I recently had surgery, why did I recieve a bill from a different doctor

Many procedures require the use of a surgical assistant. This is medically necessary to ensure that you receive the best possible results.

My doctor gave me some samples of a medication. How can I get a prescription?

If you feel the medication works for you, call our office and leave a message with the operator that you would like to have a prescription. She will need the name of the medication, the strength of the dose and your pharmacy phone number.

How can I get a refill on my prescription?

If you need a refill on an existing prescription, contact your pharmacy. If there is no refill remaining on your prescription, they will call our office for approval.

I have a total joint replacement and have a dentist appointment. I have heard that I should take an antibiotic before my appointment. Is this true?

You won't need to get preventive antibiotics for most dental procedures. But because you have an artificial joint, your risk of contracting a blood-borne infection is higher than normal. So preventive treatment is advised if the dental procedure involves high levels of bacteria.

You should get preventive antibiotics before dental procedures if:

You have an inflammatory type of arthritis such as rheumatoid arthritis or systemic lupus erythematosis
Your immune system has been weakened by disease, drugs, or radiation
You have insulin-dependent (Type I) diabetes
You had a joint replacement less than two years ago
You've had previous infections in your artificial joint
You are undernourished or malnourished
You have hemophilia.

What procedures require preventive antibiotics?

You should get preventive antibiotics for the following dental procedures:

Dental extractions
Periodontal (gum disease) procedures
Dental implant placement and reimplantation of teeth that were knocked out
Endodontic (root canal) instrumentation or surgery
Initial placement of orthodontic bands (not brackets)
Injection of a local anesthetic into the gums near the jaw
Regular cleaning of teeth or implants where bleeding is anticipated

I have an insurance form that I need completed. What should I do?

As a service to our patients, we do fill out insurance forms at no charge. However, as we provide this service for all our patients, we do require that the form be picked up after it is completed or that a postage-paid envelope be left with the form. Due to the number of forms we received, we require 7 to 10 business days for completion.

I received a statement from my insurance company for a surgical procedure at the time of my last office visit. What is this charge for?

This would be for a procedure called arthrocentesis. The physician inserts a needle through the skin and into a joint, bursa, tendon sheath or fascia. He may aspirate (take a fluid sample) and /or inject medication for lavage or drug therapy. The needle is then removed and pressure is applied to stop any bleeding.

Because the needle placed into the joint, bursa, tendon sheath or fascia requires exact placement, it is considered by insurance companies to be a surgical procedure. It is much more than a standard injection. Although they consider this a surgical procedure, insurance companies do not require additional pre-authorization for the procedure itself. Some medications, however, may require pre-authorization and our staff will take care of obtaining that prior to the arthrocentesis, as needed.

FAQ - New patients

How early should I arrive for my appointment?

Our staff will make an effort to contact you prior to your appointment for pre-register. In this event, you will not need to come to the office earlier than your scheduled appointment time. You will be asked to review your registration forms and sign them, and then your check-in process will be complete.

However, if our staff is unable to reach you for pre-registration, you will need to arrive 15 minutes before your scheduled appointment time to fill out the required paperwork.

How long should I allow for my appointment?

Our physicians and staff work hard to treat each patient as close to their scheduled appointment time as possible. However, our physicians often have emergency situations that need immediate attention. They do everything possible to handle these emergencies in a timely fashion and return to their scheduled patients.

What information should I bring with me?

You will need to bring your insurance card or complete billing information, including claim number and address of responsible party. If you have received treatment for this condition from another office, please bring all records, test reports and images (x-rays, MRI, CT scan).

What type of clothing should I wear?

Will you need to wear clothing that will allow access to the body part you are being seen for (example: shorts for a knee injury, sleeveless shirt for a shoulder injury). If this is not possible due to your work dress code, we have shorts and gowns you can change into for your exam.

Will I need to make payment at the time of my office visit?

If your insurance company requires an office co-payment, you will be required to make that payment at the time of your visit.

Do you accept my insurance?

Please refer to our Registration Information booklet for a list of insurance companies we participate with.


KNEE	HIP	SHOULDER	ANKLE/FOOT	SPINE

Louisville Orthopaedic Clinic

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FAQ - New patients