Questions
1 - What is Pain Management?
Answer - Pain management is the use of medications, therapies, surgeries, and homeopathic treatments to effectively MANAGE pain levels. Unfortunately it is not realistic or expected to completely get rid of pain, however we use the above mentioned methods to manage the pain at tolerable levels to allow patients to perform their daily tasks/functions.
2 - What can I expect if I am new to Pain Management?
Answer - if you have never received pain medications, or it has been a long time since you have received medications you will classified as "New" to pain management. This means that the follow items will be ordered and completed. Imaging, Labs, Physical Therapy, Non-Controlled medications, TENS Unit. Before any controlled substances will be provided the patient must obtain imaging and have a trial period on Non-Controlled medications. Pain management is a moving process, it required trial and error in order to find the best treatment plan for each patient. Every person is different and therefor every treatment path is different.
3 - What can I expect from the providers?
Answer - Our providers are trained to be compassionate, hard working, and ethical. We do not judge or assume as we allow each patient to assist in guiding their care. However we are strong and hold a line when it comes to following the rule and regulations of our governing bodies.
4 - What is expected from me as a patient?
Answer - You are expected to be respectful to the staff members and other patients. We expect you to ask questions and be an active participant in your healthcare. Arrive to your appointments on time or contact the office if you are not able to make it or are delayed. Please remember we are providers and we are not able to read anyone's mind, if you do not communicate there is no way we can assist.
5 - How does Telemedicine Appointments Work?
Answer - Telemed is a virtual appointment. You are required to text message (preferred until the phones are fixed) or call to check in. Once you are checked in the Front Desk will call to collect the copay if any is required, then the MAs or Provider will call to confirm your medication list. After the Check In process is complete you will then get a message from the Charting System which will come to the phone number we have on file as a text message. The phone number from the charting system and starts with area code 844. Once you get this message you will need to access the link, allow all permissions to camera and microphone, and then once you are in the waiting room you need to scroll down and select the option to "JOIN CALL" at which time you will be brought into the meeting room, and then please wait patiently for the provider to get to your appointment. Just because it is a telemed appointment does not mean there wont be a little bit of a wait, patients are still seen in order.
6 - What is Concierge Medicine?
Answer - Concierge Medicine is also know as VIP care. Patients pay and additional fee either annually or monthly to have more access to the provider, for example being able to make same day appointments, home health appointments, expedited response times on requests etc. This level of care can be expensive however for patients who do not have the time to wait for an appointment or need an appointment outside of normal business hours this is a beneficial option.
7 - What is a Home Visit?
Answer - A home visit is a visit which is conducted outside of the Providers Office at the patients place of business or in their residence.
8 - Do you office IV Hydration?
Answer - IV hydration is offered by this office currently on a limited basis, however options will be expanding after the new year.
9 - Do you manage Hormone Therapy?
Answer - Yes we assist all types of patients in managing hormone levels, this includes Male HRT, Female HRT, and Transgender (Adult Only Currently) HRT. Ms. Cherry will assist with Ages 14-18 HRT Transgender Patients initial testing and evaluation, however this is a much more complex situation due to puberty related hormone changes and usually requires a referral to Endocrinology.
Prior Authorizations
1 - What is a Prior Authorization?
Answer - a Prior Authorization is the process that is utilized by insurance companies to confirm that the use of a medication is deemed medically necessary.
2 - How is a Prior Authorization started?
Answer - Often the Prior Authorization is started when the pharmacy runs the medication for insurance approval. They will often get a notification/rejection for coverage. The Pharmacy can then either Fax the rejection/notification to the providers office or they can share the message on an application called CoverMyMeds.
3 - Who is responsible for the completion of the Prior Authorization?
Answer - The Prescribing Provider's office staff is responsible for the completion of Prior Authorizations
4 - What am I (the patient) expected to do for a Prior Authorization?
Answer - First we recommend asking the pharmacy to either Fax the request to 702-342-1192 or share with the office on CoverMyMeds. Then we recommend texting/calling the office to let us know that one is required. If we do not receive the request we will then have our staff contact the pharmacy to obtain the request.
5 - What is the timeline for Prior Authorizations?
Answer - Once the request is received from the pharmacy we will submit the prior authorization to the insurance within 2 business days (Tuesday to Friday 8a,-6pm), once submitted insurances can take up to 5 days to respond to the request. However, the average respons time is 1-3 days.
How to Find a New Pharmacy
Perform a search of pharmacies within 5 miles of your home/residence
Create a list of those pharmacies
Call the pharmacy and ask the following questions
Do you take my insurance?
If Yes - follow the below
Can I speak with the Pharmacist?
Are you accepting new pain management patients?
Provide the pharmacist with the list of medications you are prescribed
If the answer is Yes we are accepting new patients - get the name of who you spoke with and provide all details to the office
If the answer is no then move to the next pharmacy
If No - follow below
Remove all like pharmacies from your list and start back at number 1
The office staff is unable to assist in finding new pharmacies for patients, we understand this is difficult; however we do not currently have the resources to assist all of our patients in locating a pharmacy.