Dermatology Associates Policy and Procedures

Policy and Procedures

Scheduling Policy

Please call our office to schedule an appointment; 910-763-1555. When scheduling an appointment, our staff will do their best to accommodate your schedule. Please understand however, there is a shortage of dermatologists, and many patients need to be seen.

Medication Refills

It is standard of care that a patient be seen once/year in order to continue getting medication refills. We will be happy to call in medications for you as long as you maintain yearly or otherwise planned follow-up appointments.

Cancellation Policy

Please call our office 24 hours in advance if you are unable to keep your appointment. If such notice is not given, you may incur a $25 fee. Another patient could use your time slot if you are unable to come.

Referral Policy

If you need a referral from your primary care doctor in order to see us or if you are being seen at our office at the request of another doctor, we need to have the referral in our office PRIOR to your appointment.

Please contact the doctor’s office two days before your appointment to be sure that they have sent us a consultation request. We apologize for any inconvenience this may cause, but the consultation request provides information we need to assist you with your skin problems and aids in processing your insurance claim.

Payment Policy

Our office participates with most major insurance carriers with the exception of the “Blue Value Plan with  Blue Cross Blue Shield”.  “We do accept all other Blue Cross Blue Shield Plans.” Please bring your insurance cards to our office. If you do not bring your insurance card, you may be asked to sign a waiver which states you will be responsible for payment of fees incurred during your visit.

We ask that patients take care of insurance co-pays at the time of the visit. Please check your own co-pay requirements before you come. For your convenience, we accept Cash, Check, Visa and Mastercard.

Self pay patients will be required to pay $80.00 at check-in. If your visit exceeds $80.00, you will be asked to pay the remaining balance at check-out the day of your visit.

Our billing department is willing to assist you with any problems that may arise. If you need to arrange a payment plan, please call our office. If you have an outstanding balance, you must pay your co-pay and establish a payment plan with our office prior to being seen again. Of course we will continue to provide you with excellent dermatology care if you should have a dermatologic emergency.

Our Choice for Pathology if You should need a Biopsy

If a biopsy is performed while you are at our office, your tissue will be submitted to Dermpath Diagnostics in Cleveland, Ohio. The pathologists we use are board-certified dermatopathologists (specialists in looking at skin under the microscope). If you choose to have your specimen sent to a different pathologist, please understand that a general pathologist (one which is not a specialist in looking at skin under the microscope) will be assessing your skin.

Pathology Billing Policy

Under law passed in 2005 by the North Carolina General Assembly (House Bill 636), we are required to disclose to all patients the price we pay for pathology services and what we bill your insurance plan and you. At this time, most of our dermatopathology is purchased from Richfield Laboratory of Dermatopathology (Dr. David Barron, Dr. Colleen Embi, Dr. Terrence Katona, Dr. Susan Kindel, Dr. Ruth Kleier, Dr. Alice Roberts, Dr. Kay H. Seilstad, Dr. Alejandro Peralta Soler, Dr. Hemella L. Sweatt), a division of Dermpath Diagnositics. Many local pathologists (who may not be dermatopathology trained) bill in excess of $150-$175 per specimen. If special stains are required the bill can be much larger. We purchase dermatopathology from Dermpath Diagnositic for $30 per specimen (CPT code 88305). We will bill your insurance company a flat fee of $150 per specimen in order to cover our costs and prevent you from paying more than $150 per specimen. Occasionally, the dermatopathologist needs to operform special stains in order to ascertain the diagnosis (CPT code 88312, etc). Dermpath Diagnostics charges us $15 per extra stain. We bill your insurance $150 for each of these as well, as said by Medicare reimbursement. Our billed charges are generally discounted further by the insurance company. For most biopsy specimens billed, we actually receive between $47 and $108 in reimbursement per specimen from insurance plans.

Thank you for visiting our web site. We encourage you to contact us if you have questions or would like more information.

You can reach us in the following ways:

Phone: (910) 763-1555

Fax: (910) 762-4726

Mail:
Dermatology Associates, P.A.
6781 Parker Farm Road, Suite 300
Wilmington, NC 28405