Patient Account Policy
 
 

The desire of MAPA physicians is to consistently maintain the highest standard of pediatric care.  Obviously, payment for services rendered is required to meet this goal most effectively.  Trends in our current economy indicate a significant increase in federal and state funded health programs (ex. Medicaid), the use of high deductible health insurance plans, and dependence on Health Savings Accounts (HSAs) and Health Reimbursement Accounts (HRAs) for medical services payments in addition to "traditional" health coverage plans.  We understand at times payment of unexpected medical expenses may present a challenge.  Unfortunately, waiving charges and payment expectations is simply not possible if we are going to ensure our ability to continue to serve our patients.

In an effort to be equitable in our fiscal relationships, the MAPA Board of Directors has approved a specific plan for payment of balances as follows:

  • Co-payments, co-insurances, and deductible payments are expected at the time services are rendered.
  • Outstanding balances must be satisfied in full prior to "non-urgent" visits being scheduled.  The responsibility to communicate with the MAPA Patient Accounts Representative regarding any outstanding balance lies with the Patient Representative.
    • A payment agreement (relative to all insurance / "self-pay" coverage types) may be initiated upon approval of the MAPA Patient Accounts Representative designated by the MAPA Board of Directors and/or Practice Manager
      • Payment of 50% of total balance is due within 30 days
      • 10% of total balance payments are due monthly on a mutually agreed upon date (typically the 15th of each month).  The MAPA Patient Accounts Representative will take into consideration the most feasible monthly date for the Patient Representative.
      • Note: if payment is not made by the specified payment due date, dismissal from MAPA will occur.  In the event that personal circumstances have changed and "hardship" documentation is provided prior to the specified payment due date, dismissal may be avoided
    • In the event that a "routine" visit is necessary during the time frame that a payment agreement is in force, the Patient Representative may secure a patient appointment for the "routine" care by providing payment in full (estimated amount based on standard appointment components) prior to the patient being seen.  Please note, continued payment of the outstanding account balance must also continue as stated above.
  • Hardship situations will be considered - proof of hardship is required (MAPA Patient Accounts Representative may request information listed below):
    • Medical statement from an outside physician indicating significant medical issue(s) within the immediate family exist, resulting in an inability to make payment for services rendered by MAPA.
    • Statement from former employer or other agency regarding loss or reduction of employment.
    • Proof of household income and expenses (including mortgage/rent, utilities, medical expenses, ancillary services such as cable TV/internet, cell phone services, etc.)
  • For "self-pay patients", a 15% prompt payment reduction will be given when payment is made in full at the time services are rendered.

MAPA has enjoyed a long and positive relationship with many of Western North Carolina's youngest citizens and their representatives.  We look forward to continuing these relationships well into the future.  Thank you for understanding that we can only continue services for Western North Carolinians when payment for all services is rendered in a timely fashion.  If you have questions or concerns regarding your financial relationship with MAPA, please do not hesitate to contact our Patient Accounts Representative at: (828)254-5616 ext. 1