What happens during the initial visit?
Prior to your initial visit, please prepare a brief chronology of your neurological history, outlining your symptoms, work up and medications used. Please also bring a copy of your current medication list. Please bring a copy of the results of any testing you have had performed for your neurological problem and copies of all CT or MRI reports or the disk with images to your initial visit. For your initial visit, please arrive 15 minutes ahead of your scheduled appointment time to complete the necessary paperwork. You will be asked to provide patient demographic and insurance information, and to complete a medical history form. These forms may be downloaded from our website and completed prior to your visit. This information will enable the doctor and staff to better serve you. Your first visit is devoted to a complete neurological history and a comprehensive neurological examination. This visit will usually take 30 minutes to 1 hour depending on the complexity of your condition. Most follow-up visits will require less time.
Click here to download the required forms
What is a comprehensive neurological examination?
Because the nervous system is complex, the neurological history and examination will explore a wide variety of organ functions. The neurological examination will include tests of speech, memory, vision, strength, reflexes, coordination, balance, mobility and sensation. The examination may indicate that further tests are required. A plan for the diagnosis and/or treatment of your neurological problem will be formulated at your first visit. Your neurologist will discuss any tests with you. A schedule for testing and follow-up visits will be established. Educational materials and resources may be provided. A full report of your consultation will be sent to your referring physician and your primary care physician. Please be sure to give us the name of the referring provider and your primary care physician.
What should I bring to each visit?
A complete list of all your medications, including non-prescription medications and vitamins, and the dose you take.
A government-issued picture identification card.
All of your insurance cards, which we will copy at every visit.
A check, cash or credit card to pay all co-pays, co-insurance and deductibles at the time of service.
What about Follow-Up Visits?
Follow-up visits are usually shorter visits. Follow-up visits allow your neurologist to review your progress, address new problems, review test results, adjust treatment, refill prescriptions and conduct any needed discussions. If you have multiple, complex neurological problems, your neurologist may not be able to address all of your problems in detail in a single follow-up visit and we will schedule another follow-up visit for you. Additional tests may be ordered. Please arrive at the office 15 minutes before your scheduled follow-up appointment time to complete all necessary paperwork to be ready to see your doctor on time.
How do I contact the doctor when a problem arises?
In the event of a life-threatening emergency, dial 911 and proceed to the nearest hospital emergency room for immediate care. If you are seen at our office and need to contact your doctor between appointments, please call the office between 9:00 a.m. and 4:00 p.m. weekdays. The line is closed from Noon to 1:00 p.m. for lunch. At all other times our answering service will take your message and contact the doctor on call. Please provide the representative or the answering service with as much pertinent information as possible. Organize and write down your problems before calling, so that you can describe your symptoms and ask your questions. This will help our staff and answering service understand your problems and correctly convey the information. If a phone call is an emergency, please make this clear. Our office triage representatives will communicate with your doctor about your problem. Urgent calls will be returned as soon as possible. Other phone calls should be answered within two working days by our medical assistants or physicians.
How do I obtain the results of tests ordered by my physician?
All of your testing, laboratory, and radiology results will be discussed with you at your next office visit. These results may require further explanation or additional testing that can best be done at an office visit, rather than over the telephone. Please schedule your follow-up visit before you leave the office. Allow enough time for us to receive your test results before your follow-up visit (usually 5 - 7 days). The medical assistance cannot discuss test results over the phone.
How do I obtain prescription refills?
All prescriptions and refills must be obtained during your office visit or by calling your pharmacist. Please tell the medical assistant and your doctor which medications you need. This ensures that you receive the correct medication and dose, and provides you with the best medical care. Some prescription refill requests may require an office visit, so your neurologist can review your current medications, laboratory results, and any changes in your medical history. Only emergency prescriptions will be refilled without an office visit. For an emergency prescription refill please call during office hours only between 9:00 a.m. and 4:00 p.m. workdays. The line is closed from Noon to 1:00 p.m. for lunch. When you call for an emergency prescription refill, please have your prescription bottle available with the medication name, strength and dosage, as well as the pharmacy name and fax number. All requests for medication refills require approval by your doctor before they can be refilled. This usually requires two business days. If approved, your refill will be faxed to your pharmacy the next business day. We do not "call in" prescriptions due to the risk of error.
