Welcome to CMC Surgery Patient Information Packet

9
Welcome to CMC Surgery
Patient Information Packet
Thank you for choosing CMC Surgery for your healthcare needs. From our receptionists to our
nursing staff to our providers, we do our best to give you quality care in a warm and friendly
manner. Your happiness is our goal and we want you to be able to rate our service as excellent.
Our office can be found on the second floor of the Morehead Medical Plaza (MMP) Building at
1025 Morehead Medical Drive. Our appointments run from 8:30am to 4:00pm, Monday through
Friday. We are closed on major holidays. Our telephone number is 704-355-1813 and our fax
number is 704-355-5980.
Please take a minute to read the information below so you are aware of our policies and what
will happen at your visits. Please keep this as a reference should questions arise during the
course of your care with us. We look forward to seeing you.
Menu of Information
Pre-Visit
The Initial Visit
Parking
Arriving Early or Arriving Late
Calling With Questions
After-Hours Care
Medications
Prescription Refills
Form Completion
Insurance Questions
Privacy
Page 1
Page 2
Page 2
Page 2
Page 2
Page 3
Page 3
Page 3
Page 3
Page 3
Page 4
4
Pre-Visit
Prior to your appointment, please take care of the following:
Medical History Questionnaire: Fill out the enclosed questionnaire and bring it with
you to our office on the day of your visit. Please pay particular attention to the
Medication History section of this form.
• Previous records: Have your physician fax all your previous records to (704) 355-5980
prior to your visit. Records should include office notes, lab work, radiology results, any
procedure notes and pathology pertinent to your care.
Specialist insurance authorizations: if your insurance company requires an
authorization or referral for a specialist visit, please ensure that your primary care
physician provides this information to us.
Please bring the following with you to your appointment:
• Current Insurance Card and appropriate co-payment
X-rays, CT scans, and MRI scans related to your health concern for which you are
being treated. Please note that these are the actual films of these scans, not only the
results.
L
What Will Happen at Each Visit
Each time you come to the office, you will be asked to sign-in at registration window, and once
you have signed-in, you will be “registered”. During registration, you will be asked questions
about your address, telephone number, insurance, etc. We ask these questions on each visit to
make sure we have the most up-to-date information in case we need to reach you about
appointment changes, lab results etc. We will check your insurance card at each visit so please
bring it with you. Once you have been registered, the nurse will call you to the clinical triage
area based on your appointment time. The nurse will take your temperature and blood pressure
and ask you about your allergies, medications you are on, and the pain you may be experiencing.
After the nurse has finished, the provider will see you. Once you have seen the provider, you
will be checked-out where you will be given information on future office appointments, if
needed. Please provide us with any feedback regarding your visit at that time so we may
make our customer service better.
There are many providers who see patients at our office and these providers see patients at
different times and for many reasons. This means that there may be times when other patients
who have come in after you are called to the back before you. We do see patients in order of
appointment time for each individual provider.
Due to the complexity of the conditions that require surgery, our physicians are dedicated to
providing adequate time with each patient to address all their clinical needs. Please be aware
that you may experience a wait in our office, so bring activities for your entertainment. Some of
the amenities we provide for your comfort include: refreshments, television, assortment of
magazines, and free guest wireless internet.
Parking
You will park in the Morehead Medical Plaza Parking deck, adjacent to the building where our
office is located. We will validate your parking pass at our registration desk, so please bring it
with you to our office.
Arriving Early or Late For an Appointment
Please come 10 to 15 minutes early for your appointment. You do not need to come any earlier
because you will most likely end up waiting in our waiting room until your appointment time.
Our schedules are always full and we do not see early patients before other patients who are “on
time” for their appointments.
If you are late, you may not be seen right away. If you are significantly late, you will be seen
after all of the patients who are on-time for their appointments. This means that you may be seen
shortly or it may take several hours.
