Frequently Asked Questions

About Rocky Mountain Surgical Center

Patient FAQs

Where are we located?

Physical Address: 1450 Ellis Street Suite 101 Bozeman Montana 59715

Our facility is located on the South East corner of the Highland Blvd. and Ellis Street intersection. Just to the North of the building is the softball fields. The Bozeman Deaconess hospital is directly across Highland Blvd. RMSC is the lower level of the first building. The entrance is on the West side of the building under the covered overhang that reads “Rocky Mountain Surgical Center”. See our about page for a map and directions.

Who Performs Anesthesia Services?

Gallatin Valley Anesthesia Associates is a board certified group that is contracted with our facility to provide exceptional anesthesia care.

Can I drive myself home?

Although the Rocky Mountain Surgical Center has implemented guidelines that safely allow patients to be discharged, on many occasions, the patient may still feel the effects of some of the medication received while in our care. It is because of those medications and other possible limitations including the restricted use of extremities post surgically that require all patients to have a responsible adult drive them home. Prior to going home, you will receive both written and verbal discharge instructions, and we ask that your ride listen to these instructions as well, as you may forget due to impaired memory from the medication you’ve received. If you do not have a ride home arranged, it is possible that your surgery or procedure may need to be rescheduled.

Why do I need a ride home?

The basic answer is: for your safety. But here’s why.. After receiving a sedative or anesthetic, motor functions and congitive ability shift and become altered. It is the responsibility of the facility to ensure patient safety as far as we can. This includes requiring that a responsible party, other than the patient, take them home and be present for the first 24 hours of care after surgery.

When and why do I need to stop eating and drinking?

Patients should follow the guidelines provided by the pre-operative coordinator specific to their procedure. As a general rule, no food or water should be consumed within 6 hours of your procedure. We ask patients to stop eating and drinking for their protection. When sedation or anesthesia is used, there is a risk of aspiration if your stomach is not empty. Aspiration is when stomach contents travel up your esophagus and back down into either your throat or lungs and can cause serious risks.

What should I wear?

Wear something comfortable and loose fitting around the surgical area. Button up shirts are great for upper extremity procedures. Sweatpants or loose fitted pants are good for lower extremity. Consider how you will need to move to get dressed and make it as easy as possible to limit movement around the surgical site.

Do you allow videos?

To ensure our patients privacy and HIPAA compliance, no outside photos or videos are allowed. Your surgeon may take pictures during the procedure of which copies will be provided to you. Any footage taken within the facility must be maintained by the center.

Can I be home alone after my procedure?

It is strongly recommended that you have someone stay with you for 24 hours after your procedure, particularly if you’ve had an anesthetic or any type of sedation. It is important that you rest and have someone to assist you with your needs. The surgery center will attempt to call you the next business day after your procedure to check on your progress.

Billing & Insurance FAQs

Account Balance vs. Patient Balance

Account Balance vs. Patent Balance: Account Balance is the total outstanding due on the account.

Patent Balance is the outstanding Patent responsibility due on the account.

These balances may differ if there are multiple dates of service, or if a claim is being reprocessed through insurance. This occurs when insurance pays incorrectly and the claim requires additional review

Will you bill my insurance first?

Yes, as long as we receive current insurance policy information during the check-in process we will bill your insurance first.

What if my procedure is worker's compensation?

Rocky Mountain Surgical Center requires the following information to bill for Worker’s Compensation claims: claim number, date of injury, and Worker’s compensation carrier.

Is Rocky Mountain Surgical Center a PPO?

Rocky Mountain Surgical Center is a PPO Provider for the following insurances: Allegiance, Blue Cross Blue Shield, First Choice Network, Montana Health Coop, Pacific Source, and United Health Care. We also participate with most government programs including Medicare, Medicaid, and Tricare.

How do I know what I will owe?

When you are scheduled for surgery at your Provider’s office, your Provider will send over the information to Rocky Mountain Surgical Center to schedule the procedure. We are referral based only and cannot schedule directly with the patient. Once information is received from your Provider’s office our billing department will review the information received. A pre-estimate letter will be created based on the Patient’s benefits and the procedure scheduled. These estimate-only letters are then sent out to the Patient for their review. Please be aware this letter is only an estimate and may be subject to change.

I don’t understand the codes on my statement.

Medical billing statements can be difficult to understand. Please do not hesitate to call our Billing Department with any questions. The attached statement code guide explains each journal code that may show on your statement and what it represents.

Will you authorize my procedure?

It is recommended for Patients to check with their insurance to verify if authorization is needed or has been done as you are responsible for your policy’s terms and conditions. Your Physician’s office can help with authorizing your procedure. Since Rocky Mountain Surgical Center is a referral-based facility, authorizations are done by the Physician’s office as they can provide all needed documentation for consideration. This may include documentation of prior visits or conservative methods tried. Rocky Mountain Surgical Center will authorize under specific circumstances for specified supplies.

How is my procedure coded?

Medical coding is done by inputting the Physician’s operative report into sets of numeric and alphanumeric sequences. Medical diagnoses are based on post-operative results only and may differ from the preoperative diagnosis. Rocky Mountain Surgical Center follows rules and regulations for Ambulatory Surgical Centers and insurance contracts. Please call our office for clarification if needed.

Physician Referral

Find a specialist for your patient

Physicians referring patients to Bridger Orthopedic please fax a physician referral and recent office notes to 844-646-2480. All imaging should be sent to Bozeman Deaconess Hospital.