Who
should I contact if I have a question?
What should I bring to my first appointment?
Do
I need a referral to work with RMA Ortho?
Do
you accept Medicare/Medicaid?
What
about copays and deductibles?
Who completes forms for Worker's Comp,
etc.?
Who
should I contact if I have a question?
Please
call 800-795-5487 or 970-669-8881 for any of the following:
APPOINTMENTS
Lynn at extension 225 is our dedicated appointment
scheduler. If she is on the line with another patient,
please leave a voicemail message and she will return
your call within one hour.
SCHEDULED
SURGERIES
Judith at extension 202 schedules and coordinates
all surgeries. She pre-authorizes all surgeries with
your insurance company before the surgery is scheduled.
There are no exceptions to this, so please allow sufficient
time for Judith to contact your insurance company
and receive authorization.
BILLING/INSURANCE/PATIENT
ACCOUNT INQUIRIES
A Patient Financial Coordinator (PFC) is assigned
to each account from day one. It’s your PFC’s
job to know your account, your insurance requirements,
and any special circumstances of your account. You’ll
need to provide sufficient information on your first
visit to ensure that your PFC can manage your account
efficiently. Please contact your PFC with any problem,
question or concern you may have regarding your insurance,
referrals, the cost of procedures, payment arrangements
or any other issue that is related to your bill.
Dr.
Donner's patients: contact Pam at extension 223
Dr. Pettine's patients: contact Dawn at extension
216
Dr. Young's patients: contact Cory at extension
222
MEDICAL
RECORDS
Julie and Stacey are our medical records specialists.
Any information regarding medical records should be
directed to Julie at extension 214. Medical records
are the property of Rocky Mountain Associates in Orthopedic
Medicine, P.C., and it is our responsibility to keep
them safe. Copies of medical records are never released
by phone or verbal authorization. A signed authorization
is always required by law, even when releasing records
to a patient. This is for your protection as well
as ours. All copies of medical records are made at
our Loveland office by a professional medical records
copy service, on Thursdays only. Requests for medical
records must be received by the preceding Monday so
that the chart may be prepared for copying. Patient
files are archived for safekeeping in one of our other
facilities if a patient has not been seen for six
months. Archived files may take a day or two to be
retrieved. The charge for copying medical records
is determined by Colorado law: $12 for the initial
1-10 pages, then 25 cents for each additional page.
The person requesting the records will receive a bill
from the records copying company. There is no charge
for sending records directly to another physician's
office.
X-RAY
REPORTS
Claudia at extension 209 is the radiological technologist
in charge of our X-ray department. All requests to
have X-rays sent to another medical provider should
be directed to her. We do not send our originals,
so please allow her time to make the copies. Patient
X-rays are archived for safekeeping after two years.
Archived X-rays may take a day or two to be retrieved.
There may be a small charge for the X-ray copies.
MEDICATION,
PRE-OP/POST-OP QUESTIONS, PROCEDURE QUESTIONS AND
MEDICAL PROBLEMS
Each of our physicians has a dedicated nurse and/or
clinical assistant. Here’s who you should contact:
Dr.
Pettine's patients should contact Gina at extension
224 for medications/medical related problems, and
contact Nicole at extension 220 for all other reasons.
Dr.
Donner's patients should contact Bob at extension
221.
Dr.
Young's patients should contact Cindy at extension
228.
If
the nurses or assistants are not available at the
time you call, please leave a voicemail message
and they will return your call as soon as possible.
Calls for prescription refills may take 24-48 hours—please
refer to our Medication Management Policy.
Procedures
that are not performed by our surgeons, including
MRIs, EMGs, CT-scans, bone scans, myelograms, arthrograms
and physical therapy, are scheduled by each doctor's
clinical assistant. Procedures cannot be scheduled
until the assistant receives pre-authorization from
the insurance company.
PRACTICE
MANAGER
Heather Westlund at extension 218 is the practice
manager for RMA Ortho and brings 25 years of experience
to our practice. Please feel free to contact her at
any time with questions, problems, concerns or feedback—both
negative and positive. Patient satisfaction is her
top priority and she believes open communication is
essential.
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What
should I bring to my first appointment?
Complete
and correct insurance information makes life easier
for everyone. Your insurance card is the best source
of information for us, so please bring it to every
appointment. If you have a Worker's Comp or Auto Accident
claim, please bring the following information with
you to your first visit:
- Name
of the insurance company
- Claim
Number
- Name
of the case manager or claims adjuster
- Date
of injury or accident
- Address
where the claim is to be sent
We
require all of this information to file your claim.
If anything is missing, you will be responsible for
paying your bill. In addition, please bring X-rays
and the results of MRIs, CT-scans or other studies
that pertain to your orthopedic problem. New X-rays
or other studies may be ordered to confirm a diagnosis
or bring your health profile up to date.
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Do
I need a referral to work with RMA Ortho?
RMA Ortho is a specialty practice. Most insurance
companies, including all HMOs, require a referral
from your primary care physician. We cannot see you
without the required referral. Before scheduling your
first appointment, please verify that your primary
care physician has obtained a referral from your insurance
company so we do not have to cancel your appointment
after you have arrived.
Referrals
are limited to a specific period of time and number
of visits, so even if we have seen you in the past,
you may need a new referral if your original referral
has expired.
Regular
Part B Medicare coverage does not require a referral.
However, if you have Secure Horizons coverage from
Pacificare, you will need to obtain a referral from
your primary care physician.
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Do
you accept Medicare/Medicaid?
RMA Ortho is a participating provider for Medicare
and will bill both Medicare and your supplementary
insurance for you. Please provide us with a copy of
your Medicare card and any supplemental insurance
card you may have.
We
cannot accept Medicaid patients without a written
request from your family doctor. You must provide
us with your card and you must pay your $2.00 copayment
at the time of your visit.
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What
about copays and deductibles?
We are required under contract to collect your insurance
copayment at the time of your visit. Your copayment
here is usually the same amount as your primary care
physician copayment. Some copayments for specialists
are slightly higher, though, so please check on your
insurance card for the correct amount.
By
law we must collect deductible amounts and co-insurance
if you do not have a supplemental insurance.
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Who
completes forms for Worker's Comp, etc.?
The patient portion of a Worker's Compensation or
other Disability form(s) must be filled in by you
before you bring the form(s) to the physician to complete.
Please note that turnaround time for forms may be
as much as three weeks. Once completed, the forms
are then sent directly to the requesting company.
Copies of completed forms are not sent back to the
patient unless you make a special request. You may
contact your physician's clinical assistant regarding
the status of your form.
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