We accept the following methods of payment:
Co-pays, deductibles, and all non-covered service charges are due the day of service.Patients are responsible for charges on all service(s) and/or product(s) which may exceed the maximum allowable and/or when a third party and/or insurance carrier does not reimburse this Facility enough to meet our cost of service. All account balances, including automobile and work injury claims must be paid in full within 90 days of treatment. Patients are fully responsible for all money owed this office and such payment is not contingent on any settlement, claim, judgment, or verdict by which they may eventually recover said fee and it is also regardless of any attorney liens or pending settlement(s). A service charge is computed by a ‘periodic rate’ of 1.5% per month – 18% per annum and is added to all balances owed 60+ days. Any balance past due 90 days or more may be submitted to an attorney and/or agency for legal collection for which the undersigned agrees to be 100% responsible for all monthly service charges, interest, costs related to but not limited to all collection related expenses, attorney fees, court and filing fees. Returned checks, debit and credit charges made payable to this Facility for insufficient funds, stop payments or other reasons of non-payment will be assessed a $30.00 charge.
InMotion Physical Therapy and Golf Fitness is committed to providing patients with quality health care services delivered with dignity and concern. Fulfilling this commitment requires the efforts of the doctors, therapists, staff and patient working together as a team to obtain the maximum results. Patient satisfaction is a vital interest to our staff.
InMotion Physical Therapy and Golf Fitness is required by law to abide by the terms of this Health Care Privacy Notice as well as other applicable federal and state laws governing privacy practices in health care. Our facility may change and/or modify the terms of this notice at anytime without additional notice to you except to publicly post in our facility and/or make available to patients any updated notices. Photocopy of this notice is available to you upon request.
InMotion Physical Therapy and Golf Fitness is committed to maintaining the privacy of your protected health information. Protected health information is information about you, including demographic information that may identify you and that may be related to your present, future and past physical or mental health or condition and the care and treatment you receive from our practice.
InMotion Physical Therapy and Golf Fitness may use and disclose your protected health information for health care delivery purposes. Your protected health information may be used and/or disclosed without your written authorization by the doctors and staff of InMotion Physical Therapy and Golf Fitness for the purposes of your care and treatment; paying your health care bills; and to support the operations of this practice. Your doctor and the staff at InMotion Physical Therapy and Golf Fitness will take all reasonable measures to maintain the confidentiality of your protected health information.
Privacy Law allows you the right to review and receive copies of your health care records as it relates to your health care. The request must in writing, allowing InMotion Physical Therapy and Golf Fitness 30 days to respond. We reserve the right to deny your request if it will cause harm to you or to another person. InMotion Physical Therapy and Golf Fitness reserves the right to charge a copy fee, which will be in compliance with state law. We agree to comply with any reasonable request to have confidential communication by alternative means or at an alternative location if not doing so endangers you.
You have the right to file a written complaint with our compliance officer if you believe that any of your privacy rights have been violated. A complaint form can be obtained from the Compliance Officer at InMotion Physical Therapy and Golf Fitness and/or the Office of the Civil Rights. All complaints must be filed within 180 days of when you knew or should have known that the violation occurred. Privacy Law prohibits our facility from taking any retaliatory actions against anyone who files a complaint. A comprehensive Health Care Privacy Notice is available for your review at InMotion Physical Therapy and Golf Fitness, 1605 Grand Central Avenue, Vienna, WV 26105.
Office hours allow our patients convenience to schedule appointments before and after work as well as during lunch. If you must miss an appointment please notify us within 24 hours of your appointment time. If you do not show up for your scheduled appointment, it will be considered a missed appointment. Patients who consistently do not show or cancel without proper notice will not be able to reschedule with our office.
If you have questions about billing or concerns regarding your account, please contact Carole Fortney at 740-423-4294 or email at firstname.lastname@example.org
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