Thursday May 25, 2017
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Important Office Information

Welcome to E.N.T. & Allergy Health Services, Inc. We are dedicated to providing you with the best possible care and service. We regard your understanding of our financial policies as an essential element of your care. This information was designed to provide our patients with a detailed explanation of our financial policies.

Office Hours

Our current office hours are from 9:00-5:00 Monday through Friday at most office locations.

Our office hours do vary occasionally due to surgery scheduling and emergencies. Should you need to stop by the office for other than a scheduled appointment, please call in advance to be sure there is a staff member available to help you. The offices are closed for lunch between 12:00-1:30 pm. An answering machine will record any non-emergency message you would like to leave during this time. If there is an emergency, please call the answering service at 440-406-5144.

 

Virtual Tour

 

Phone Messages

Phone calls are an important part of maintaining continuity of patient care. Phone calls do require a great deal of time so we ask that you limit non-emergency calls to the scheduled office hours. These calls will be answered at the end of the office day after patient visiting hours. After office hours, our answering service is available.
 

Billing Information

For your convenience our billing department can be reached at (440) 779-1107 or (800) 772-4734. If no one is available to assist you at the time of your call, please leave a message and we will be happy to return your call.

Notice of Balance on Account - In an effort to reduce the cost of mailing billing statements we will notify you of your balance due at time of service. This is only a notification of the balance on your account. It gives you the opportunity to pay on the account while you are in the office.

Charges and Fees - Charges for services provided are subject to change without notice. Each patient’s insurance coverage and financial situation is different. If a patient has a concern regarding what our charge for a service is, it is the patients responsibility to ask prior to the service being performed. Please understand that on some services (such as office visits) we may only be able to provide an estimate.

Charges Billed - The parent of legal guardian that presents the minor for care and authorizes treatment will be the one who receives the bill for services provided and is responsible to see that the balance is paid.

Billing Questions - Any questions regarding billing must be directed to the billing department. Please do not ask other staff members (ex. front desk staff, nurses, physicians etc.) regarding the billing of your services. Information provided from sources outside the billing department is not applicable.

Balance Due - If you are experiencing financial difficulties we will work with you on a payment plan. If the balance remains unpaid your account may be referred to a collection agency. You will be responsible for collection costs which are incurred. If your account is at a collection status we will need the balance paid in full prior to any future visit.

Separate Entities Separate Bills - If your service requires the services of other entities you will receive a bill from each provider of service separately. For example out patient surgery: you will receive a bill from our office for our physician performing the surgery. You will also receive a bill from the facility where the services were performed and from pathology and anesthesia if applicable. This also applies to services performed within our office for example a biopsy or fine needle aspiration. You will need to communicate with each individual company regarding their individual charges.

 

Appointment Scheduling

appointments

Patients are seen on an appointment basis. When calling for an appointment, inform the receptionist the reason for your visit. Please have your current insurance policy information available. Some insurance companies require you to have a referral from a primary care physician in order for your visit to be covered. Please be aware of your insurance companies restrictions. You will need to bring your insurance card and co-pay with you at the time of your visit as well as a list of medications that you currently use.

Minor Patients - It is strongly recommended that the minor’s responsible party accompany them in to the office. If this is not possible the adult accompanying the minor is responsible for seeing that our policies are met.

Missed Appointments - We understand that occasionally a patient may run into a situation where they can not make their appointment. We ask that you call to cancel your appointment at least 24 hours in advance, which allows us the ability to use that time for another patient. The first time a patient does not show up for an appointment, we will let you know with a courtesy call or letter. If there are subsequent missed appointments, you may lose your ability to schedule future appointments with us and you will be charged a “Missed Appointment Fee”.

Child Custody - The parent or legal guardian that presents the minor for care and authorizes treatment will be the one who receives the bill for services provided and is responsible to see that the balance is paid.

