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We have paper consents that we scan into their record; the assistant is responsible for getting the consents signed at the time of consult however, our doctor prefers the consent to be updated every 30 days. If the patient is taking a Valium prior to surgery, we have them come in a few days prior to update the consent otherwise we just have them update it the day of surgery. OMSNIC has great resources and advice on consents so we go with their recommendations.
I agree!!!
Hey Shayla. So sorry I am just now responding. I didn’t check it until now. We are a single doctor practice. With everything going on with COVID, we are only seeing 2 consults at a time. For an afternoon we have about 8-10 consults on starting at 2 and going until 4. (In the past we’ve seen up to 16 consults during the two hour period.) Often, one or two of the consults will turn into same day/local procedures.
Our treatment form is something I typed up (I can email it over to you, if you’d like) but the treatment plan that factors in the patient’s insurance benefits is through our DSN software. We used to have the assistants put in the treatment until we found issues with coding/correct teeth numbers/etc. We always provide our patients with an estimate at the time of consult and verify their insurance benefits prior to their consultation (higher scheduling % rate when they know their cost at time of consult). However, if they do not provide us with the insurance information, we print off the cost without insurance estimated coverage and explain we will call back with a better estimate when we have their coverage. Feel free to call me at the office with any questions 252-288-5713. Also feel free to email me at ccofsofficemanager@gmail.com and I can forward you our insurance verification form as well as our treatment form. We have found it helps so much being that we have the DA sign, the treatment coordinator sign (me) and the doctor sign as well. It has cut back on a lot of confusion and makes the flow super easy. We get approvals from physicians often for patients to hold certain medications so it has helped with dropping any balls.
We do the same as Stacie. We have all of our Medicare patients sign an opt-out Medicare affidavit. When verifying insurance benefits, we ask if the policy is affiliated with Medicare. If so, we do not quote as having any benefits and explain that we can’t file nor can the patient.
We use paper checks. I write them all but the doctor signs them all to approve the reimbursement. We do take into consideration any FSA/HSA accounts and we refund the card accordingly. We try to verify their benefits closer to the surgery so we have an accurate estimate.
We are not charging a PPE fee however we did adjust our fee schedule 3%.
D9610 for a single therapeutic drug injection and D9612 if you’re using multiple therapeutic drugs.
Michelle, would you be able to email yours to me as well? ccofsofficemanager@gmail.com
Thank you so much!
Our schedule is similar. However, we see surgeries in the morning Monday-Friday. And exams in the afternoon. On Wednesdays, we go straight from surgeries to a few consults so we have the afternoon for administrative duties or staff meetings.
We have one person who verifies the insurance coverage. I treatment plan and schedule all of our patients once they have been seen for their consultation. Once the patient is seen for their exam, the assistant brings me the “treatment form” which has a lists of codes, scheduling specifics as well as any financial specifics (no charge exam, discount, etc.). The assistant, treatment coordinator and doctor all sign the treatment form to ensure accuracy in treatment. Once the plan is put in, I factor in insurance coverage and print off a Treatment Plan for the patient to sign (which we give them the paper once its scanned into the patient’s chart). From there, we schedule surgery.
Having the insurance verification form done prior to the patient’s arrival helps immensely. Also, communication in the back helps as far as bringing the patient’s up to have them “check out”. We make sure our assistants are aware of the schedule and who is in what room at all times. The treatment forms that we use help also because the assistant is able to see if there is anyone ahead of them as far as “check out” goes. Some consults run a lot faster than others so with this, we try to have solid communication from back to front so it doesn’t get so chaotic. I hope this helps. Let know if you have any questions!
Question…we are in North Carolina and we have been seeing emergency patient’s only (we have been lucky enough not to close during any of this pandemic) however, our question is when is everyone starting to place implants and do cosmetics? Is that something you are doing now that you’re back open or are you waiting for a certain time/date? Any feedback would be great.
We all we scrubs as well. Black scrubs to make it simple. We provide lab jackets as well. Some staff are interchangeable when needed so we like to all look the part for surgery, just in case! It makes it easy too. We do have a washer/dryer here where the girls can do their own laundry here and change in and out of their scrubs.