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Patient Center


 

Appointments & Referrals
Medicaid & Medicare
Self-Pay Patients                
X-rays & Lab
First Appointment
Student Insurance
Pre-certification Prescription Refill Policy          
Medical Records
Liability & Workman's Comp
Assistant in Surgery
Telephone Messages
Payment Policy
Secondary Insurance
Past Due Accounts
Fracture Care

Appointments and Referrals

Appointments can be scheduled for either of our locations by calling 721-7236 for all of our office locations during regular business hours. 

You can also schedule an appointment online through our secure Patient Portal. You will be required to register the first time you use the Portal, and it will take you away from the main Center for Orthopaedics website.  

Every effort will be made to schedule your appointment within a convenient time frame.

Please bring your picture ID, current insurance, managed care and/or Medicare information with you to your appointment. Before your first office visit, we ask complete a patient information form that provides us with important information for our records and for your physician. All information given to us is held in strictest confidence and our office follows all federal regulations regarding the privacy of patient records.


What do I need to bring to my first appointment?
All of your diagnostic films, which may include MRI or CT scan, along with respective reports.

  • A list of all medications and supplements you're currently taking, along with dosages. Include any allergies and/or food interactions.
  • All insurance cards
  • Picture ID
  • Completed Patient History Forms
  • Referral from Primary Care Physician (if required by your insurance)
It is the patient's responsibility to obtain any required referrals from their primary care physician if one is required by your insurance or managed care plan prior to your scheduled appointment. It is also the patient's responsibility to notify our insurance representative about obtaining precertification or referral authorization for surgery, physical therapy and diagnostic procedures (MRI's, CT scans, bone scans, electrodiagnostic studies, arthrograms, etc.).
 

Medical Records

Your records are a permanent part of the medical records at the Center for Orthopaedics. We are mandated by state law to keep the original records, including x-rays.

We will be happy to copy the records upon receiving your written request. We charge only a copying fee, as required by the state statute. You will be notified of the total fee before your records are copied.

Reports and medical records concerning your health will not be released to an insurance company or any third party without your authorization. Please call 721-7277 for any medical records questions.  
 

Payment Policy

After you have been seen by the doctor, you will proceed to the check-out desk. We will file your claims to your insurance company. You will be responsible for your unmet deductible amount as well as any applicable co-pays and co-insurance amounts at the time of check-out.

There is a separate payment process especially to accommodate self-pay patients,detailed below. 
 

Medicaid & Managed Care Insurance Policies

It is your responsibility to contact your insurance company to determine if authorization or a referral is needed. Referrals must be obtained prior to services being rendered. Please ensure that we have a referral on file when you check in.

Medicare

Medicare patients are responsible for any unmet deductible and co-insurance amounts.
 

Student Insurance

Student Insurance is automatically considered secondary if you have other insurance coverage except for Medicaid. The patient has to provide us with a completed Claim Form prior to services being rendered.
 

Liability & Workman's Compensation

All Liability and Workman's Compensation claims must be verified and approved according to Center For Orthopaedic's Policy before an appointment can be made. However, whether or not the third party pays the bill, responsibility for payment is the obligation of the patient being treated.

Secondary Insurance

We file secondary insurance as a courtesy only, but it is the patient's responsibility to notify our office if a secondary insurance claim is to be filed.
 

Self-Pay Patients

Payment is generally required at the time of services being rendered. Our financial policy enables us to help you select the doctor of your choice and manage your medical expenses. If you have any questions, please call 337-721-7288.
 

Pre-certification

We will notify your insurance company to obtain pre-certification and/or authorization for surgery and diagnostic procedures. You will be notified prior to surgery of your financial responsibility according to your insurance policy. Your financial responsibility is for the physician and surgical assistant fees only. Please contact our pre-certification department to make payment arrangement prior to surgery. Failure to do so will result in cancellation of your scheduled surgery.
 

Assistant in Surgery

An assistant surgeon is needed for most operations and many hospitals in our area require assistants in surgery. Our physicians employ P.A.'s (physician assistants)., N.P.s, (nurse practitioners) and R.N.(registered nurse) First Assistants to assist in surgery. There may be a fee for their services. If this is not a covered fee under your insurance plan, you are responsible for the assistant's fee.

 


Past Due Accounts

You will need to notify our Accounts Receivables Department at 337-721-7288 as soon as you receive your first statement reflecting a personal balance. Our collection specialist will be glad to assist you with resolving your balance. For your convenience we do accept all major credit cards, cash, personal checks and money orders. If you have failed to contact us within 45 days from receiving the statement showing your personal balance, we will initiate our collection process and your account may be referred to a third party outside collection agency.

 


X-rays and Lab

If you require imaging services, we have the capability to provide many of these within our office. Specialized x-rays or MRI studies may be necessary. If so, we will schedule these for you.

If blood work is necessary, you will be referred to a laboratory where it will be done, and reports will be sent to us.

 


Prescription Refill Policy

No refills will be given after hours or on weekends. Every effort will be made to respond to calls as they come in, however, refill orders may not called in until the next business day. To avoid being without your medication completely, please call our office several days before your supply runs out.  

You can also request a refill through our secure Patient Portal. You will be required to complete a brief registration process the first time you use the Portal, and it will take you away from the main Center for Orthopaedics website.

 


Telephone Messages

Assistants will handle all incoming telephone calls for physicians. This allows the physician to attend to his office patients with a minimum of interruptions. Please be patient; all phone calls will be returned as soon as possible. In many cases, the assistant will be able to help you. If they cannot, they will refer your call to the physician. If there is an emergency he or she will contact the physician immediately.

You can also send in questions to your physician and his team through our secure Patient Portal. You will be required to complete a brief registration process the first time you use the Portal, and it will take you away from the main Center for Orthopaedics website.

 


Fracture Care

A fracture is most often diagnosed by x-rays and can vary greatly in severity and appropriate treatment options. We offer specialized care for fractures through our OrthoExpress service.

Fracture care is subject to special global or surgical package rules, regardless of whether these services were provided at the hospital or in the office.

The fee for fracture care can typically include the following:

  • An exam for diagnosis and decisions about the best treatment options
  • Cast application for the initial work of applying the cast. Subsequent applications are reported and billed separately.
  • A "fracture code' will be assigned based on the injury site, type of fracture and whether the treatment is closed or open. Open treatment is usually performed in an operating room at a hospital or outpatient surgery facility. Closed treatment is often done at the emergency room or in the office. However, because fracture treatment is considered "major surgery" by the federal and AMA coding systems, it will often be reported as "surgery" on your insurance company's explanation of benefits.
  • Casting supplies for the initial cast. Any additional supplies needed at later office visits are billed separately.

Most fractures will require several postoperative visits which are included at no charge in the fracture/surgical fee if related to the same diagnosis. The allowed postoperative/global days may vary anywhere from 45 to 90, depending on each insurance company's definition.

Any x-rays needed are reported and billed separately.

Certain serious fractures may need additional surgery or procedures, such as physical therapy. There are special rules our office is required to use to report those services.

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