Preparing for Surgery
Before Your Surgery
Once your physician has scheduled your surgery with FSH, a Pre-Admission Nurse will call you to discuss the Preanesthesia testing your physician has ordered and to conduct a health history assessment.
This call will include:
- Obtaining a medical history (including medical conditions, medications, and any surgeries you have had).
- What you should expect before, during, and after your procedure, including pain control and any post-operation instructions.
- Answering questions that you may have regarding your procedure or your stay at Fresno Surgical Hospital.
- Discussing: Who will help plan your discharge? Who will bring you and take you home from the hospital? Who will provide support to you at home? Please note, FSH’s private in-patient suites can accommodate one family member to stay the night. In addition to being a comfort for the patient, this allows the family member to be further educated regarding the patient’s at-home care.
Please have a current medication list available with the names and dosages of all the medications you are currently taking. This includes all over-the-counter medications.
Follow your physician’s specific instructions regarding eating, drinking and medications. Take all medications that your doctor instructs you to take with a small sip of water before arrival to the hospital.
Please notify your physician and the Pre-Admissions Department if there are any changes in your physical condition such as a cold, cough, fever, rash, or any change in the condition for which you are having your surgery done.
The Day of Your Procedure
- Please arrive at the time assigned by the hospital. You will be called with a time the night before.
- Please wear clothing that is loose-fitting and comfortable.
- Leave all valuables at home.
- Do not wear make-up, jewelry or contact lenses. Eyeglasses and hearing aids may be worn, but please bring the appropriate case for safe storage.
Please bring the following items:
- Driver’s License/ Photo ID
- Insurance Card
- Any medications you are taking in the original container (Inpatient Only)
- Copy of an Advanced Directive (Living Will)
- Any medical forms, x-rays or diagnostic images provided to you by your physician
If you will be discharged the same day as your procedure, you will recover in the post-op area where your family may stay and participate in discharge instructions. If you will be staying at FSH overnight, you will be taken to a private room. Your family will be brought to this room to see you. Please arrange for a responsible adult to drive you home when you are ready to be discharged. We strongly recommend that someone stay with you for the first 24 hours after your procedure.
Total Joint Educational Seminar
An educational seminar is offered each Monday at 10:00 a.m. at Fresno Surgical Hospital for patients having total joint surgery. Our surgeons and the staff encourage patients having joint replacement surgery to attend a seminar once your surgical procedure has been scheduled at our facility. The Total Joint Pre-Operative Class is designed to answer questions about your upcoming surgery and covers a variety of topics including pre-operative instructions, hospital stay, post-operative care, exercise/activity, equipment and home assistance. You must be registered in advance to attend. For additional information about the Total Joint Replacement Program please contact us at 559-447-7680.
Total Joint Replacement Video
After Your Procedure
For your safety, you will not be permitted to leave Fresno Surgical Hospital alone. Please make sure a family member or a responsible adult can drive you home.
If your procedure requires sedation, after the procedure is completed, you must be discharged to a responsible person. We are concerned for your safety, so please make proper transportation arrangements.
Please do not drive for 24 hours following surgery, do not operate any machinery and do not make any major decisions. It takes time for the effects of anesthesia to wear off and it could affect your reaction time and judgment.
If possible, someone should stay with you the first night following your procedure. If any problems occur after you return home, contact your physician immediately.
Click Here for the video tour
Fresno Surgical Hospital will make every possible effort to accept all PPO insurance, even if we are not contracted and considered a preferred provider. In most cases, we will accept the patient’s in-network benefits with no penalty to the patient for coming to a non-network facility.
What’s more, The Centers for Medicare and Medicaid Services (CMS) recently reported that on average, FSH costs are lower than both the California and national averages. According to the CMS report, FSH’s risk-adjusted spending per Medicare admission was $19,304.42, compared to $22,299.17 for California and $21,911.34 nationally, for the reporting period of January 1, 2019 – December 31, 2019.
CMS calculates these measures as the ratio of a risk-adjusted Medicare Spending Per Beneficiary (MSPB) amount to the median episode-weighted (episode = admission) spending amount across all hospitals. A MSPB of 1.0 is considered the national average. If a hospital’s MSPB is less than 1.0, its spending is less expensive than the national median per Medicare beneficiary. FSH’s MSPB measure is 0.87.
FSH is a preferred provider for the following plans:
- Blue Cross
- Blue Shield
- Brand New Day
- CPN/First Choice
- Employer Direct
- GEHA (Multiplan)
- Global One
- Health Comp
- Health Net PPO
- Interplan Corporation
- Medi-cal (including Managed Care)
- Medicare (including Managed Care)
- Networks By Design
- Occunet Provider Alliance
- PacifiCare PPO
- PMCS Preferred Medical
- Sante Plans:
- Aetna HMO
- Blue Cross HMO
- Blue Shield HMO
- PacifiCare Secure Horizons
- Three Rivers
- United Healthcare
- Workers Compensation Payors
The Fresno Surgical Hospital Patient Portal is an online tool that helps you easily and securely manage your healthcare. The portal is available 24 hours a day, seven days a week. There is no cost for this service.
The FSH Patient Portal allows you to:
- Access personal health information
- Print your health information
- Access discharge instructions
- Review laboratory results
If you have not yet signed up for a Patient Portal account, click the link below to enroll. Please note, you will need your Medical Record Number, which starts with an “M” followed by 6 numbers (ex: M123456). You can find this number on your discharge information, patient ID bracelet, a recent FSH bill, or other hospital documents.
