********************************************************************************************************************************************** MARKETING, WEB SITE, AND SOCIAL MEDIA MARKETING POLICY *Our practice culture supports patient satisfaction. Clinical and administrative staff members must understand the importance of the following principals of patient satisfaction: *The patient wants to be treated as a person. *Retention of patients is less costly and generates greater revenue than recruiting new patients. *Services are experienced only when they are delivered. *Communication means focusing on the patient, interaction with the patient, and paying attention to patient statements and needs. *Advertising and promotional efforts will meet high professional standards. *Every effort will be made to develop and maintain patient satisfaction, delivery of quality care, and acknowledgement of sources of referral. Therefore, all referrals will be tracked and acknowledged. *Patients, employees, new patients, referring physicians, members of the community, and managed care plans will be surveyed and the workers will be informed of the feedback. *We will maintain patient privacy and confidentiality in all environments, including online, and will not post identifiable patient information online. *We will use the highest level of privacy settings when using the Internet for social networking. However, we realize that privacy settings are not absolute and that once on the Internet, content is likely there permanently. We will routinely monitor our own Internet presence to ensure that the personal and professional information on our sites and, to the extent possible, content posted about us by others, is accurate and appropriate. *When interacting with patients on the Internet, we will maintain appropriate boundaries of the patient-physician relationship in accordance with professional ethical guidelines just as we would in any other context. *We recognize that actions online and content posted may negatively affect our reputation among patients and colleagues, may have consequences for our medical careers, and can undermine public trust in the medical profession.1 *Financial Policy: We are committed to providing you with quality and affordable health care. Because some of our patients have had questions regarding patient and insurance responsibility for services rendered, we have been advised to develop this payment policy. Please read it, ask us any questions you may have, and sign in the space provided. A copy will be provided to you upon request. 1. Insurance. We participate in most insurance plans, including Medicare. If you are not insured by a plan we do business with, payment in full is expected at each visit. If you are insured by a plan we do business with, but don't have an up-to-date insurance card, payment in full for each visit is required until we can verify your coverage. Knowing your insurance benefits is your responsibility. Please contact your insurance company with any questions you may have regarding your coverage. 2.Co-Payments and deductibles. All co-payments and deductibles must be paid at the time of service. This arrangement is part of your contract with your insurance company. Failure on our part to collect co-payments and deductibles from patients can be considered fraud. Please help us in upholding the law by paying your co-payment at each visit. 3.Non-covered services. Please be aware that some and perhaps all of the services you receive may be non-covered or not considered reasonable or necessary by Medicare or other insurers. You must pay for these services in full at the time of visit. 4.Proof of insurance. All patients must complete our patient information form before seeing the practitioner. We must obtain a copy of your driver's license and current valid insurance to provide proof of insurance. If you fail to provide us with the correct insurance information in a timely manner, you may be responsible for the balance of a claim. 5.Claims submission. We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim. Your insurance benefit is a contract between you and your insurance company; we are not party to that contract. 6.Coverage changes. If your insurance changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits. If your insurance company does not pay your claim in 45 days, the balance will automatically be billed to you. 7.Nonpayment. If your account is over 90 days past due, you will receive a letter stating that you have 20 days to pay your account in full. Partial payments will not be accepted unless otherwise negotiated. Please be aware that if a balance remains unpaid, we may refer your account to a collection agency and your immediate family members may be discharged from this practice. If this is to occur, you will be notified by regular and certified mail that you have 30 days to find alternative medical care. During that 30-day period, our practitioners will only be able to treat you on an emergency basis. 8.Missed appointments. Our policy is to charge a fifty-dollar fee ($50) for missed appointments not cancelled within 24 hours prior to your scheduled office visit. These charges will be your responsibility and billed directly to you. Please help us to serve you better by keeping your regularly scheduled appointment. 9.Non-Sufficient Funds/Return Checks. Tri County Heart Institute will pass along to the patient a $40.00 NSF bank charge for all returned checks. This fee will be added to your account and is the patient's responsibility. The financial institution may charge additional fees to you directly. Each visit, during the registration process, your statement or account balance will be reviewed with you by a financial counselor or registrar prior to services rendered. The final part of your registration process will be to review your financial obligations to ensure the accuracy of your bill. We will ask you to pay any co-payments, deductibles, and outstanding balances at this time. In addition, your registration process will include updating your demographic, insurance, and health information. This process will improve the quality of patient information we use to care for you. Being true to our Mission Statement we will work collaboratively with patients who are under financial hardship to develop fair and reasonable payment plans. Financial hardship is determined by policy and is a formal process that must be a joint effort between a financial counselor and the patient. A patient, who has the ability to pay and has not been formally determined to be in financial hardship, is