Office Policies

FINANCIAL POLICY

We are committed to providing you with the best possible care, and will help you receive your maximum allowable insurance benefits. However, we need your assistance and your understanding of our payment policy. Your insurance contract is between you, your employer and the insurance company. Not all services are covered by all contracts.

We participate and accept assignment from most major payors, which means covered charges, will be paid directly to us. If we do not participate in your insurance plan, you may still choose to be seen by the practice. As a courtesy to you, we will file a claim with your insurance carrier on your behalf. Any portion not paid by the insurance carrier balance will be billed to you once we have received payment or notification from your insurance carrier.

Due to current federal and insurance regulations, all co-payments and co-insurance are collected at time of service. We accept cash or checks, and for your convenience, Visa or MasterCard. Additional fees, which typically are not covered by insurance plans, will be charged for services such as copying of medical records, and completion of disability forms. We encourage you to contact us promptly for assistance in the management of your account; we will work with you to develop a payment plan when appropriate. We are here to help you and will be happy to answer any questions you may have about your treatment or insurance coverage.

FEES

A sincere effort is made to keep down the cost of your medical care. Payment of co-payments and self–pay balances are requested at the time of visit. An estimate of the charge for any surgery will be provided upon request by the patient. However, it is often impossible to quote an exact figure because of unforeseen complications which arise. A specified period of post-operative care will be included in the charge for each operation. This includes routine post-operative treatment directly related to the surgery but not unexpected complications or unrelated conditions which might arise. All patient balances are due within 30 days unless special arrangements have been made with the Collections Officer.  For your convenience, secure online bill pay is available through our patient portal.

BY APPOINTMENT ONLY

Of necessity, the physician must work by appointments. This provides them an opportunity to allocate his/her time and is more convenient for the patient. Unfortunately, patients do not become ill on an appointment schedule, and emergencies at the hospital and office occur, hence, delays in a schedule are at times inevitable.

A sincere attempt is made to adhere to the schedule as closely as possible. Should a situation arise that you feel requires immediate examination and treatment, every effort will be made to see you the same day. If your physician (in the case of established patients) is not available, you may see the physician in the office that day or you have the option of waiting to see your physician during his next office day. If you cannot keep an appointment please notify the office as soon as possible.

Please provide complete information at the time you schedule your appointment; this will assist our office staff in scheduling the appropriate amount of time for your visit.

INSURANCE

If your insurance requires a co-payment, it must be made at the time of visit. We will be happy to assist you in completing your insurance form. Up to three insurance forms will be filed free of charge. Forms for elective surgery are due in the office prior to surgery with the patient’s portion completed and signed. We wish to help you receive maximum reimbursement from your insurance company according to your policy. We feel our responsibility is to the patient and do not consider ourselves agents for the insurance company; therefore, the bill is considered your responsibility. Should you have any difficulty meeting your financial obligations, please ask to speak to our financial consultant. When sending payments by mail, please be sure to designate the name of the person for whom the payment is being made.

INSURANCE PARTICIPATION

We participate with Medicare, Anthem, Aetna, Cigna, Medicaid, United Healthcare, Southern Health, TriCare and other commercial carriers. As participating physicians, we accept the fee allowance that these companies establish as their allowable amounts. In many instances, carriers only pay 80% of the allowable amount. Therefore, the patient is responsible for all deductibles, co-pays, and any balance after insurance payment up to the allowed amount.

PRE-CERTIFICATION

Many insurance companies require pre-certification for any procedure or hospital admission. If this is required by your policy, please let us know so we can assist you in obtaining this pre-certification. Failure to do so may result in your insurance company refusing to pay part or all of your bill.

REFERRALS

Many insurance carriers may require a “referral” from your primary care physician to the specialist before the specialist can provide care to you. In the event your carrier requires a referral for specialist care, you and the primary care physician are responsible to ensure our office receives the referral authorization prior to the office visit.

SECOND OPINION

Some insurance companies require a second surgical opinion prior to elective surgical procedures. Should your policy require this, please let us know so we can assist with arrangements for appropriate consultation. If your insurance company does not require a second opinion, but for any reason you would like a second opinion, we encourage you to do so. We want you to be comfortable with your decision to have your surgery.

AFTER HOURS EMERGENCIES

The office phone number is (540) 373-2244. After office hours and on weekends this number will be answered by our answering service who will relay your message to the physician on call. We will return your call as promptly as possible. If you have an issue related to your surgery, please contact our office or after-hours physician on call. Should you have an unrelated emergency, it is not necessary to contact us first—please go directly to the hospital emergency room and ask that they contact us on your behalf.

TELEPHONE CALLS

Please attempt to have routine questions and prescription refill requests handled during your office visit when your record and history will be immediately available. Our office staff will be able to answer many of your inquiries; in the event they cannot answer your question, the physician will return your call or relay an answer to you as soon as possible.

PATIENT PRIVACY

The physician-patient relationship is privileged and confidential. We will not and cannot provide information about you to anyone else unless you have provided us written authorization to do so. A copy of our patient privacy policy may be printed on our Online Forms page.