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Office Policy for the Taylor Medical Group
1. Thank you for choosing the Taylor Medical Group. Our office policy is designed to help you understand how our practice operates. It also provides structure and organization so that we can provide excellent consumer service to all our patients and ensure the same consistent service. We strive to make your experience a good one and welcome your helpful feedback. 2. If you are dissatisfied for any reason, please alert our office and we will make every effort to correct the problem and accommodate your needs. You are welcome to speak with the physicians as well to provide your feedback to the office. 3. Our office is an out of network fee for service provider; therefore, we do not accept HMO insurance plans. Patients are responsible for payment in full for services rendered to them. Non-HMO insurance companies with “out of network benefits” usually cover a portion of the office visit and laboratory testing charges. Each insurance company has different policies, therefore, reimbursement is not guaranteed. You are responsible for all bills even if your insurance company doesn’t pay. We will bill your insurance company as a courtesy but are not required to accept their payment as payment in full. A copayment will be collected based on your insurance benefits and a commitment from you to allow us to bill your insurance company for the remaining balance. If you agree to allow us to bill your insurance company and then declined this decision by contacting us or your insurance company, you will be responsible for full amount of the bill for office and laboratory services provided. All office services are non-refundable. 4. We will bill selected insurance companies if out of network benefits are available and apply it towards your payment. Methods of payment include cash, check and major credit cards. Payment is due at the time of the service minus your estimated out of network benefits. The insurance copayment is not payment in full for office or laboratory services provided. Therefore, any money received by you from the insurance company is to be paid towards your account and your account bill will not be adjusted or credited until this payment is received. In the event that your insurance company does not pay for any reason or you fail to provide us with your insurance company payment, you will be responsible for the bill in full. 5. In the event that insurance checks are inadvertently sent to you, please forward all checks to the office immediately or you may pay the office directly for the insurance payments received by you. 6. There is a cancellation fee for patients who do not cancel their appointment prior to a full 48 hours of their appointment time. As a safeguard, please email your cancellation in writing to avoid any confusion regarding the cancellation deadline. Your credit card will be charged for the missed appointment on the day of the appointment; for new patient appointments the cancellation fee is $250.00 and for follow up appointments the cancellation fee is $200.00. You will be billed according to our office fee schedule for the missed appointment. Please notify us immediately if you need to change your appointment. 7. Please call as soon as possible if you cannot keep your appointment. We are always willing to work with our patients in the event of an emergency and understand that there may be circumstances outside of your control. If you reschedule the appointment for the same day or next day, the cancellation fee will be applied to your office visit. Also, if we are able to fill the appointment slot with another patient the cancellation fee may be waived. In order to provide better service to our patients we do not overbook to compensate for no shows, therefore, we must bill for missed appointments. 8. Botox patients will be charged a cancellation fee based on the number of areas scheduled with a minimum of $250.00. It is imperative that Botox patients contact the office immediately so that other patients are not inconvenienced by our cancellations or rescheduling. A 72 hour cancellation notice is required to avoid a cancellation fee. 9. A non-refundable deposit of $500.00 is required before a Thermage Facelift and Bodylift, LipoSelection and all other major office procedures can be scheduled which will be applied towards the procedure. The deposit covers the medical supplies needed for the procedure. You must cancel within 7 business days to avoid losing your deposit. If you fail to give a full 7 day cancellation notice and do not show up the day of your procedure there will be an additional $500 cancellation fee, ($500 non-refundable deposit + $500 cancellation fee = $1000), to cover the cost of supplies & materials that were ordered specifically for your procedure. The deposit can not be applied towards a procedure at a later date if you do not cancel prior to 7 business days. 10. If you are late for an appointment you will be seen for the remainder of your appointment time in order to avoid delays for other patients. 11. If you go over your scheduled appointment time you will be charged for the additional time spent with the doctor. Please be sure to review our office fee schedule. 