Elizabeth G. Motyka, MD OFFICE POLICIES
Contact and Appointment info:
We are open for scheduled appointments, prescription refills and general questions Monday through Thursday 8:30 am to 12:30pm and 1:30pm to 5:00 pm as well as on Fridays from 8:30am-12:30pm and 1:30-3:00pm. We are not set up to handle walk-in problems or life threatening emergencies. Please give us at least 24 hours' advance notice via phone call for a cancellation. A $50.00 missed appointment fee will be charged for cancellations without a 24 hour notice. I reserve the right to discontinue my services after three missed appointments without notice. Refills cannot be filled after hours .
Emergencies: I can be reached by calling 919 401-4515 during business hours. For emergencies after hours, please call our office number and you will be directed how best to reach the doctor on call. For hospital emergencies my 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 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.
Communication: I will communicate with you about test results and care management primarily through the patient portal. You will receive an email from the practice when your results come in. Log into the portal to see the results and and clinical advice I want you to have. Please sign up for the portal so we can communicate effectively. If the advice is critical or complicated I may have my medical assistant call you or ask you to set up an appt.
Phone/ Portal Policy: To best manage patient needs and the large volume of patient phone calls 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 office visit or phone consultation or Telemedicine appt. Phone consultations are not covered by insurance. Payment for phone consultations can be made by personal credit card at the time of the visit. (300.00/hr)
About Financial Arrangements and Insurance: I participate in many insurance plans including Blue Cross/Blue Shield, United Healthcare, Cigna and others. I am not taking new Medicare or Medicaid patients at this time. Also, I am not accepting new patients covered by Aetna except on a self-pay basis. 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. I accept cash, checks, MasterCard, or Visa. Returned checks are subject to an additional collection fee of $30.
Policy on Supplements and Product 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 I suggest may not be considered conventional medical treatment. I offer such off label or alternative treatments because I 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 receipt. A credit card receipt does not suffice for this purpose. Supplement sales are not part of the medical record, you will need to keep your original receipt for tax or HSA purposes.
Physician Responsibilities: I am a solo practitioner sharing the building with other practitioners. We are not employees of one another or in partnership with each other. I maintain a separate practice with separate records, billing and responsibilities for your care. Please be aware of this when making appointments and interacting with the other people in the building.
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.
Cancellation/late fee- When an appointment is scheduled, that time has been set aside for you and when it is missed, that time cannot be used to treat another patient. We ask that you give our office 24 hours notice in the event that you need to reschedule your appointment. This allows for other patients to be scheduled into that appointment. If you miss an appointment without contacting our office within the required time, this is considered a missed appointment. A fee will be charged a fee according to this schedule- $50 for new patient appointments, $35 for return annual appointments, $25 dollars for short problem visits. This fee cannot be billed to your insurance company and will be your direct responsibility. No future appointments can be scheduled nor can records be transferred without the payment of this fee. Additionally, if a patient is late by >50% of their visit time, they will be required to be rescheduled so as not to adversely effect other appointments made for that day.
Nonrefundable surgical deposits- Scheduling surgery involves a great deal of provider and staff time (to approve with insurance, enter demographics and health history information into scheduling systems, and coordinating care add paperwork with the patient and anesthesia staff (often 1-2 hours/case ). To cover the costs of this service our office charges a $150 scheduling fee. This will be applied to any surgical costs and any difference will be refunded if the surgery proceeds as planned. If the surgery is cancelled and not rescheduled it will be applied to cover the cost of the care coordination . This is not covered by insurance .
Coordination of care-if you have a primary care provider and you would like me to send updates to them please let my front desk coordinators know know. If you see other outside providers, please share my practice information with them so I can keep up to date on your health status and plan of care. If you are referred to me by another provider I will notify them of your plan of care and I will notify you directly of any test results or medical advice
Thank you for abiding by office policies.