Frequently Asked Questions
What is a Colonoscopy?
What is an Endoscopy?
Will my insurance cover my Procedure?
What should I bring to my appointment?
What is the cancelation Policy?
Do I need a referral?
Do I need to file a claim?
What is an open access colonoscopy?
How will I receive my biopsy results?
Do I need a pre-certification?
A colonoscopy is a test done by a doctor to inspect the inner lining of the large intestine (rectum and colon). During this procedure you are sedated. Then your doctor uses a thin flexible tube with a camera at the end to look for ulcers, polyps, tumors, inflammation, bleeding and other ailments. Biopsies may be taken if your doctor believes further testing of the tissue is necessary.
An endoscopy is a procedure done to inspect the upper gastro intestinal tract. During this procedure you will be sedated with conscious sedation, your doctor will then use a thin flexible tube with a camera to look for irritation and digestive ailments. The biopsy may be taken if your doctor believes more testing of the tissue is necessary.
The affordable health care act mandates that all screening healthcare examinations are fully covered. Colonoscopies are screening examinations and are therefore under this requirement. Although most insurances consider screening colonoscopy a covered benefit the agreement between yourself, your insurance carrier, and you employer may vary. In addition a "screening colonoscopy” may become a diagnostic colonoscopy when a polyp or other pathology is detected.
Most insurance companies pay in full for screening colonoscopies even if they become diagnostic.To be certain it is always best to check with your insurance carrier to determine your benefits if a screening colonoscopy becomes a diagnostic procedure.
If you're a new patient we ask that you bring:
1. your new patient packet filled out with your information.
2. your insurance card and proof of id.
3. any recent blood work, ultrasounds or radiology reports.
If you are an existing patient we ask that you bring:
1. any recent blood work, ultrasounds and radiology reports.
2. if its been over two years since your last visit with us, please fill our a new patient packet and bring that with you.
3. if you have updated your insurance recently, please bring your new insurance card with you.
For office visits we ask that patients cancel at least 48 hours prior to their appointment. cancelations after the 48 hour mark will cost $50. Missing your appointment without notification will cost the patient $75.
For procedures we ask that patients cancel at least 72 hours prior to their appointment. cancelations after the 72 hour mark will cost $75. Missing your appointment without notification will cost the patient $100.
Because of the effort and paperwork it takes our staff to schedule, there is a $50 cost for rescheduling your procedure.
This depends on your insurance company and your plan. You should call your insurance company and ask if a referral is needed. If a referral is needed you should call your primary doctor's office two weeks before your appointment at our office, and request that they send a digital referral.
No, as a courtesy to our patients we will file them for you.
An open access colonoscopy is when your procedure is done without there being an office visit before. This allows you to avoid the cost of an office visit on top of your procedure cost. Open access colonoscopies are for screening colonoscopies only, and for patients without heart conditions or other ailments that may be problematic.
After the pathologist reviews your biopsy, a pathology report will be sent to our office. We will notify you with your results, if the pathology is abnormal the doctor will want to see you in the office to discuss your care.
Most insurance companies require an approval for a procedure. We will get the pre-certification for you. There are usually medical questions they need answered to deem the procedure necessary. Our nursing staff, the hospital or the surgery center help in this pre-certification process.