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 The
variation of fees charged for office visits, consultations, surgeries
and assistant surgery fees are reflective of many factors. Because
of the factors involved, it is difficult to predict ahead of time
what the actual charge will be. When the patient has been seen,
the fee will be assessed and the appropriate charges billed. You
will be asked to supply us with the appropriate billing information
and we will make copies of your insurance information. We accept
cash payments and checks, as well as MasterCard/Visa. Our billing
staff will be happy to assist with questions about claims submission
and reimbursement issues. They can be contacted through our main
telephone number at (518) 587-0845, Option #2, Monday through Friday
from 9:00 a.m. to 5:00 p.m.
INSURANCE BILLING: Participation/Non-Participation
- As a courtesy to you, our Billing Department submits the claims
to the insurance companies. We do participate with many insurance
companies; however, to be certain we participate with your plan,
please contact your insurance carrier. If we participate with your
carrier and co-payments apply - - you are responsible for those
co- payments at the time of service. If there is a balance due because
of deductibles and co-insurance, you will receive a statement from
our office. Our office will submit your claim to your insurance
company and you will receive a monthly statement until the services
are paid in full.
LITIGATION CASES: We can bill your regular health insurance
plan for cases involving litigation and we will gladly provide you
with a list of charges for the visit(s). It is our policy; however,
not to get involved in any billing arrangements for such cases.
WORKER’S COMPENSATION: Please make sure that you notify
the Front Desk Receptionist if your illness/injury is work related.
We will need the exact date of injury, name, address and telephone
number of your employer, as well as the workmen’s compensation
insurance company.
NO FAULT: Please make sure that you notify the Front Desk
Receptionist if your illness/injury is related to a motor vehicle
accident. We require the name, address and telephone number of the
automobile insurance carrier, as well as the policyholder of the
vehicle you were in at the time of the accident.
FOR ALL WORKERS COMPENSATION AND NO FAULT
cases you must provide us with your regular health insurance information
and a referral, if necessary. In the event
your claim is denied as a work related or motor vehicle accident,
we will then bill your regular health insurance plan. If you do
not have other health insurance, you will be responsible for the
charges.
SELF-PAY – All self-pay patients are required to make
a $50.00 partial payment prior to seeing the provider. When checking
in at the Front Desk, self-pay patients will be referred to our
Billing Department for assistance in establishing a payment plan.
Please keep in mind; your appointment will be rescheduled should
you arrive without the partial payment.
HOSPITALIZATION - Should you require hospitalization, our
staff will assist in  making
the necessary arrangements. If your insurance requires pre-certification
or a second surgical opinion, please alert our staff to ensure that
your insurance requirements are met.
Certain surgical procedures require a surgical assistant. Most
often, your physician will use the services of our physician extenders
– a physician assistant or nurse practitioner. Many insurance
plans vary in how they cover the surgical services of a physician
extender. We urge you to contact the insurance company for clarification
on payment, before surgery. This will prevent confusion should you
receive an invoice from our office after surgery.
MEDICAL RECORD RELEASE – Copies of medical records,
including x-rays, will be provided upon request. A release of information
form must accompany any such request. In some instances there will
be a fee for this service, which will be quoted at the time of the
request. Please remember, we are only able to release information
that was generated from visits with our providers.
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New
patients, upon making their first appointment can expect to receive
a “new patient packet” in the mail prior to their visit.
We request that you complete this information and bring it with
you to your first office appointment.