If you have already enrolled in the Patient Portal, you can access your account by clicking the red login button above. For technical support, please contact 559-447-7705 or firstname.lastname@example.org.
If you have questions about our Patient Portal, please review these Frequently Asked Questions (FAQs) or contact us at: 559-447-7705 or email@example.com.
Patient Portal Frequently Asked Questions
What is the FSH Patient Portal?
The patient portal is a secure online website that gives you convenient 24-hour access to your personal health information and medical records from anywhere with an internet connection.
Why is using the patient portal important?
Accessing your personal medical records through a patient portal can help you be more actively involved in your own health care.
Where does the information in the portal come from?
All of the information provided on the portal comes from Fresno Surgical Hospital’s electronic health record. This ensures that you have access to the most accurate, up-to-date information possible.
Is my medical information secure?
Yes, the portal is completely secure. You can be confident that your private information is protected. Only you or an authorized family member can access your portal and view your information.
How much does the portal cost to use?
The FSH Patient Portal is a complimentary program provided to all Fresno Surgical Hospital patients.
How do I sign up?
Patients who wish to participate will be given enrollment information upon hospital registration. Patients also have the option of enrolling themselves via our website fresnosurgicalhospital.com. You must have an email address and know your Medical Record Number to sign up.
What if I don’t know my Medical Record Number?
You may find your Medical Record Number, which starts with an “M” followed by 6 numbers (M123456) on any of your discharge information, patient ID bracelet, a recent hospital bill, or hospital reports. If you do not have this information, you will need to contact our Medical Records department at 559-447-7335. They will assist you in obtaining this record number.
What do I need to use FSH Patient Portal?
You will need internet access on a computer or mobile device. You will also need an email address. We recommend using your personal email account rather than a work or business email account, as this is access for your medical record.
What if I forget my user name?
Please contact 559-447-7705 to obtain a new username.
What if my account becomes locked?
You will have 3 attempts to enter your password before your account is locked due to invalid password use. You will receive an email indicating that your account has been locked and it will also include a link to reset your password.
- Click on the link and choose “Forgot Password” from the patient portal login screen. Enter your user name and email address and click submit. A message will appear on the screen that you will be sent an email associated with your patient portal.
- Check your email for the password reset message, please note that the password will expire in 72 hours.
- Click on the link contained in the email.
- You will need to enter your user name and one time password as well as your two security questions that were setup upon enrollment.
- Your new credentials will be saved and you will be required to log off and sign back in using your new credentials.
What if I forget my password?
Follow the steps below to reset your password:
- Click “Forgot Password” from the patient portal login screen.
- Enter your username and email address and click submit.
- A message will appear on the screen that you have been sent an email associated with your patient portal.
- Check your email for the password reset message, please note this password will expire in 72 hours.
- Click on the link contained in the email.
- You will need to enter your user name and temporary password along with your security questions.
What if I change my email address?
Please contact us at 559-447-7705, so that we can update your records and ensure you have continued access to the portal.
Can I ask emergency or medical related questions via the portal?
No. The patient portal is not to be used for emergency or medical related health care issues. Please contact your physician’s office directly with any questions that you would like answered within 24 hours. If you are experiencing a health related emergency, call 911 or visit the nearest emergency room.
Notice of Privacy
Click below to view our Notice of Privacy Practices.
Hospital Pricing Information
Guidelines established by the United States Department of Health and Human Services require hospitals to place a list of their standard charges on their website. This includes the hospital’s standard charges for each diagnosis-related group (DRG). A DRG provides a way to categorize the type of patients a hospital treats and covers all charges associated with an inpatient stay from admission to discharge.
A comprehensive list of the hospital’s standard charges for services and supplies may be accessed below. The standard charges reflected likely differ from the payment amounts that hospitals receive for patient care.
If you have private insurance and are interested in understanding what your “out-of-pocket” costs may be for the care you receive at the hospital, we encourage you to contact your health insurance company because it is in the best position to help you understand your healthcare financial obligations. For patients with Medicare or Medicaid or patients without insurance, you may contact the hospital’s patient financial services department for estimates or additional information.
Good Faith Estimate
Right to Receive a Good Faith Estimate of Expected Charges
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.
Fair Billing Policies
Financial Assistance and Charity Policy
Financial Assistance and Charity Policy (click to open)
Política de asistencia financiera y caridad (haga clic para abrir)
Financial Assistance Application (click to open)
Solicitud de asistencia financiera (haga clic para abrir)
Federal Poverty Guidelines (click to open)
Non-discrimination and Accessibility Policy (click to open)
Política de no discriminación y Accesibilidad (click para abrir)
Surprise Medical Bills
Your Rights and Protections Against Surprise Medical Bills
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
You are protected from balance billing for:
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.
If you get other services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.
You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
When balance billing isn’t allowed, you also have the following protections:
- You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
- Your health plan generally must:
- Cover emergency services without requiring you to get approval for services in advance (prior authorization).
- Cover emergency services by out-of-network providers.
- Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
- Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
If you believe you’ve been wrongly billed, you may contact 1-800-985-3059.
Visit www.cms.gov/nosurprises for more information about your rights under federal law.