12. There is a cost for copying medical records plus postage. In accordance with Title 45, Section 164.524© of the Code of Federal Regulations, and pursuant to Georgia O.C.G.A. 31-33-3 there is a cost related to medical records retrieval, certification and copying. You must sign our medical release form and pay the copying fees before records are sent out. Medical records are sent out within 3 weeks of a completed request. All outstanding bills must be paid in full before medical records are sent out. 13. Prescription refill requests should be done during appointment times or on-line only. Prescription refills are called in within 48 hours of their request. Patients who have not been seen recently may be required to come in for an office visit before a prescription is called in. A fee of $15.00 for prescription requested over the phone or prior to 48 hours may apply. 14. Insurance companies may not cover prescriptions called in to the compounding pharmacy; therefore the compounding pharmacy will call you directly for a method of payment prior to shipping it to you. 15. All lab results are reviewed and discussed during appointment times. Results can only be given over the phone during a phone consultation with the doctor. The charge for the phone consult will depend on the amount of time required for the consult. 16. Medical questions should be addressed during appointment times. Our staff may handle brief questions but in-depth questions will require an appointment with the doctor. 17. The doctors are available for phone consultations for the convenience of our patients who live out of town or have schedules which do not permit them to come in for office visits. Insurance companies do not cover phone consults, therefore, you are responsible for the service in full. 18. If you request to speak with the doctor by phone, a phone consult will be scheduled and you will be billed accordingly. Please allow our staff to handle simple questions and request, to avoid a physician’s fee. You will be billed for emails that require time from the physician according to our fee schedule. 19. Products can be ordered from our website www.taylormedicalgroup.net. They will be shipped to you or you may request to pick them up at the office. Patients are billed for the postage and shipping charge for products sent by mail. If you plan to stop by to pick up your product, please call first before coming. 20. All services and product sales are final. Patients are responsible for payments for services and labs performed. No refund will be given once a service has been provided or lab test has been purchased and taken from the office. There are no refunds on products sold in our office for any reason. Please do not ask the staff or doctor for refunds once you have purchased a product and it leaves the office. 21. Patients who show up for unscheduled appointments to speak with the doctor will be billed according to our fee schedule. We discourage patients from showing up unannounced without an appointment. You will be billed for the amount of time that you speak with the physicians even if you do not have an appointment. Please schedule an appointment to be considerate of other patients who have appointments so that the office can run smoothly and efficiently. 22. We require a credit card to be on file for patients in the event that products, lab kits, etc. have to be sent out to patients, and for appointment and cancellation fees. Patients who request credit card charge backs for any reason will be billed $150.00 per charge back in addition to the original charges for services provided by our office. All fees are due at the time of services. Patients are responsible for all fees incurred by Taylor Medical Group for collections. Credit card charge backs will be immediately turned over for collections at the expense of the patient. Patients are responsible for all fees incurred by Taylor Medical Group for collections. 23. We do not provide disability forms for patients who desire disability coverage. Your primary care physicians must complete these forms. 24. Our office specializes in bio-identical hormone replacement, functional medicine and aesthetic & anti-aging medicine. We do not assume the responsibility for treatment of major medical illnesses that you are currently being treated for by your primary physicians. Please continue treatment with your primary care physician or OB/GYN for routine medical problems. 25. Patients are responsible for all costs, including legal fees, associated with collections on their accounts. 26. Patients please call the office before coming to the office to pick up supplements, tests, etc., to avoid delaying appointments for patients on the schedule for that day and to allow us to prepare for your needs. Please be patient with our staff until patients with appointments have been assisted. 27. We reserve the right to immediately discharge a patient from our practice if he/she does not comply with office policies or does not conduct themselves in a respectful manner. By signing below you acknowledge that you have read this document and agree to abide by our office policies.
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This information is not meant to diagnose, prevent, treat, cure or mitigate any disease. Please see your doctor about any medical problems or you may use this information in discussion with your doctor.
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