Registration: Questions & Answers
Welcome to Rush North Shore Medical Center. We are pleased that you and your doctor have chosen Rush North Shore Medical Center for your services. We would like to help guide you through the registration process.
Why Do I Need to Register?
Registration is an important part of your services at Rush North Shore Medical Center. The information gathered at registration is important in order for hospital departments and your physician to provide you with timely, quality care. Governmental requirements are also part of the
registration process. This includes but is not limited to: Complete Physician Order, The Notice of Privacy Practices, Medicare Secondary Payor Questionnaire, and your signature. Information about these requirements is provided below.
- Registration staff will ask for, or verify your personal information such as name, address and telephone number in addition to insurance information, and any other insurance requirements on every visit.
- Since each visit is billed separately, you will have a new hospital account number each time you register, except for Recurring Services. Please review the section, “Registering for Recurring Services”.
- The information collected during registration becomes part of your hospital record and is also used for billing your insurance company.
- If you do not have insurance coverage or are concerned about your portion of the hospital bill, Rush North Shore Medical Center offers several payment options. Please review the section “What if I Do Not Have Insurance or Owe a Balance After Insurance?” Registration staff will also be able to provide you with information about our programs.
- Please be prepared to pay your co-payment, if applicable, at time of registration.
When Should I Be Here?
If you are scheduled for a test or procedure, please arrive at Registration at least 20 to 30 minutes prior to your scheduled appointment time unless otherwise instructed.
Where Do I Register?
If you are scheduled for any surgical, endoscopic or cardiac procedure, you will register at the Ambulatory Surgery Department located next to the main lobby of the hospital.
For all other services, you will register at the Central Registration Department in the main lobby of the hospital.
What Should I Bring to Registration?
- Photo identification (this includes driver’s license, state ID, or employer photo identification card);
- Your insurance card(s);
- Written authorization from your employer for services pertaining to Workers Compensation, if applicable.
- Written order from your doctor
- If you have HMO insurance, you must bring your referral form completed by your primary physician for Outpatient Services. Your insurance may not pay unless you present this form at the time you register.
Registering for Different Types of Service
Your physician determines the type of service you are registering for:
Inpatient: Overnight stay; normally more than 24 hours
Observation: An outpatient service; normally one overnight stay or less than 24 hours. This allows your physician to observe your condition in a hospital room.
Outpatient: Not an overnight stay; service is performed and you go home on the same day.
Examples of Outpatient Services:
- Laboratory test
- X-Ray test
- Outpatient surgery/outpatient procedures
- Recurring services (Physical Therapy, Chemotherapy, etc)
You must present a written order from your doctor. This order must include:
- Patient name
- The type of test or service
- The reason for the test or service (signs and/or symptoms or existing diagnosis)
- Ordering physician’s name
- Ordering physician’s signature
NOTE: Not having all of the above information may delay or prevent the test or service from being performed.
Registering for Recurring Services
A recurring service is a series of treatments that occur over a number of days. Registration occurs only once every 31 days. Examples of recurring services:
- Cardiac Rehabilitation
- Infusion Therapy
- Physical Therapy
- Pulmonary Rehabilitation
- Outpatient Oncology
- Speech Therapy
The first time you register for recurring services, you will follow the same registration process listed above for outpatient services.
The most important difference in registration requirements for patients receiving recurring services, is that you may be required to re-register every thirty-one (31) days or after any inpatient stay, observation stay, emergency room visit, or outpatient surgery if your recurring service will continue. If you have any questions about your recurring services, ask the staff in the department where you are receiving services, or contact the Central Registration Department at 847-933-6750.
What Does Medicare Require?
As a provider of Medicare services, Rush North Shore Medical Center is required to follow certain Medicare guidelines. This sometimes includes providing you with certain information and other times requires that we ask for information from you.
Each time you register, Medicare requires the hospital to:
- Complete a Medicare Secondary Payor Questionnaire (MSPQ). This form tells Medicare and the hospital if there is other insurance that would pay the bill instead of Medicare. This could include, but is not limited to, automobile insurance or insurance through an employer.
- Comply with Medical Necessity Guidelines outlined by Medicare. This means that the test(s) your physician orders must follow certain specific coverage guidelines. If the diagnosis, sign or symptom given for a particular test(s) does not meet Medicare’s Medical Necessity Guidelines, Medicare will not pay for the test(s). We will inform you about it on a special form called an Advanced Beneficiary Notice (ABN).
If this happens you may choose to do one of the following:
- Have the test(s) or service(s) performed. You will be asked to sign the ABN. By signing this form, you understand that the hospital has informed you about this coverage issue and you will be responsible for payment of the test(s).
- Postpone the test until you are able to talk with your physician.
If you have any questions regarding your coverage or Medicare’s Medical Necessity Guidelines, please contact Medicare at 1-800-633-4227.
What Does the Federal Government Require?
A governmental regulation called the Health Insurance Portability and Accountability Act (HIPAA), went into effect in April, 2003. This Act is meant to protect your private health information and its use. On your first visit to Rush North Shore, you will be given the hospital’s “Notice of Privacy Practices” brochure, and will be asked to sign an acknowledgement of receipt form.
What Does an HMO/PPO Require?
HMO plans may require you to bring a completed referral form from your primary physician. Some HMO/POS & PPO plans may require prior authorization for certain services. Since insurance requirements vary by employers, please contact your health plan, or the employee benefit department where you work for additional information.
What Does Rush North Shore Medical Center Require?
We require you to sign an authorization form which allows us to release information to your doctor and insurance company, if requested.
Please refer to the “What Should I Bring to Registration?” section of the brochure for more specific information.
For additional information, please contact:
Rush North Shore Medical Center