expected to pay at the time of service and maintain no outstanding balance. Our policy states that any account balance remaining after insurance payments must be paid in full within 30 days of the first statement, unless specific arrangements are made ahead of time. All co-pays, deductibles, and previous account balances must be paid before additional services will be rendered. We are excited about the opportunity to provide you with very good care and service. If you have any questions or concerns, please call our office (352) 504-3500 or reach us via the Patient Portal. Thanks? for choosing Tri County Heart Institute for your Cardiology Care. We look forward to serve you and help you keep your lifestyle. Sincerely; 1 | P a g e Welcome and Thank You for Choosing Holy Cross Hospital ! This pamphlet will assist you in preparing for your upcoming surgery. It is very important that you take the time to read ALL of the information. If you have additional questions, pleas e do not hesitate to contact us. TO DO List : Schedule appointment with medical doctor AT LEAST one week prior to surgery Have your physician fax all testing results to our pre - surgical screening department three business days prior to your day of surgery If Specialized Clearance is required, make an appointment with that specialized physician as soon as possible Have your physician specialist fax all testing results to our pre - surgical screening department three business d ays prior to your day of surgery Refer to the "Before Your Procedure" Checklist on page 3 Refer to the "Day of Procedure" Checklist on page 4 Department Phone Number Physician Referral (954) - 776 - 3223 Pre Surgical Screening Department ( 954 ) - 267 - 7547 Pre S urgical S creening D epartment fax ( 954 ) - 267 - 6294 Holy Cross Hospital Admitting (954)492 - 5717 Hospital Main Number (954)771 - 8000 2 | P a g e To Our Pre - Admission Patient: Thank you for selecting Holy Cross Hospital for your surgery. We want to stress that the partnership necessary for the highest quality outcomes includes you, your surgeon and other members of our health care team. In order to prepare and care for you, our Holy Cross team will need your help. Please read this packet of information carefu l l y . All necessary paperwork and preparation must be comple te and available for review prior to your scheduled surgery day . This paperwork is essential for your care planning. Please not e missing or incomplete information could result in cancellation or a delay in your surgery. You may be required to make an appointment with your medical doctor for a pre - procedure examination by your family physician and/or other specialist physician(s). We strongly encourage you to make that appointm ent as soon as possible to avoid any delays. If you have difficulty scheduling an appointment with your primary care physician, or do not have a primary care physician, please contact our physician referral line at ( 954 ) - 776 - 3223 for a list of physicians w ho may perform the examination. Medical History and Physical Examination: Your chosen medical physician must complete a medical history and physical examination.  Please note you will need to make an appointment with your medical doctor to have your medical exam completed as soon as possible . It is highly suggested to complete your exam at least on e (1) week prior to your procedure date to evaluate whether any addit ional testing or visits are required.  Your medical history and physical exam must be scheduled and completed no more than 30 days before your scheduled procedure.  When you call your medical doctor or other specialist's office to schedule your appointment, make sure you communicate your scheduled surgery date and the need to have a pre - operative history and physical examination so that they can allow enough time to schedule.  Once your physician has completed the exam , please ask them to fax it and all testi ng results to y our surgeon ' s office and our pre - surgical screening department at 954 - 267 - 6294. This must be received by our pre - surgical screening department three business days prior to your day of surgery. Physician Specialist Medical Clearance(s):  Depending on your medical history, your surgeon or anesthesia team may request additional pre - procedure clearances from physician specialists .  Please schedule these appointments as soon as possible to avoid a delay in getting an appointment.  When you call the physician's office, please inform them that yo u are having surgery and need to have a medical clearance examination completed.  Once your physician has completed the form, please ask them to fax it to your surgeon ' s office and our pre - surgical screening department at 954 - 267 - 6294 . This must be received by our pre - surgical screening department three business days prior to your day of surgery. 3 | P a g e Before Your Procedure Your surgeon's office will instruct you on what time to arrive at Holy Cross. Please arrive two hours before your scheduled surgery time. TO DO List : Do not have any food, water, hard candy, chewing gum or breath mints after midnight the evening prior to your procedure o You may brush your teeth and u se mouthwash without swallowing If possible, r efrain from smoking and t obacco use for 3 weeks prior to surgery o This will reduce l u ng complications after surgery o Talk to your doctor if you would like information to help with smoking cessation. Do not shave or use a razor at the surgical site area for 2 days before your surgery o Shaving with a razor can cause nicks in the skin increasing the risk of an infection. Shower the night before your surgery with Hibiclens (Do not use on your face or between your legs) Do not use lotions, creams, powders, deodorant, makeup, Vaseline, or hair products after your shower After you shower wear clean night clothes and sleep in clean sheets Repeat shower the morning of your surgery If you are an outpatient : Arrange for a ride home with an adult to accompany you o Patients receiving any type of anesthesia or sedation are not allowed to drive themselves home. We cannot allow you to go home in a cab without another adult present o Your safety is very important to us and failure to make proper arrangements to have someone drive you home may result in cancellation of your procedure. Once at home, we also strongly recommend that someo ne stay with you for 24 hours following your surgery. Hello! We would like to welcome you on start?.me, our service that helps you get started smarter and everywhere. 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