Ironwood Dermatology
Office Policies

Prepare for Your Visit

General Information

Cancellation Policy

Arrival Time

What to Bring

Insurance Cards and Identification

Referrals and Authorizations

Minor Patients

Telephone Calls

Emergencies

Fees and Payments For Copays, Products or Self Pay Procedures

Elective Procedures Considered Not Medically Necessary

Cosmetic Procedure Deposits

Pathology Fees

Returned Check Fees

Collection Fees

Missed Appointments

Insurance and Financial Policies

Contracted Insurance Plans

Non-Contracted Commercial Insurance Carriers

Medicare

Medicaid/AHCCCS

Private Pay Patients

Dermatological Conditions Treated at Ironwood Dermatology

Annual Skin Cancer Screening Exams

Full Body Exam

Skin Cancer Treatment Options

Welcome to Ironwood Dermatology General Information

Appointments

We see patients by appointment. Our staff will schedule the time needed to fully evaluate and treat your concerns.

No Show/Late Cancellation Policy (Effective January 1, 2011)

A no-show fee will be charged to your account if:

  • You do not show up for your scheduled appointment.
  • You do not cancel your scheduled appointment at least 24 hours prior to your scheduled appointment time (for Monday appointments, you must cancel by noon Friday).

This includes all established appointments, medical procedures, surgeries, cosmetic appointments, and treatments. The fees are as follows:

  • Cosmetic procedures are subject to a $150 charge.
  • Surgeries are subject to a $75 charge.
  • New patient appointments are assessed a $50 charge.
  • All other appointments are subject to a $35 charge.

If you miss three appointments without prior notice given, you will be dismissed from the practice. No-show fees are due prior to or at your next appointment. No exceptions.

Please contact our office at (520) 618-1630 as soon as possible to cancel or reschedule your appointment. Please provide at least 24 hours' notice. We will attempt to contact you by phone with a courtesy reminder one to two days prior to your appointment.

Arrival Time

New patients, please arrive at least 20 minutes prior to your scheduled appointment time. At your initial visit, you will need to allow yourself enough time to check in, have your insurance cards and IDs scanned into the system, and give our reception personnel time to enter your information.

What to Bring

  • completed registration form
  • signature on file
  • medical history, including prescription, over-the-counter medications, and supplements
  • HIPAA patient consent form
  • referrals and authorization
  • insurance cards
  • photo ID

We recommend you fill out your new patient forms in advance. You can do this by going to our website and filling out the forms or printing them and bringing them with you to your appointment. Please contact our office if you are not able to access our website and we can then either fax or email those forms to you.

Insurance Cards and Identification

All patients utilizing their insurance coverage are required to bring their current insurance cards. Additionally, in order to be treated at Ironwood Dermatology, you must present your or the guarantor's driver's license or photo ID.

Referrals and Authorizations

If your insurance requires a referral and/or authorization you must bring it with you to your appointment. It is the patient's and primary care physician's responsibility to request these from your insurance plan. We will not be able to obtain these for you at the time of visit and you may be rescheduled or asked to sign a waiver in order to be seen.

Minor Patients

The patient registration form must be signed by the parent or legal guardian accompanying the minor at the first appointment. If the parent or legal guardian is not available for the first appointment, we require a notarized Medical Power of Attorney (POA) from the parent or legal guardian to be submitted prior to the appointment, naming an authorized adult and listing permissions given to that adult. If the practice does not have this on hand at the time of the appointment, your appointment may be cancelled. That guarantor ultimately bears the legal responsibility for payment. We are unable to know the financial responsibilities of divorced parents. We will look to the adult accompanying the minor for payment.

Telephone Calls

Our office telephones are very busy. You will occasionally be asked to hold for a brief period. Please be patient. Should you need to speak with a doctor, follow the prompts on our telephone system's auto-attendant. Your call will be returned as soon as possible. Please inform the receptionist if your problem is urgent.

Emergencies

If you have a dermatological emergency during office hours, please call first so that you can receive treatment as promptly as possible. After regular office hours, call the main office number at (520) 618-1630, where you will be transferred to the answering service that directs your call to the on-call physician.

Fees and Payments for Copays, Products, or Self-Pay Procedures

All payments are to be made at time of service and may be made by cash, check, VISA, or MasterCard.

Elective Procedures Considered Not Medically Necessary

For elective procedures, you may be asked to sign a waiver acknowledging you have been informed that Medicare or your insurance carrier does not cover those particular services and you are solely responsible for payment. Payment is due at time of service for non-covered services.

Cosmetic Procedure Deposits

Cosmetic and elective procedures may require a deposit or payment in full to hold that appointment slot. Full payment is expected at the time of service. Please be aware that a missed appointment can result in forfeiture of all or a portion of your deposit.

Pathology Fees

The physicians of Ironwood Dermatology are highly skilled in dermatopathology and frequently perform microscopic slide interpretation of their patients' tissue specimens. In those instances, patients or their insurance carriers will receive a bill from the anatomical lab that prepares the slides and another bill from the Ironwood Dermatology physician for interpretation.

