE SHIELD OF FLORIDA
CITRUS HEALTH NETWORK
COMMUNITY CARE NETWORK
GLOBAL EXCEL MANAGEMENT
PRIVATE HEALTHCARE SYSTEMS
VETERANS CHOICE PROGRAM
As part of the 2019 IPPS Final Rule, the Centers for Medicare and Medicaid Services (CMS) requires hospitals to provide patients a listing of standard hospital charges.
In compliance with federal (and select states’) law, Encompass Health provides price transparency and patient billing information to all patients.
We have listed our standard procedures and charges, which are reviewed and updated annually. Actual charges will vary based on medical need at the time services are rendered. Please contact the Hospital directly at the phone number listed on the pricing file if you have any questions about our standard charges or to obtain a prospective service quote. Fees for physician services are not reflected in our standard charge list and will be billed separately by your physician.
Requesting an estimate
Patients may request an estimate of anticipated charges. Estimates will be provided within 7 business days from the receipt of request. Estimates will be based on average historical charges for the anticipated services to be provided; however, you may request a more personalized estimate. Patients are encouraged to contact their health plan for information regarding anticipated cost sharing responsibilities.
To request an estimate, please contact the hospital’s Controller by calling the hospital at the hospital phone number listed on the pricing file.
Please note the following:
Health plans can be very different and we encourage you to contact your health insurance provider directly if you have questions about your deductible, copayment, coinsurance and benefit limits. If you are not covered by health insurance, we encourage you to contact the hospital at the hospital number listed on the pricing file to determine if you qualify for discounts and discuss payment options prior to receiving health care services from our inpatient rehabilitation facility.
Before we bill you, we will bill your insurance provider, including Medicare and Medicaid if applicable, and any additional insurance providers. We do not charge interest on any balance due after insurance payments are received.
If you are unable to pay the amount you owe in full, you may contact the hospital at the hospital number listed on the pricing file to arrange for payment plans or to learn more about financial assistance options available. Financial assistance information is also available on the hospital’s website.
Note: Section 2718(e) of the Public Health Service Act, as enacted by the Affordable Care Act, requires “each hospital operating within the United States” to “make public (in accordance with guidelines developed by the Secretary) a list of the hospital’s standard charges for items and services provided by the hospital, including for diagnosis-related groups (DRGs) established under section 1886(d)(4) of the Social Security Act.”
Section 4421 of the Balanced Budget Act (BBA) of 1997 (Public Law 105-33), as amended by section 125 of the Balanced Budget Refinement Act (BBRA) of 1999, authorized the implementation of a per discharge prospective payment system (PPS), through section 1886(j) of the Social Security Act, for inpatient rehabilitation hospitals (IRFs). Section 1886(j)(2)(A) provides that Medicare will pay for treatment in an IRF by dividing patients into case-mix groups, CMGs, that are predictive of the resources needed to furnish patient care to various types of patients.