Policies & Frequently Asked Questions

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  1. Office Hours

    Monday - Friday: 8:15 a.m. - 5:00 p.m.
    Saturday: 8:15 a.m. - 12:00 p.m.
    Closed daily for lunch: 12:00 - 12:45 p.m.
    Telephone consultation: 8:15 - 8:30 a.m.

    After hours, please call (973) 912-0155. Our answering service will take your call.

  2. Appointments

    We value the time we have set aside to see and treat your child. We do not double book well appointments. If you are not able to keep a well child appointment, we would appreciate 24-hour notice. There is a charge of $20.00 for missed appointments on weekdays and $40.00 on weekends due to these visits being fewer in number but higher in demand.

    If you are late for your well appointment (>15 minutes), we will do our best to accommodate you. However, on certain days it may be necessary to reschedule your appointment.

    We strive to minimize any wait time, however, emergencies do occur and will take priority over a scheduled visit. We appreciate your understanding.

    Before making an annual physical appointment, check with your insurance company as to whether the visit will be covered as a healthy (well-child) visit. This differs by insurance company, so please read your policies carefully.

    Prior to seeing the physician, you will be required to provide a copy of your up-to-date insurance card as well as a valid form of ID (this is a government program to protect against identity theft). We thank you in advance for having these readily available for us to copy and place in your child's chart.

    There is an additional charge for visits on weekends, holidays, and for walk-ins that is billed to your insurance company.

    In order to better accommodate working parents and those with complicated issues, we will begin, as of July 2010, to offer a physician phone consultation. The charge for this, which will be billed to you, is $50.00. This does not mean that all calls will be billed; only those that are done in lieu of an actual office visit. If it is a follow up from a visit or leads to a visit in the next week, no charge is applied. Calls made during regular office hours and handled by our staff are not charged, so do not hesitate to call with questions. Only in depth conversations that are handled specifically by a physician with be subject to this fee.

  3. Insurance Plans

    Please understand
    It is your responsibility to keep us updated with your correct insurance information. If the insurance company you designate is incorrect, you will be responsible for payment of the visit and to submit the charges to the correct plan for reimbursement.

    If we are your primary care physician, make sure our name or phone number appears on your card. If your insurance company has not yet been informed that we are your primary care physician, you may be financially responsible for your current visit.

    It is your responsibility to understand your benefit plan with regard to, for instance, covered services and participating laboratories.
    For example:

    • Not all plans cover annual healthy (well) physicals, sports physicals, or hearing and vision screenings. If these are not covered, you will be responsible for payment.
    • For children younger than 2 years, there is a limit as to the number of allowable well visits per year. If the number of visits is exceeded, your insurance company will not pay; you will be responsible for payment.

    It is your responsibility to know if a written referral or authorization is required to see specialists, whether pre authorization is required prior to a procedure, and what services are covered.

    Your insurance may not pay for in-office testing, such as (but not limited to) hemoglobin and lead testing, strep, mono, urine dips, specimen handling, blood sugar test and stool occult blood testing. They would prefer you go to contracted labs, such as Lab Corp and Quest. If you choose to have the testing done in the office, a fee of $25.00 per test will be charged to you and is due at the completion of the visit.

  4. Referrals

    Advance notice is needed for all non-emergent referrals, typically 3 to 5 business days.

    It is your responsibility to know if a selected specialist participates in your plan.

    Remember, we must approve referrals before they are issued.

  5. Financial Responsibility

    According to your insurance plan, you are responsible for any and all co-payments, deductibles, and coinsurances.

    Co-payments are due at the time of service. A $10.00 service fee will be charged in addition to your co-payment if the co-payment is not paid by the end of that business day. You will not be able to see the physician unless you have paid your co-payment.

    Self-pay patients are expected to pay for services in FULL at the time of the visit.

    If we do not participate in your insurance plan, payment in full is expected from you at the time of your visit. We will supply you with an invoice that you can submit to your insurance for reimbursement.

    Patient balances are billed immediately on receipt of your insurance plan's explanation of benefits. Your remittance is due within 10 business days of your receipt of your bill.

    If previous arrangements have not been made with our finance office, any account balance outstanding longer than 60 days will be charged a $10.00 re-bill fee. Any balance outstanding longer than 90 days will be forwarded to a collection agency.

    For scheduled appointments, prior balances must be paid prior to the visit.

