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Dayton Colon & Rectal Center






Patient Information

The convenience you want

From the first time you visit us you’ll know that we genuinely care about you and your experience. Most patients can be seen within 48 hours and emergencies can often be seen same day. We strive to eliminate waiting times because we value your time. If you have questions and/or other concerns, we’ll make sure you get the answers you need. We are ready to discuss matters relating to your condition as well as treatment options available to you. We are state-of-the-art with electronic medical records (EMR) and an internet portal (MyChart) through which patients can view their own health record. Should a question arise about treatment, payments, or insurance please feel free to call our office at (937) 435-8663.

Appointments:

Our office is open Monday through Friday, 9 a.m. to 5 p.m. We will be in the office to see patients by appointment only. We have office locations in Dayton, Englewood, and Beavercreek. Please inform the receptionist when making your appointment which office best suits your needs. Call (937) 435-8663 to schedule your appointment.

Cancellations:

Office appointments: We request at least one day's notice of any cancellation or change of an office appointment.

Surgery appointment: Surgical cancellations should be limited to an emergency only and we request at least two days' notice. This is due to the amount of time required to coordinate scheduling and insurance pre-certification of surgical procedures.

Emergencies:

If an emergency arises, or difficulties arise after-hours, please call the main office number, (937) 435-8663, to reach the provider on call. We are available to our patients 24 hours a day, seven days a week. (Please refrain from sending emergency or time-sensitive questions to our office via MyChart. MyChart is not responded to on a daily basis.)

New Patient Forms:

In an effort to make your visit to our office as efficient as possible, we have made our patient contact form available to you through our site so you can compete prior to your appointment. If you would like, please print out the document below, complete, and bring to our office on the day of your appointment.

Patient Privacy:

We make every effort to ensure that all patient records are kept confidential. Our employees are prohibited from looking at patient records unless they are to provide services to our patients. All electronic billing complies with privacy provisions of federal law (HIPAA).

Prescription Refills:

If you need a prescription refill, please utilize MyChart (our internet portal) or call the office, (937) 435-8663, and have the following information available: 1) name of medication 2) name and phone number of pharmacy 3) prescription number on the medication label.

Hospital Affiliations:

We are on staff at Kettering Medical Center, Soin Medical Center, and Sycamore Medical Center.

We want to remind patients that it is their responsibility to determine if our practice and affiliated hospitals are covered by their insurance network/provider. If your insurance rejects or does not cover a procedure or treatment, you always have the option to pay for costs out-of-pocket.

Pre-Admission Testing:

Surgical procedures require pre-admission testing. The pre-admission testing office at the hospital or our office will schedule you for this at the appropriate hospital or physician's office. The testing may include a barium enema, EKG, chest X-ray, CAT scan, and blood work.

Pre-Certification/Referral/Authorizations:

Most insurance companies require notification (pre-certification) of admission to the hospital for inpatient or outpatient treatment. If you are unsure about your policy or referral requirements, please contact your insurance company or benefits manager. We want to remind our patients that it is their responsibility to determine if we are covered by your insurance provider.

Insurance:

We are happy to file a claim with your insurance company, provided we have your current insurance information. Should a problem arise in insurance processing, we will be happy to supply any additional information requested.

We participate in several HMO's, but it is the patients responsibility to obtain one if needed prior to your office visit or surgery. Please note that these referrals are for a limited length of time or number of visits.

We accept assignment on Medicare. Medicare has very strict rules about what we may charge for each service. We have no control over this policy. If you have a secondary insurance, we will be happy to file with them after Medicare pays its portion.

We will do our best to advise you about treatment options available but we may be restricted in providing certain treatment due to insurance limitations. If insurance does not approve a doctor-recommended test, you are always able to have it performed at your personal expense. At times, we may require you to sign for us to provide services outside the scope of your insurance policy.

Just because our name appears on a network or insurance list does not mean that we endorse that insurance company's policies or procedures. It is the patient's responsibility to determine if we are covered in their network.

Billing and Financial Responsibility:

If you have a co-pay or deductible, this is to be paid at the time of service. An itemized statement covering your medical services performed will be mailed to you. This statement will show charges and payments made up to and including the "closing date" noted on your statement. All patients having a balance due will receive a statement until the account is paid in full. Any account over 90 days old will receive a service charge added on each month until the balance is paid in full. Please call our insurance and bookkeeping office at (937) 435-8663 should you have any questions regarding your account.