Depending upon specific factors, your physician may send the tissue specimen to an outside reference lab for both slide processing and interpretation. Patients or their insurance carriers will likely receive a single bill from an outside reference lab in this instance. Sometimes an additional dermatopathology consultation is required for the wellbeing of the patient. Ironwood Dermatology physicians reserve the right to send their patient's tissue specimens to the most qualified dermatopathologist of his or her choosing to perform a consultation. There will be an additional bill for this service that may or may not be covered by the patient's insurance carrier.

Returned Check Fees

Any returned check from the bank for non-payment shall result in the patient's or guarantor's account being assessed a $30 fee per check returned.

Collection Fees

Delinquent accounts referred for outside collection will be assessed a $25 collection fee. Guarantor is responsible for any applicable statutory interest and finance charges associated with collection.

Missed Appointments

Please be aware there is a high demand for dermatology appointments and a cost to the practice for "no shows." Appointments not cancelled within 24 hours are "missed appointments." At this time, there will be a no-show fee assessed to your account for missed appointments. Please see the No Show/ Late Cancellation Policy above. If you continue to miss three or more appointments, you may be dismissed from the practice.

Insurance and Financial Policies

Understanding your financial responsibility is an essential component in establishing and maintaining a strong patient/practice relationship. In order to achieve this, we offer the following information regarding our insurance and financial policies.

Fees

Should you have any concerns regarding our fees, please speak with an insurance specialist, our billing office manager, or the executive administrator.

Contracted Insurance Plans

  • AARP
  • Aetna
  • Ameriben
  • APWU
  • Banner Health
  • Blue Cross Blue Shield
  • Cigna PPO
  • Core Source
  • Coventry
  • GEHA
  • GilsBar
  • HealthNet
  • Humana
  • Health Smart
  • Medicare
  • Meritain
  • Medica
  • Multiplan/PHCS *This plan has 32 networks, so please call to check.
  • PacifiCare
  • Railroad Medicare
  • TriCare Standard
  • TriCare For Life
  • Unicare
  • UMR
  • United HealthCare

*Please contact your insurance carrier to verify whether or not your Ironwood Dermatology provider participates with your insurance. If you do not have your insurance card or if insurance cannot be verified, you are responsible for the full balance at the time services are rendered.

Non-Contracted Commercial Insurance Carriers

Ironwood Dermatology will file your "out of network" insurance claim as a courtesy. You will want to confirm with your insurance carrier that you have an "out of network" benefit, and how that benefit affects deductible, coinsurance, and your financial responsibility. Outstanding balances will be billed to the patient as "due and payable" 30 days after the claim is filed.

Medicare

Ironwood Dermatology files claims and accepts assignment on Medicare. We are happy to file all secondary and supplemental claims as a courtesy. In the case of non-contracted secondary carriers, the balance will become patient responsibility 30 days after that claim is filed. If required by your secondary carrier, you will need to obtain referral or authorization prior to your appointment.

Medicaid/AHCCCS

Because Ironwood Dermatology is not contracted with any AHCCCS/Medicaid plans, and due to certain regulatory restrictions regarding the billing of patients, we are not able to treat patients covered under those plans. Ironwood Dermatology does not submit primary, secondary, or supplemental claims for AHCCCS/Medicaid. If the patient does not disclose coverage under these plans, they still have full financial responsibility to Ironwood Dermatology for any services rendered.

Private Pay Patients

Payment is due in full at the time of service. However, we may not be able to assign a final fee for procedures that necessitate the processing of pathology. In such cases, a deposit of $250 is required at the time of service. Following the reading of pathology, a final fee can be determined. A statement will then be generated and sent to the patient or guarantor for any remaining balance. Payment is due upon receipt.

Dermatological Conditions Treated at Ironwood Dermatology

The physicians of Ironwood Dermatology excel in the diagnosis, medical care, and surgical management of:

  • Diseases and disorders of the skin, hair, nails, veins, and nearby tissues
  • Benign growths and malignant skin cancers
  • Aging and sun-damaged skin
  • Cosmetic improvement of the skin

Annual Skin Cancer Screening Exams

The physicians of Ironwood Dermatology urge patients to undergo an annual skin cancer screening examination. Skin cancer is the most common form of cancer in the United States. With early detection and proper treatment, skin cancer is highly curable.

Full Body Exam

To ensure the best dermatological care, we strongly encourage our patients to have a full body exam at least annually. If that exam cannot be performed at the initial visit due to the time needed to address your primary concerns, please be sure to schedule an appointment as soon as possible for that express purpose.

Skin Cancer Treatment Options

If a biopsy reveals skin cancer, your dermatologist will discuss treatment options. Treatment for skin cancer varies according to the type, location, extent, aggressiveness of the cancer, and the patient's general health. The goals of treatment for skin cancer are to remove all of the cancer, reduce the chance of recurrence, preserve healthy skin tissue, and minimize scarring after surgery.

Thank you for choosing Ironwood Dermatology.

The healthcare professionals of Ironwood Dermatology have unique qualifications and experience in the use of a wide variety of surgical and non-surgical methods of treating the skin and preventing skin problems. Moreover, they care about your appearance and want to help you to look good and feel good at any stage in life.