Your Total Foot Care

General Office Policies

Thank you for choosing Your Total Foot Care Specialist for your foot and ankle care needs. It is our goal to give you the best quality patient care. The following information outlines the policy and procedures during and after business hours.

CANCELLATIONS/RESCHEDULING

If you find it necessary to cancel or reschedule your appointment, please give us 24 hour notice. A courtesy call will be made to remind you of your appointment (Make sure we have current phone numbers on file).
No Shows/Cancellations/Rescheduling without 24hr notification of appointment may be charged a fee of $50.00. This will be collected prior to the next appointment. If you do not show up for your appointment, we will bill you a $25.00 missed appointment fee.
If you are more than 10 minutes late for your appointment, you may be seen if time allows, but only after patients who have arrived on time. You may be asked to reschedule your appointment.
Tell the person scheduling your appointment the major problem or concern you want to discuss with the doctor at your visit. The appointment will focus on your concerns. However, based on insurance reimbursement policies we can only address one issue per visit. We will address your most pressing concern and then at your follow up visit address the next pressing concern, etc.

RETURNED CHECKS

There is a $50.00 charge for all returned or canceled checks.

INSURANCE

You acknowledge full responsibility for the payment of such services and agree to pay at the time of service. You also understand that insurance coverage is an arrangement between the insurance carriers and the patient. We may bill your insurance company as a courtesy, but you are ultimately responsible for payment should your insurance fail to pay within 90 days.
Please read and understand your insurance policy or policy summary from your employer or insurance company. We are providers for over 50 different plans and we do our best to keep up with their rules and regulations. However, it is YOUR responsibility to be familiar with the provisions of your own policy. If you do not understand your insurance coverage, call the 1-1800 number on your ID card and ask for assistance.
It will be your responsibility to inform us of any changes in your insurance plan coverage. Please have your insurance card available at all office visits. We have 90 days to file a claim. Therefore, if we bill the wrong insurance carrier because you failed to provide correct information the visit will be your responsibility.
Co-payments & Deductible: Copayments are amounts that you have agreed to pay at each doctor’s office visit with your insurance company. Many insurance plans also include an annual deductible amount that is your responsibility. Please be prepared to pay both at the time of your visit. We will not file a secondary insurance for an office visit co-payment.
    1. Remember that payment for all co-pays and deductibles is due at the time of your appointment. Copays for office visits are usually higher for specialists (like podiatrists) versus primary-care physicians. So check with your insurance carrier to determine if you have a higher copay for specialists. If one of our providers performs any of the following: biopsy, injective, curettage (scraping), electrodessication (burning), freezing or excising a lesion or or growth your insurance company will consider it an office surgery or procedure. Such outpatient surgeries and procedures are often subject to separate deductibles and/or co-insurance. Again, check with your insurance carrier to determine how your benefits apply.

 

    1. Authorization for Certain Treatment: POS and HMO insurance plans require that you obtain an authorization for treatment. We must have your authorization in hand before we can see you. Otherwise, the insurance company will not pay for your visit or prescriptions. Without a referral, you have the option to receive services at a fee for service basis.

 

  1. We reserve the right to immediately cancel your care for conduct, non-cooperation or non-payment.

REFERRALS

All managed care plans require referrals from your primary doctor. It is YOUR responsibility to obtain the referral prior to any scheduled appointment. We will not see any patients under a managed care plan without the proper paperwork/referral unless you choose to pay for the entire visit prior to being seen.

CASH PAY DISCOUNT

We offer a 35% “prompt payment” discount for services which are paid in full at the time of service. This discount applies to our standard fees, not any contractually reduced fees and is available to anyone, unless your insurance policy prohibits it. You are responsible for notifying our staff if you are choosing to be seen and not utilizing your insurance.

MEDICATION REFILLS

  • Refill requests will be addressed only during office hours and at your scheduled appointment.
  • First, call your pharmacy. Your pharmacist will contact our office staff.
  • When you are low on medication, call your pharmacy a few days ahead of time. This will eliminate any potential problems.
  • There is at least 24-hour turnaround time for refills. Please keep this in mind especially for medications with potential adverse effects when missed.
  • During your visit, inform the doctor of any medications that you may need new prescriptions on and have the name of the pharmacy and phone number available.
Often a refill will involve prior authorizations and changes in medications initiated by your insurance plan. These may include:
  • Pharmacy requires prior authorizations for a specific medication/medications.
  • Insurance wants to change your prescription to a “formulary medication” or to another drug in the same class to save money for you or your insurance plan.
  • Insurance appeals dealing with formularies and formulary exclusions.
  • Changing from brand name to generic or (adjusting the doses or quantities up or down).
Those administrative services require time to review and lots of time – verify medication, get the physician’s approval and contact the insurance company. Rather than have you come in for an office visit to reconcile each of these, we will CONTACT YOU regarding the pharmacy issue. AFTER COMMUNICATION WITH YOU, we would effect the best decision and process the paperwork. A service charge of $15 will be collected at your next visit. This is non-reimbursable by your insurance or Medicare.

LAB / X-RAY RESULTS

We will contact you with normal or abnormal results. Please make sure we have current contact numbers to reach you. If you have not heard from our office within 10 business days, please call our office for results.

If you have any questions or concerns, please feel free to contact via e-mail our Practice Administrator, cyril@katyfootcare.com. We look forward to helping you relive your foot and ankle pain.