Co-Pays - Any co-payments required by your insurance company are due at the time of service. We are required by the insurance companies to collect co-pays at the time of the visit. We advise patients of this at the time the appointment is made and when confirming the appointment. We may need to reschedule your appointment if you do not have the co-pay at the time of your visit.

 

Medical Insurance

E.N.T. & Allergy Health Services, Inc. accepts most major commercial insurance, HMO/PPO plans, Medicare and Medicaid as well as self-pay patients. We will bill your insurance company as a courtesy to you. Any balance due is your responsibility. Self-pay patients are asked to pay that day for services rendered.

Please bring any necessary insurance forms and medical information with you at the time of your visit. All forms presented to us must be completed and signed, with a pre-addressed stamped envelope. Please inform us of change of address, phone number, or insurance carrier.

Insurance Coverage - All patients are ultimately responsible for their own bill and a clear understanding of their insurance policy. Patients who have health care coverage are responsible for providing the office with complete and accurate information regarding their insurance. It is the patient’s responsibility, not ENT & Allergy Health Services, to understand the terms of their insurance coverage. This includes but is not limited to: knowing what services are covered (hearing tests, allergy skin testing, etc.), where services can be performed (surgery, lab), that their provider is in network, their deductible, co-payment, co-insurance (if applicable), obtaining required referrals. I understand that I remain primarily liable for payment of all medical services which are not covered by my insurance.

Self-Pay patients - Patients without health coverage are expected to pay their bill in full at time of service. For your convenience, we accept Visa, MasterCard, Discover and American Express.

Co-Pays - Any co-payments required by your insurance company are due at the time of service. We are required by the insurance companies to collect co-pays at the time of the visit. We advise patients of this at the time the appointment is made and when confirming the appointment. We may need to reschedule your appointment if you do not have the co-pay at the time of your visit.

Medicare Policy - E.N.T. & Allergy Health Services, Inc. accepts Medicare assignment which means that we agree to accept Medicare’s allowance on services provided to you. You will still be responsible for your annual deductible, the co-payment, and any non–covered services specified by Medicare. If you carry a supplemental plan to Medicare, please be sure we have your policy information so that a claim can be filed for you.

Medicaid - All Medicaid patients must present a valid card prior to being seen. If the patient wishes to be seen without their validated card, they will be required to make payment in full, before services are rendered.

Pre-certification / Pre-determination - Authorizations from your insurance company to perform a service does not guarantee payment. It means that the insurance company finds the service medically necessary. The charges will be processed according to your policy. If your policy does not cover a specific service, it will be denied even with prior authorization.

Post-Operative Services - Some post operative services are considered part of the surgical procedure and therefore are not billed separately. This does not apply to every service or every surgical procedure. Some surgical procedures do not have a post operative period and as such all services after the procedure are billed separately.

Referrals - If your insurance policy requires a referral, the patient is responsible to see that a referral is obtained and provide that referral to our office. If authorization is not provided, you will be asked to either reschedule your appointment or pay for your visit at the time of service.

Nonparticipating Insurance Plans - If ENT & Allergy does not have an existing contract with your insurance plan you will be responsible for the full billed amount. We will not accept the plans UCR (Usual, Customary & Rates).

 

Forms and Fees

The initial examination fee varies depending on the nature and extent of evaluation. It is necessary at times to perform additional testing or an office procedure in order to achieve a proper diagnosis. These procedures usually result in additional fees.

Completion of forms - The Physicians are often asked to complete a variety of forms outside of their visit. Completing a form requires time from the Physician’s day to review the chart and complete the forms accurately. Therefore, we do charge a nominal fee for this service. The fee can range from $10.00-$25.00 depending on the forms, which must be paid prior to the forms being filled out.

Medical Records Fee - We are willing to assist patients who require copies of their records. Due to the time and printing involved, we can offer one set of records at no charge. If additional copies of the record are requested there will be a fee of $15.00 per request. (Fee is subject to change)

Check Returned for Insufficient Funds - There is a $15.00 fee for checks returned for insufficient funds.

 
 
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