OFFICE POLICIES

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Contact and Appointment info: We are open for scheduled appointments, prescription refills and general questions:

·         Monday - Thursday from 9:00 a.m.  to 12:30 p.m.  and 1:30 p.m. to 5 p.m.

·         Friday from 9:00 a.m. to 12:30p.m.  and 1:30 p.m. to 3:00 p.m.  

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All visits are by appointment only. We are not able to accommodate walk in problems or life-threatening emergencies, as we are a solo practice. Please give us at least 24 business hours’ advance notice for a cancellation or reschedule. A fee of up to $50 will be charged for missed appointments and for cancellations without 24 business hours’ notice. All cancellations and rescheduling must be by phone and during business hours. There is no online facility for appointment changes. I reserve the right to discontinue my services after three missed appointments without notice. Refills cannot be filled after hours.

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Emergencies: We can be reached by calling our office at 919 401-4515 during business hours. For emergencies after hours, please call our office number and you will be directed on how best to reach the doctor on call. For hospital emergencies, our on-call group uses Wake Med North Hospital. For less urgent situations, you may leave a message at the office number    919 401-4515 or on the patient portal. Every effort will be made to return calls promptly by the next business day. If the situation warrants or there is a delay in returning a message, please seek help at the nearest emergency room or urgent care center.

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Phone/ Portal Policy: To best manage patient needs and the large volume of patient communications that come in each day for Dr. Motyka, phone calls and portal messages from patients with questions that can be handled in 5 min or less of Dr. Motyka's time will be accommodated free of charge. For complicated or multi-issue questions which need greater time and attention, patients will be asked to either schedule an in-office visit, telehealth visit, portal visit, or a phone consultation appt. Phone consultations are not usually covered by insurance. Payment for phone consultations can be made by personal credit card at the time of the visit. (prorated $420.00/hour)

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Communication: We will communicate with you about test results and care management primarily through the patient portal.  You will receive an email or text from the practice when your results come in.  Log into the portal to see the results and clinical advice. Please sign up for the portal so we can communicate effectively.  If the advice is critical or complicated, our medical assistant may call you or ask you to set up an appointment. 

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​Confidentiality: Our work together is completely confidential, as are your records. Your social security number is required for billing and financial responsibility. This information is protected under the same confidentiality laws as your personal medical records. Your explicit written permission is required to release information about your treatment to other providers, family members or others.  You may have access to your medical records for review if you wish. You will be asked to sign a HIPAA form at your first visit. If you would like to see the full privacy policy, it is available at our office or on our website: www.forwomengyn.com

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About Financial Arrangements and Insurance: We participate in many insurance plans including Blue Cross/Blue Shield, United Healthcare, Cigna, and others. We do not participate with Medicare or Medicaid patients. You may want to check with your insurance company about your specific benefits. Payment of any copay and or coinsurance is due at the time services are rendered. The major companies are developing an increasing number of lower cost policies that are not included in our contracts with them. If you have any doubts about the policy you have or are considering, please ask the company if we are in network on that particular plan.

 

We accept cash, checks, MasterCard, or Visa. Returned checks are subject to an additional collection fee of $30.   By signing below, you acknowledge responsibility for payment of charges incurred for services rendered to you by the practice and its provider.

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Policy on Supplements and Products for Sale and Off label Use of medications and supplements: We offer various nutritional/ herbal products, informational supplies, and medical equipment for sale which may be offered at various other locations, possibly including local stores. We are aware that many potential sources of purchase have excellent products including the very ones we sell, and we encourage you to shop around and compare. When one of the items that we recommend to you is available elsewhere we want you to feel no pressure to buy these products from us. These products are offered by our office for three reasons, 1) your convenience, 2) to provide you access to products that are sold only through doctor's offices, and 3) because we think the products are especially good ones. Some therapies may not be considered conventional medical treatment. We offer such off label or alternative treatments because we believe they are of potential benefit. There is no guarantee of benefit. Refunds will be made only for products returned within 60 days, unopened, and accompanied by the detailed (not the credit card) receipt which identifies the specific product purchased. Supplement sales are not part of the medical record; you will need to keep your original receipt for tax or HSA purposes.

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For prescription refills please call your pharmacy and have them fax a request to 919.401.4503. Please be aware, we need 3 business days to coordinate with your pharmacy and respond to phone and fax requests regarding your refill. So please plan accordingly.  Patients should  have an annual in person exam to ensure safety and efficacy of on going medication management. If you are changing pharmacies and still have refills left on your current Rx, please ask the new pharmacy to contact the old one to transfer the existing Rx.

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​Physician Responsibilities: Dr Motyka is a solo practitioner sharing the building with other practitioners. We are not in partnership with each other. We maintain a separate practice with separate records, billing, and responsibilities for your care.

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​Discrimination: We do not tolerate discrimination against age, color, religion, sex, sexual preference, gender identity, or reproductive choices. We do however maintain the right to terminate care in the setting of violence, abusive or threatening behavior, noncompliance with care and/or office policies, and failure to make payment arrangements.

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​Coordination of care: If you have a primary care provider and you would like us to send updates to them, please let the front desk coordinator know.  If you see other outside providers, please share our practice information with them so we can keep up-to-date on your health status and plan of care. If you are referred to our practice by another provider, we will notify them of your plan of care.

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Thank you for abiding by office policies.