    If you participate with a high-deductible health plan, we will bill you accordingly.

    We accept cash, checks, Visa, American Express, MasterCard and Discover credit and debit.

    A $20.00 fee will be charged for any checks returned for insufficient funds.

  6. Form Fee Policy

    Due to the increasing number of forms to be filled out for your child's activities and the time it takes to complete them properly, there will be a $20.00 charge per child per year that covers ALL forms. This price is in affect as of July 1, 2010. Payment is due when the forms are dropped off. We require 7 - 10 day turnaround time.

  7. Transfer of Records

    If you transfer to another physician, we will provide a copy of your immunization record and your last visit to your physician, free of charge, as a courtesy to you. We need 48 hours' notice. A copy of your complete record is available for a charge that is dependent on the size of the child's chart. We provide records of your child for visits (including consultations from specialists) rendered here at Millburn Pediatrics only. For any previous records, you must request them directly from your previous doctor(s).

  8. Prescription Refills

    For monthly medication refills, we require 48 hours' notice, during regular business hours. Please plan accordingly.

    We refill prescriptions only during office hours because we need your child's chart handy to check on dosages and disease status. Plan ahead so that you don't run out of important medicines. Always have the phone number of your pharmacy available when you call the office.

  9. Telephone Policy

    Please have the following information available when you call (except in emergencies):
    • Child's symptoms
    • Any chronic disease or health problem your child has, and any medication allergies
    • Your child's temperature if her or she is sick
    • Your child's approximate weight
    • The name and dosages of any medicines your child is taking
    • Your pharmacy's phone number
    • Your questions

    Emergency Calls (Day or Night)

    1. Call 911 for any life-threatening emergencies for which your child might require resuscitation (e.g., your child is not breathing, is severely chocking, has been knocked unconscious, or is having a seizure).

    2. We have 24 hour coverage for emergencies: Monday - Friday one of our doctors is available from 5:00 p.m. - 8:00 p.m. after the office has closed. If you do not receive a call back within a reasonable amount of time, please call the office again. After 8:00 p.m. our answering service will direct your call. One of the doctors is always on call should a problem arise. On Saturday and Sunday one of our doctors is available when the office is closed.

    3. For poisonings and accidental overdoses, contact the Poison Control Center at (800) 222-1222

    About Sick Children During Office Hours

    We see sick children by appointment only. Our office hours are Weekdays 8:15 a.m. - 5:00 p.m. and Saturday 8:30 a.m. - 12 p.m. If your child needs to be seen on a Sunday or Holiday, please contact the on-call physician that morning between 9 - 10 a.m. The on-call physician will be available in their office to see emergencies on the mornings of holidays and Sundays.

    Drs. Mangru, Batra, Knowles and Matarazzo have a call-in time between 8:15 - 8:30 a.m. Feel free to call in at this time to discuss your child's illness and to schedule an appointment for a sick visit. If you have an issue that will require more time, please allow one of the doctors to call you back during lunch or after office hours.

    After 8:30 a.m., the phones are answered by one of our medical assistants who have been specially trained to make decisions on which patients need to be seen and how to provide home care for children who do not need to come in. If the assistant does not know the answer to your question, she will discuss the question with one of the physicians before getting back to you. You also have the option of leaving a message for one of the doctors. They will get back to you as soon as possible, most likely during lunch or after hours.

    Working Parents and Sick Children

    We keep appointments open between 4:30 - 5:00 p.m. for sick children who need to be seen after school or day care. Please call us as soon as you know your child will need to be seen, preferably before 3:00 p.m.

    Well-Child Questions

    We are happy to provide you with the health information you need to be a better parent. Please place calls about behavior issues or other well-child issues during weekday office hours. The best time to call is usually in the early afternoon, when the phone is the least busy.

    Nighttime (After-Hours) Calls

    After office hours, calls should be made only for emergencies or urgent problems that can't wait until morning. Calls about mild illnesses can usually wait until the next morning. We need to keep the line open at night for urgent calls. After office hours, your calls will be received by an answering service. The call will be patched through to the registered pediatric nurse. If you do not hear back form a physician within 30 minutes, please call the office number again.

    Weekend and Holiday Calls

    If your child becomes ill during a weekend or a holiday, simply call the office number. Please try to call before 10:00 a.m. so that your child can be seen in the office if necessary. The doctor on call will always be in his/ her office for a few hours on Sundays and holidays to see emergencies.