What hospitals does the Waterbury Neurology, utilize?
Our doctors have privileges at the Waterbury Hospital and St. Mary's Hospital. Our doctors serve as consulting physicians to your hospital admitting doctor during your hospital stay. They do not serve as the admitting physician. Your hospital admitting doctor must request that one of our physicians be called in consultation.
What if I need pre-certification for radiology or other studies or for medications?
If your insurance company requires a pre-certification for radiology (such as MRI or CT scan), medications or other studies, we will try to assist you with this. Please allow us five to seven business days to process your authorization through your insurance company. Questions about denials of coverage should be directed to your insurance company. We will help you with appeals for denial of coverage. We will contact you once we have obtained authorization for radiology or other studies. Your pharmacy will contact you about medication authorizations.
What if I need pre-certification for physical, occupational and speech therapy?
Medicare and other health insurance carriers require periodic re-certification to continue physical, occupational and speech therapy and home healthcare services. In order to comply with this requirement you may need to be seen by your neurologist or physician extender or by our nurse who will review your care with your physician. Prior to this visit for re-certification or any re-certification of services, we must have a current written progress report from your therapist including the recommendation that treatment be continued. It is your responsibility to see that we have this report prior to your visit or request for re-certification. Without this report we will not be able to prescribe further therapy.
What about cancelled or missed appointments?
Your appointment time has been set aside with your doctor or for scheduled testing. This time is unavailable to other patients who have neurological problems and who need to be seen. Therefore, we request at least 48 hours advance notice if you need to cancel or reschedule your appointment or you will be charged a cancellation fee. This fee is not covered by your insurance. If an emergency prevents you from keeping your appointment, please let us know. Appointment reminder calls are a courtesy. Should you not receive a reminder telephone call, it is still your responsibility to remember your appointment.
What if I am late to my appointment?
Any patient who is 15 minutes or more late for an appointment may need to have their appointment rescheduled for another day. If you are more than 15 minutes late, we will make every effort to see you the same day if possible, but you may have to wait until there is a break in the schedule to be seen. Although we appreciate the demands of traveling on I-84, we also cannot inconvenience other patients who are on time for their appointments.
What about my medical records?
All medical records are confidential. Records may be released to your other health care providers in accordance with HIPAA regulations. Our office will not release this information to other third parties without your written consent or court order. You may obtain a copy of your records. Please allow 14 days for all medical record requests. A fee will be charged for copies of records, in accordance with Connecticut law.
How do I obtain a medical report or form?
Requests for any medical report must be submitted in writing, indicating in your letter the reason for the request, the information that should be included and to whom the report should be sent. If you request a letter, legal or other narrative report, or a disability report, a fee will be charged. A fee will also be charged to complete any required forms, such as disability forms, DMV forms, Metro Access and FMLA forms. This fee will vary and must be paid before the report is prepared. Please contact our office for the current fee schedule.
All determinations of disability will be made by your doctor. Disability forms will not be completed if your doctor does not consider you disabled. A written authorization form must be received from you before any information can be released in accordance with HIPAA.
What about X-Ray and MRI Films?
We do not store or keep your x-ray or MRI films, or computer discs or tests not done in our office. We cannot accept films or discs prior to your appointment or keep them after your appointment. Please bring your x-ray films or discs to your follow-up appointments for your doctor to review. These will be returned to you after your visit. You should store these at home.
What insurance plans do you accept?
We accept the following insurance plans:
What about insurance company referrals?
