Practice Forms and Documents
Discounted Medications Programs
Co-payments and insurance deductibles
Copayments and insurance deductibles represent the portion of our services that patients must pay out of pocket. Such payments are required by the patient’s agreement with the insurance payer and our contracts with insurance payers require us to collect them. No waivers can be allowed. For Medicare, law requires collection of deductibles and co-payments and waiver of such payments constitutes fraud. To comply with our contracts, HARAC requires payment in full at the time of services including any co-payments and deductibles. Any payment past due must be made before the next scheduled visit can proceed. This means that if you have not paid your prior co-payment or deductible, your visit may be rescheduled until payment is made.
No Shows and Late Cancellations
In an effort to serve our patients and the community well, we must utilize our time efficiently. When a patient makes an appointment, time is set aside for their needs, and work is performed to prepare their record for the visit. When a
scheduled visit is not completed, there is a loss for another patient who could have used that available time, as well as wasted staff time. Therefore, we ask that when a scheduled visit cannot be met, it be cancelled at least twenty-four hours prior to the time of the appointment. For late cancellations or not showing for a scheduled appointment a $50 fee will be charged to your account.
Controlled Substances / Narcotics
It may be appropriate at times for our physicians to prescribe narcotic pain relievers or other “scheduled” drugs in the management of acute or chronic symptoms. The authority to prescribe such medicines is a privilege granted by agencies including the Drug Enforcement Agency (DEA) that regulate their use, and scrutinize prescribing practices. Accordingly, to promote proper utilization of controlled substances, physicians will often require patients to execute a “Pain Agreement” acknowledging the patient’s responsibilities for the use, handling, and protection of such medicines. Abrogation of the agreement may result in interruption or discontinuation of such medications and possible withdrawal from medical care.
At HARAC, we chose to work in a culture of service supported by an atmosphere of mutual respect, human dignity, patience, and civility. The expression of these values is expected consistently from everyone including staff, physicians, patients and their families. Failure by our staff to follow this policy will result in corrective action and potential discharge from employment. Abusive or demeaning behavior towards our staff or physicians by patients or family may result in our withdrawal from the patient’s medical care.