FINANCIAL AND BUSINESS POLICY

Our commitment to you, our patient, is to provide quality healthcare services. We are also committed to the health of our practice. With these considerations, the following are the financial and business policies of our practice.

The office is open Monday – Friday, 9am-5pm; closed for lunch from 12pm-2pm. For life or limb threatening emergencies, please go to the nearest emergency room first or call 911.

APPOINTMENTS  NO SHOWS / LATE CANCELLATIONS (LESS THAT 24 HOURS NOTICE GIVEN)

Your appointment time has been allotted based upon the expected time to provide the service requested. Additional services not scheduled will require another appointment.

If for any reason you are unable to make your scheduled appointment, please give us 24 hour notice.  This will allow us to fill your appointment slot.  If you do not call, you are considered a no-show.  A fee of $25 will be billed to you for no-show appointments and/or appointments not cancelled within 24 hours of the appointment.  If cancellations and no-shows become a consistent pattern, we  reserve the right to dismiss you from the practice.  You may be asked to reschedule your appointment if you are more that 15 minutes late.

DISABILITY

There will be a $5 per page, service charge for completion of any disability/return to work forms.  There is a $25 fee for any narratives, letters of explanation, or similar requests.  This fee will be collected when you pick up your completed forms. Also note, we do not manage patients for long term disability or pain management. Please allow 48-72 hours for completion.

INSURANCE

We are members of most, but not all insurance plans. Please contact your insurance company if you have any questions concerning your benefits.  You must present your insurance card with every visit.  We will submit our charges to your insurance company. Any deductible, co-insurance amounts, co-payments, or “denied” services will be your responsibility.  If payment is not received from the insurance carrier or other responsible party in 90 days, you will be billed directly.

Payment is due at the time of service.  If you have a deductible policy, we require payment for your portion of the estimated insurance allowance, at the time services are rendered.  All returned checks will be charged back to you with an additional fee of $25. Past due balances will be subject to monthly $10 rebilling fee. Account balances past due 120 days will go to collections and could possibly lead to patient dismissal from our practice. Please note, we add a 24% per annul interest, cost of collection,  and attorney fees, if we send your account to collections.

REFERRALS

Obtaining a referral is your responsibility and must be obtained prior to your appointment. If you need assistance, please notify the Front Office and we will do our best to help you.  However, if the referral is not obtained, you have the choice of rescheduling the appointment or signing a waiver.  If the waiver is signed, and a referral is not obtained, you will be financially responsible for all charges.