If your health plan requires an insurance referral for your visit with us, it is your responsibility to obtain this insurance referral prior to making your office visit or testing appointment. If you are required to have an insurance referral for an office visit or for testing and do not obtain the referral, you will be asked to sign a waiver for your care. You will then be personally responsible for the full charge for the office visit or the testing, which must be paid at the time of service.
What about my insurance co-payment and deductible?
At your initial visit you will need to provide us with your current insurance information. Please bring all of your insurance cards to all office visits. These will be copied at every visit. It is your responsibility to update this information periodically and when any changes occur. Insurance companies and managed care plans have different co-payment, co-insurance and deductible requirements, which vary and often change without our knowledge. All patients, including those patients with Medicare coverage, are expected to meet their full co-payment, co-insurance and deductible requirements at the time of service. We will collect your co-payment prior to each visit. Your co-insurance and deductible should also be paid at the time of service. Patients who do not pay their co-payments, co-insurance and deductibles at the time of each visit are charged an administrative fee, plus an additional fee for each statement sent to them.
Please remember that insurance is considered a method of reimbursing the patient for fees paid to the doctor and is not a substitute for payment. Some companies pay fixed allowances for certain procedures and others pay a percentage of the charge. Often a co-payment, co-insurance or deductible amount is due at the time of service. It is your responsibility to know the amount of the office co-payment, co-insurance and your deductible and to promptly pay any co-pay, deductible, co-insurance or other charges not paid by your insurance company at the time of service.
What about medical bills?
Our fees are customary for our specialty and our locations. There is an initial consultation charge. Subsequent office visits and other services vary in charge, depending on the problem, time and services involved. Payment at the time of each visit is expected from all patients for all co-pays, co-insurance and deductibles and for all charges for which the patient is responsible. This helps control our costs for patient care. Payment may be made by cash, check, Visa or Mastercard.
All patients, including those with high deductibles (such as with Health Savings Accounts), those patients with coverage from a company with which we do not participate, and those without insurance coverage, are expected to pay for all services at the time of the visit. An administrative fee is charged for co-payments and deductibles not paid at the time of service, and an additional fee is charged for each bill sent.
What about insurance claims?
We will submit insurance claims for office visits and testing if we have a contract and are a participating provider with your insurance carrier. We participate with many but not all managed care plans and Medicare. It is YOUR responsibility to determine whether we participate with your health care plan. If you have any questions as to whether we participate with your insurance plan, please ask our billing staff.
Although we will submit charges on your behalf to carriers with whom we participate, the ultimate responsibility for payment of all charges rests with you.
If we do not participate with your insurance plan, we will supply you with the necessary information for you to file with your own insurance company. For diagnostic testing performed in this office, we will file the insurance claims if you provide us with an insurance authorization form and pay any portion (co-payment, co-insurance or deductible) required by your insurance policy.
What about billing problems?
If any questions or problems arise regarding medical bills or insurance matters, please contact our Patient Accounts Office at 1-800-288-3351 between 9:00 AM and 5:00 PM weekdays. Medical bills, especially after hospitalization, can be a source of confusion. We will be happy to help you obtain maximum insurance benefits. However, the agreement by your insurance company to pay for medical care is a contract between you and your insurance company.
If unusual circumstances should make it impossible for you to meet your financial obligations, we invite you to call or personally discuss the matter with one of our billing representatives at 1-800-288-3351. Doing so will avoid misunderstandings and help keep your account in good standing. Overdue accounts will be pursued for collection and may be reported to the credit bureau.
For expedition in your medication refill,
Please call your pharmacy first. Our staff will be notified by your pharmacy if your medication has no refills left. Please note that medication renewals are not considered medical emergencies and it may take up to two business days for your prescription to be renewed due to insurance companies mandating prior authorizations on many medications.
Ask for medication refills during your office visit. Physicians will not refill medications after hours, on weekends, or holidays. It is the patient's responsibility to mail prescriptions directly to his or her mail order company. Please be sure to allow adequate shipping time.