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Outpatient Procedures FAQ

How soon should I cancel my procedure if I can't make it?

What are my financial responsibilities for the procedure?

Do I need to contact my insurance company to obtain an authorization (pre-certification) for the procedure?

I am scheduled for a procedure. What do I do if I have not completed my prep?

I lost my instructions for preparation, how can I obtain another copy?

Why do I need to be on a clear liquid diet the entire day prior to my colonoscopy?

Should I take my medications the morning of the test?

Can I still have my procedure if I am on an antibiotic for an infection?

I am diabetic. Should I check my blood sugar at home before my procedure?

Can I still have my procedure if I am on my menstrual cycle?

Will I be asleep for my procedure?

How long will I be there for my procedure?

Can I work the day after my procedure?

Why can't I drive myself home after my procedure?

When can my family come to pick me up when the procedure is done?

Will I have to come back if anything is found during the procedure?

 

How soon should I cancel my procedure if I can't make it?

Patients are required to give at least a 24 hour notice of cancelling any appointment with our practice.

Canceling an appointment or changing an appointment in less than 24 notice will be charged a fee.

Office appointment patients are charged $35.00
Procedure appointment patients are charged $75.00

Exceptions to this will be if the patient can provide documentation of an emergency that has caused them not to be here. Example: death in family, hospital admission, accident etc… Severe weather conditions will also be permitted to excuse of patients of not being charged a “no show” fee.

A “no show” fee can only be removed and approved by the Billing Specialist and Office Manager.

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What are my financial responsibilities for the procedure?

Payment arrangements must be established for patients that need a procedure and are self pay patients. Patients are to pay the following amounts prior to the procedure:

  • $300 up front for the colon, $150 up front for Upper Endoscopy
  • <$1000 payment plan is established for a 6 month pay off
  • >$1000 will do up to 18 months based on the patients needs

Payment arrangements for balances owed will be made within 14 days after the date of the procedure. The Collections Associate will contact patients after all charges have been entered into Net Practice.

Patients that are self pay and need an office visit are to pay up front prior to being registered for their appointment. Office appointment for a new patient is $163.00, and $110.00 for an established patient. Any remaining balance will be billed to the patient. Patients that are scheduling for an appointment and have been set up on a payment plan and have missed a payment will be expected to bring their account current prior to the next appointment being made.

If no payment arrangements have been established for a patient that has an outstanding balance – payment arrangements must be established prior to an appointment date and time being given to any patient.

Patients that have a bankruptcy on their account – any balance owed prior to the date of bankruptcy cannot be discussed with the patient. We cannot collect any funds that have been under a bankruptcy. Patients are responsible for providing our establishment a copy of their bankruptcy notice before the account will show a bankruptcy on it.

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Do I need to contact my insurance company to obtain an authorization (pre-certification) for the procedure?

Obtaining authorization with insurance carriers can be a difficult task please make sure you provided our office with your insurance information. We make our best efforts to preauthorize procedures however, please contact your insurance carrier or our office to make sure this has been done. Our office cannot guarantee we will be able to obtain all authorizations. For questions regarding pre-authorization call (540) 667-1244 ext. 210.

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I am scheduled for a procedure. What do I do if I have not completed my prep?

If bowel movements are not clear (transparent yellow water) about 1 hour after your morning dose, call the Endoscopy Center (540) 536-8746 for further instructions after 6:30am.

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I lost my instructions for preparation, how can I obtain another copy?

Choose the procedure you are having on this web page and each procedure listed has a set of instructions set with them.

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Why do I need to be on a clear liquid diet the entire day prior to my colonoscopy?

Your colon needs to be clear of stool the day of your test. If you eat solid food the day prior to your test, your bowel is still processing the food and creating stool. If you have stool in your colon during the procedure, this impairs the doctor's view, resulting in a possible repeat of the prep and the test.

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Should I take my medications the morning of the test?

If you are to take your morning medications, take with small sips of water only. If your test is scheduled before 10 AM, hold your morning medications until after your procedure is completed. If your test is scheduled for 10 AM or after 10AM, you may take your morning medications.

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Can I still have my procedure if I am on an antibiotic for an infection?

Yes. It is okay to still have your procedure if you are taking an antibiotic. If you are running a fever, you need to contact the office and ask to speak with your physician’s nurse.

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I am diabetic. Should I check my blood sugar at home before my procedure?

If you are diabetic, you should typically take one-half of your typical nightly dose the night prior. You should hold your morning insulin and/or diabetes pill(s) on the morning of the procedure. They can be resumed once you start eating again.

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Can I still have my procedure if I am on my menstrual cycle?

Yes. For your comfort, we do suggest that you wear a tampon.

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Will I be asleep for my procedure?

You will be lightly sedated for your procedure, what we call a "twilight sleep". You will be able to hear the nurse and the doctor during the exam but may not remember the procedure once you are fully awake.

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How long will I be there for my procedure?

Expect to spend 2.5 to 3 hours at the Endoscopy Center after your arrival. This time includes preparation as well as the procedure itself, and then time to adequately recover from the sedation. Keep in mind this time may vary due to unexpected delays.

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Can I work the day after my procedure?

Yes. You will be back to normal the day after, so you can return to your usual schedule.

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Why can't I drive myself home after my procedure?

Since you will be sedated, you will need to arrange for someone to drive you home after the procedure. If you do not have a driver your procedure will be cancelled. You cannot go home by cab unless you have a responsible party with you. Your driver should wait for you in your room to listen to the doctor’s comments.

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When can my family come to pick me up when the procedure is done?

The time varies depending on the length of the procedure and individual recovery time. We generally give 2-3 hours as the time from arrival to departure.

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Will I have to come back if anything is found during the procedure?

Polyps are removed during the procedure, but occasionally their size makes it difficult to remove all of them at one time. This would most likely require another procedure and there may be a few other circumstances when this would be necessary, but usually one procedure is expected. Your doctor will discuss the findings and ongoing treatment plan for you with your family after you have recovered. Additionally, written discharge instructions will be given to you before you leave.

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