THE MEDICAL PRACTICE OF DR. JAMES M. KAUFFMAN 
AND HIS ASSOCIATE BARBARA GREENLING, NP
 

OFFICE POLICIES AND PROCEDURES EFFECTIVE JANUARY 1, 2009

 

YOU, THE PATIENT, ARE A CRUCIAL PART OF YOUR MEDICAL CARE. YOUR ATTENTION, COURTESY, AND COMPLIANCE WITH THE FOLLOWING ARE REQUIRED.

 

·        PLEASE COME PREPARED WITH THE FOLLOWING INFORMATION: NAME, ADDRESS, ALL MEDICATIONS AND DOSAGE (INCLUDING HERBAL AND ALTERNATIVE), PHYSICIANS AND CARE GIVERS NAMES, REFERRAL IF NEEDED, ANY PERTINENT MEDICAL RECORDS, MARITAL  STATUS, INSURANCE COMPANY, EMPLOYER, COPY OF DRIVER’S LICENSE, SOCIAL SECURITY NUMBER

·        INITIAL APPOINTMENTS WILL BE SECURED WITH A VALID AND CURRENT CREDIT CARD. IF YOU HAVE NOT BEEN SEEN BY OUR PRACTICE WITHIN THREE YEARS, YOU WILL BE BILLED AS A NEW PATIENT.

·        NEW PRESCRIPTIONS WILL NOT BE ISSUED OR “CALLED IN” WITHOUT A OFFICE VISIT.

·        ROUTINE PRESCRIPTIONS THAT NEED TO BE  REFILLED, MUST BE BROUGHT TO OUR ATTENTION AT THE TIME OF THE OFFICE VISIT. (THERE IS A $5.00 FEE FOR RX'S REQUESTED AFTER YOUR APPOINTMENT.)

·        DO NOT DISCONTINUE ANY MEDICATIONS PRESCRIBED BY OUR PRACTICE WITHOUT CONSULTING THE PRESCRIBING DOCTOR OR NURSE PRACTITIONER FIRST. SOME MEDICATIONS REQUIRE YOU TO STOP GRADUALLY.

·        DO NOT SPLIT YOUR MEDICATION DOSE OR SHARE IT. SHARING MEDICATION IS DANGEROUS AS WELL AS ILLEGAL. IF YOU ARE EXPERIENCING DIFFICULTY WITH PAYING FOR MEDICATION, LET THE DOCTOR OR NURSE PRACTITIONER KNOW, AS OUR OFFICE MAY BE ABLE TO PROVIDE INFORMATION ABOUT MEDICATION ASSISTANCE. IN CERTAIN CASES ASSISTANCE IS AVAILABLE.

·        POLITE AND COURTEOUS PATIENTS ALWAYS WELCOME!!! THIS PRACTICE HAS ZERO TOLERANCE FOR FOUL, LOUD AND INAPPROPRIATE LANGUAGE TOWARDS ANY STAFF MEMBER.

·        ALL PATIENTS ARE RESPONSIBLE FOR KEEPING THEIR APPOINTMENTS. CANCELLATIONS MUST BE MADE 24 HOURS IN ADVANCE. IF YOU FAIL TO GIVE 24 HOURS NOTICE, YOU WILL AUTOMATICALLY BE BILLED. ($200.00 FEE CHARGED FOR MISSED INITIAL VISIT FOR NO SHOW NO CALL WITH IN 24 HOURS... AND A $50.00 CHARGE FOR MISSED NO SHOW NO CALL FOLLOW UP APPOINTMENT WITHIN 24 HOURS.)

·        ALL PAYMENTS CO-PAYS ARE DUE AT THE TIME OF THE OFFICE VISIT. NO EXCEPTIONS.

·        THE FEE FOR A RETURNED CHECK FEE IS $30, ALONG WITH A $15 BILLING SERVICE CHARGE FEE FOR NOT PAYING AT TIME OF SERVICE.

·        $15.00 FEE IS REQUIRED FOR ALL FORMS THAT ARE NOT ASSOCIATED WITH YOUR OFFICE VISIT.

·        PATIENTS ARE ULTIMATELY RESPONSIBLE FOR THEIR BILL WITH OUR MEDICAL PRACTICE. IN THE EVENT THAT YOUR CLAIM IS DENIED BY YOUR INSURANCE COMPANY, PAYMENT IS STILL EXPECTED FOR YOUR OFFICE VISIT. IT IS YOUR RESPONSIBILITY TO PAY THE DENIED BILL AND THEN REGAIN REIMBURSEMENT FROM YOUR INSURANCE COMPANY.

·        ANY BALANCE OVER 90 DAYS WILL BE TURNED OVER TO JAK PURVEYORS FOR PAYMENT COLLECTION.

·        PLEASE BE ON TIME FOR YOUR APPOINTMENT.

·        PLEASE NO CELL PHONE USE IN OFFICE.

·        FAILURE TO COMPLY WITH THESE REQUESTS WILL RESULT IN DISMISSAL FROM DR. KAUFFMAN’S PRACTICE.

 

THANK YOU IN ADVANCE!  HAVE A GREAT DAY.