FAQs & Office Policies

The following policies help to ensure that our patients have a positive experience with our office.

 

Appointments

To be certain that we schedule your appointment correctly, we will be asking questions about the nature of the problem or illness. This information is vital to scheduling your appointment and allocating the appropriate amount of time.

If for any reason someone besides a Parent or Legal Guardian may need to bring a child in for an appointment it is important that you have this person listed on the Family Data form.

Well child physicals are scheduled up to three months in advance. Remember to schedule these physicals in advance. We recommend that children have their annual well child physical during the month in which they were born.

We do not schedule late afternoon or evening sick appointment until after 2:00 in the afternoon to assure that these appointments are available for late day injuries and issues that arise after school hours.

Cancellations

If you can’t keep an appointment, please let us know 24 hours in advance of your appointment or a no-show fee of $30.00 may be charged. Call us at (585) 426-4100.

Co-Pays

We are required by your health insurance to collect any co-payment due at the time of service.

HIPAA

The Health Information Portability & Accountability Act requires that we do not share the health information of any of our patients to third party entities without written permission. This means that we can not fax forms, speak to counselors, or mail documents unless you complete, sign and list the organizations that you give us permission to share information with on our HIPAA form. HIPAA also restricts us from speaking with the parents of patients over 18 years of age unless the patient has completed and signed an Authorization Form. Other medical providers are excluded from this restriction to be sure that patients have continuity in their care.

Insurance

Insurance carriers require updated paperwork; we encourage you to arrive 15 minutes early so that we may update our records. You need to bring your currentt insurance card and photo identification with you for every visit.

We accept many insurance plans. Please check with your insurance provider directly to determine if Genesis Pediatric physicians are listed as participating providers with your particular insurance plan.

The health insurance policy is a contract between the policyholder and the insurer. Health insurance does not relieve the patient and/or family of financial responsibility for services received.

Invoicing

It is our expectation that invoices are paid in full within 15 days of receiving the invoice. If it is not paid within 30 days, there is an additional $10.00 billing fee. We do encourage our families to discuss payment issues with our billing department as soon as a problem arises.

Late Arrival

If you are late by more than 15 minutes for a scheduled appointment you may be asked to reschedule.

Nurse phone triage

We are pleased to have one of our nurses available to you on the phone during normal office hours. They can assist you in determining whether or not your child needs to be seen, address basic medical questions and advise on home care strategies. Phone nurses can not discuss complicated issues, review prescription changes or diagnose medical problems. These issues are more appropriately addressed at an appointment with one of our doctors.

Nurse Visits

An appointment scheduled with a nurse for vaccines is strictly a nurse visit and does not allow time for a visit with the doctor. If you would like to speak with or have your child seen by a physician, we will gladly schedule an appropriate time.

On-call

The physicians of Genesis Pediatrics provide after hours on call coverage through the services of Community Pediatric Telephone Triage. This service is provided for the use of our patient families in urgent or worrisome situations. Use of this service provides fresh practitioners to be alert for after hours needs and allows our physicians to spend uninterrupted off-hours time with their families. There is a significant cost involved for this service which is currently absorbed by the practice. Questions that are regarding non-urgent matters, medications, refills, or appointments should be reserved for the daytime hours when the office is open. Our nurses are more than willing to find the answers if they are not readily available and there are always doctors available as back up for issues requiring their expertise.

Prescription refills

Routine prescription refills can be obtained by calling your pharmacy. They will then contact our office with the refill request. Please contact our office for refills of controlled medications (i.e. ADHD meds) or if there is a change in your child’s medication dosage. It may be necessary to schedule a visit to properly handle a medication change request.

Transfer out requests

If you are transferring your care from the practice you must complete a Request for Release of Medical Records form. If the patient is over 18 years of age the form must be signed by them. There is no fee for aging out of the practice after age 18 years. If a child is leaving the practice before the age of 18 years the fee is .75 per page or $10.00 for a summary report. Turn around time for transfer requests is approximately 10 business days.

Referrals

Some insurance companies require a referral from us for a patient to go to certain specialists. If your insurance company requires a referral please call our office and ask for the referral line. Please provide all information that is requested by the voice mail. Referrals placed by 12:00 each day will be processed by 4:00 the same day. Referrals placed after 12:00 will be processed by 2:00 the next business day. Please call your insurance company to obtain the referral number. You are then able to call and schedule your appointment with the specialist.

We want to hear from you, the patient and family, regarding your experience at Genesis Pediatrics. Please feel free to call us with any concerns, as we strive to make our patient’s visits as pleasant and productive as possible.