What are your hours?
Monday & Friday
7:15 a.m. - 5:00 p.m.
Tuesday, Thursday & Friday
8:00 a.m. - 5:00 p.m.
What is your appointment policy?
Appointments are made Monday through Friday. Please schedule your appointment on a day that will allow your stay in our office for up to 2 hours. We will strive to see you on time, however, emergencies may occur that may delay the schedule. If the physician is called out for an emergency, we will make every effort to notify and reschedule you.
Do you provide non-office and emergency hours?
If you have an urgent need to speak with your doctor after hours, call our main number. You will be connected to our answering service. The answering service will have the doctor or physician assistant on call return your call.
Can I call my physician?
You may call the main office number at anytime to leave a message. It is always best to call during regular hours and tell the receptionists that you would like your physician to return your call. The receptionist will need to gather specific information in order to provide that information to your doctor. This only goes to help the physician to better address your needs.
How can I get my prescription refilled?
The best way to get your prescriptions refilled is to call your pharmacy. Call your pharmacy even if the prescription says no more refills. Your pharmacist will contact us.
What about workers' compensation?
PSMO provides medical services for work-related injuries. An Accident report and Authorization from your Employer is required. Patients will be billed for unauthorized services. Progress reports are provided to your employer and workers compensation insurance companies as required.
Do you handle accident claims not related to my medical insurance?
From time to time, patients may encounter injuries resulting from an accident, where liability or automobile insurance may be involved. We will bill these insurance companies only when proper documentation is received. We reserve the right to expect payment in full at the time of service.
If I have filed bankruptcy can I see your doctors?
We reserve the right to treat accounts included in Bankruptcy on a case-by-case basis. Patients may be terminated from our practice at our discretion. This would require the patient and their family to seek medical care elsewhere. Bankruptcy patients allowed to remain in the practice will be designated as Pay-In-Advance. If you have insurance we may charge you the full price for the service and then refund amounts overpaid after your insurance company makes payment to us. Credit will not be extended with the exception of emergency services.
Do you charge office fees?
We charge normal and customary fees for our services. An office visit can cost anywhere from $50 - $500 depending on the services provided.
How do you handle billing and insurance?
We bill most insurance plans as a courtesy to our patients. We ask that you provide complete and up-to-date billing information to allow us to submit accurate claims. We automatically file all Medicare, Medicaid, and Worker's Compensation claims. Medicaid (including First Guard and Health Wave) cardholders are asked for their cards at the initial visit and each subsequent visit. Patients who do not follow the guidelines set by their insurance will be responsible for denied services. This includes failure to obtain required referrals per your insurance plan.
Should you disagree with the way your insurance company has paid a claim we suggest that you first contact your insurance company. We do not have any means of knowing the specific coverage of your plan. If in discussion with your insurance company you learn that we did something wrong then please advise our billing office of the error. Please also advise us of the insurance person with whom you discussed the problem as well as their phone number so that we can properly follow up with the problem.
Statements are mailed monthly. These will show you what is pending with insurance and what co-insurance or deductible amount that you may owe. Payment is expected within 10 days.
If your insurance plan requires that you pay a co-payment, we expect you to pay this at the time of service. A $15.00 billing fee may be added to visits where the co-payment was not paid at the time of service.
From time to time we have had patients who assume that their insurance company will pay all their medical bills in full. Very few insurance companies cover 100% of all medical bills. In most cases, there will be a deductible, co-payment, and/or co-insurance that patients must pay out-of-pocket. Often insurance companies deny payment for "non-covered" services. Patients will be billed for non-covered services. Each patient is responsible for providing accurate information to us and ultimately paying for services not covered by insurance. Pinnacle Sports Medicine & Orthopaedics, P.A. is committed to assisting our patients in determining and controlling the cost of their medical care.
Regardless of your insurance coverage, your account becomes your responsibility after 60 days from Date of Service.
What about insurance, disability forms, and special reports?
Our staff and physicians are pleased to complete insurance and disability forms on your behalf. We do charge a $10 fee for this service. Special reports from the doctor may cost an additional amount depending on the nature and need for the report.
What is your collection policy?
Accounts with services over 60 days old are considered Past Due . Our billing office staff will make reasonable attempts to notify you if your account has reached a Past Due status. It is important that all changes in your name, address, phone number, insurance, or employment be relayed to our office as it can affect the billing of your account. If we are unable to locate a patient, payment is not received, or satisfactory payment arrangements are not made, then an account will be considered for referral to our collection agency. We reserve the right to treat accounts referred for Collections on a case-by-case basis. Patients may be terminated from the practice at our discretion, which requires the patient to seek medical care elsewhere. Patients allowed to remain in the practice will be designated as Pay-In-Advance. Patients with old, past due balances will be required to bring their account current before care such as, appointments, prescription refills or telephonic medical advice will be provided. Credit will not be extended with the exception of Emergency services.
How do I request my medical records?
Should you need your medical records sent to your primary doctor or another consulting doctor, we will provide those records as a courtesy once we receive a properly completed Record Release form. We charge a fee, as established by the State of Kansas, for records sent to attorneys, insurance companies (other than your regular health or workman's compensation insurance), records delivered to the patient or other such parties.
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