Calling With Questions
We hope to answer all your questions during your visit with our physicians, but if you have
questions after, please contact our office during normal business hours. If you have questions
about scheduling further appointments at our office, call our main line at (704) 355-1813. If you
have questions about your care, each physician has a nurses’ line where you can leave a
voicemail, by pressing prompt #1. Our policy for returning calls is within 3 hours for
emergencies or within 24 hours for routine questions. If you have a question that requires
immediate attention, please do not leave a voice mail. Press “0” and ask the receptionist to
contact the nurse for you.
1,
rm
After Hours Calls
Before 8:00am or after 5:00pm, you will get an operator when you call our office. If you are ill.
the operator will either have you talk with a nurse right away or have a nurse or physician call
you back to talk about your condition.
If you have an emergency, please call 91 1 or go to the nearest Emergency Room (ER).
Medications
At your visits with us. our providers do not review in detail the medications that your primary
care provider (PCP) has already prescribed to you. Our physicians will discuss with you any
medications that they prescribe for you. If you have questions about the medications that your
surgeon at CMC Surgery has prescribed for you, please ask those questions during your visit.
Prescription Refills
If you need a refill on a prescription and the prescription has not run out, please call your
pharmacy. For refills on prescriptions that are running out, please call our office at least 3
business days before you have no more medication. Your call will be sent to your physician’s
nurse line. Please leave a message with your name (spelled out). DOB, your medication (spelled
out), your return number and the pharmacy you use. We will call you back after we have called
your pharmacy.
If you are coming to see us and have prescriptions from other physicians (such as your primary
care physician), please note that any refills will need to be obtained from the physician who
originally prescribed the medication to you. We will not be able to refills prescriptions that
another physician prescribed to you including pain medications.
Forms
If you have a form that needs to be filled out for medical leave, return to work excuses, or
disability applications, etc., drop the form off at our office. We will ask you at that time how
you would like us to get the form back to you. We will fax, mail or leave the form at the practice
for pick-up. If you want us to fax or mail, you must have the fax number or address at the time
of drop-off. It will take up to 5 business days for us to complete the form. If you have this form
at your initial visit that would be the best time to leave it with the nurse.
Insurance Questions
There are several things to check about your insurance before you come to each visit at CNC
Surgery.
Managed Care/Commercial Insurance
• If you have managed care/commercial insurance (Blue Cross-Blue Shield, MedCost.
Aetna, Cigna, etc), you may have co-payment due at the time of your visit. If you do not
know if you have a co-payment or how much it is, call the insurance customer service
number on the back your card and find out. If you plan to pay your co-payment in cash,
bring the correct amount or smaller bills. We often cannot make change frr large ones
such as S 100.00 bills.
fJ
Lt
Vedicare:
Our practice does not accept all forms of Medicare. We will accept the standard plan. If
you have this, your card will be red, white and blue. We do not accept Medicare
Advantage, In this case, your insurance card may read HMO, PPO or have the name of a
commercial insurance company. If you have any questions, please call the customer
service number on the card and ask your insurance representative or you can call our
office at 9704) 355-1813 and provide your card number and we will look this up for you.
Iv1edicaid:
• Look at the box at the bottom left-hand corner of your card. If there is a line filled out
inside the box, the Medicaid office thinks you have another insurance. If you do not, call
your Medicaid caseworker and let them know.
No Insurance:
• If you do not have any insurance or your insurance is no longer active, then, we will need
a $50.00 deposit at the time of the visit. This is not all that you will owe. You will be
billed for the remainder of the charges.
Privacy
We cannot give your information to anyone other than yourself. If someone will be meeting you
at our office and you want them to go into the exam room with you and they have not arrived
before you are called back to the exam room, please let us know at the front desk to expect your
guest.
If you need a copy of your medical records, we will need you to complete a form, authorizing us
to release your records to you and/or your family. We are happy to provide this form to you if
needed.
Thank you for choosing CMC Surgery for your care.
4