Administrative Fee Policy

Our practice has implemented an annual Administrative Services Fee to be paid by all its

patients to cover the significant amount of time we have to spend on providing these

administrative services which are not covered by any federal, state or private health insurance

coverage. The Administrative Services do not include medical services, which are generally

covered under most insurance policies. Rather, these Administrative Services cover the costs of

services that make our practice unique, including 24-hour call service, providing documentation

to employers when necessary and upon consent, expedited copies of medical file, calling/e-

scribing prescriptions and refills, the ability to schedule telemedicine appointments, and

assisting patients with insurance claims. The annual Administrative Services Fee is $50.00 per

patient, to be paid annually.

 

There is no change in our current policy regarding co-payments, deductibles, etc. The office

continues to operate as it has in the past simply with the addition of the required annual

Administrative Services Fee. To be clear, this is not to be considered concierge medicine – the

office will continue to operate in the way that it has, continuing to utilize your insurance.

 

This has not been an easy decision. Please know it has become necessary to implement this

new policy due to the continuing deterioration of the economics of managing an office-based

OB/GYN medical practice as third-party payors have not increased the fees paid to us in well

over a decade sufficient to cover the increased costs of running our practice.

 

We have explored our options including an increase in our patient visits per day to combat the

reduction in fees paid per visit, which would in turn decrease the amount of time we spend

with our patients. Our desire is to preserve our small medical practice structure and culture,

maintain independence, and keep our daily visits at a manageable level. This will enable us to

protect and promote what has been important to us since we opened, which is our goal of

providing the highest level of medical care along with personal service.

 

The annual Administrative Services Fee you pay will allow us to increase the number of staff

and/or staff hours needed to complete prescription refills, phone third-party payors to obtain a

variety of required pre-authorizations, coordinate referrals to specialists, make follow-up calls,

and review and complete paperwork such as insurance forms, disclosures, and other

government and employer forms. Administrative needs have increased significantly since the

onset of the COVID-19 pandemic and have put a further strain on our system. To be realistic,

we may find it necessary to increase these administrative services and the fees in the future

depending upon circumstances.

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