David H. Koch Center 9th Floor: New Operations and Billing FAQs

As part of NewYork-Presbyterian/Weill Cornell Medical Center’s ongoing efforts to continuously improve our programs and facilities to better serve you, NewYork-Presbyterian and Weill Cornell Medicine will integrate their operations on the ninth floor of the David H. Koch Center, effective November 29, 2022. While this change will not affect your current plan of care, you will see a difference in the billing for your medical care in Gastroenterology, Hepatology, Endocrine ICHANGE, Liver Transplant, Kidney-Pancreas Transplant, and the Transplant Psychiatry clinic located in the center.

Beginning November 29, 2022, NewYork-Presbyterian will administer and bill for injections, transplant infusions, lab tests, breath tests, and facility charges, while Weill Cornell Medicine will bill for the professional (physicians and nurse practitioners) component of your visit. Both NewYork-Presbyterian and Weill Cornell Medicine will continue to submit bills to your health benefit plan according to the information we have on record. You will now likely receive two separate statements from Weill Cornell Medicine and NewYork-Presbyterian to reflect the services provided by each institution.

Depending on the type of medical service, such as a physician visit, you might incur an additional copay fee or coinsurance from NewYork-Presbyterian. You may still have a portion of the fee for your visit applied to your annual deductible or out-of-pocket expenses.

If you currently receive only GI infusion services without a physician visit on the ninth floor Infusion Center, you will receive one billing statement from Weill Cornell Medicine for all services rendered during your infusion visit.

We have provided a short FAQ below to help answer additional questions you may have.

As a patient, what does this change mean for me? 

• These changes will not affect your current plan of care, but you will see a difference in the billing practices for your care. 
• You will now likely receive two separate statements from Weill Cornell Medicine and NewYork-Presbyterian 

Will my physician or treatment plan change? 

• No, this change will not affect your provider team or treatment plan. 

Why did NewYork-Presbyterian and Weill Cornell Medicine make this change? 

• Consolidating the operations under the outpatient hospital designation allows the two institutions to work more closely together. This will help improve the quality of services and care coordination. 
• Our new electronic medical record system has provided tools to enable this increased coordination between Weill Cornell Medicine and NewYork-Presbyterian. 

What might my out-of-pocket responsibility be? 

• Depending on the type of medical service, such as a physician visit, you might incur an additional copay or coinsurance fee from NewYork-Presbyterian. 
• Traditional Medicare – 20% of the Medicare approved amount for the visit and possibly non-laboratory ancillary tests
• Services will be billed to any/all Medicare supplemental plans 
• Some AARP plans only pay after the outpatient deductible has been met - $198 for 2022. 
• Medicare Managed Care – possible deductible or co-payments according to your plan 
• Traditional Medicaid – no out-of-pocket expenses 
• Medicaid Managed Care – no out-of-pocket expenses, but may require referral from primary care provider 
• Other Commercial insurance plans – 
• Plan-specific coverage decisions and patient responsibility amounts such as co-pays, deductible and co-insurance for hospital lab work, radiology, medication administration, and other services 

Why does the NewYork-Presbyterian bill note “Clinic Services” for my provider visit? 

• There are specific billing codes that governmental payers require to reimburse for these services. The services you are receiving are exactly the same as before this change. 

What if I am unable to pay my bill(s)? 

• You will be provided an opportunity to apply for Financial Aid to help with your bills. 

How can I learn more if I have questions? 

• NewYork-Presbyterian Network Recovery Service: 866-833-6437 
• Weill Cornell Medicine Physician Organization Billing: 855-880-0343 

Our dedicated staff is working to make this a smooth transition for all our patients. Thank you very much for your understanding as we work to provide the highest quality care and services to our patients.