Welcome and thank you for choosing New Beginnings Pediatrics. We appreciate the opportunity to provide your child with the highest quality pediatric care available. Here are some helpful tips for your first visit at New Beginnings Pediatrics. We understand how cumbersome completing paperwork at a new physician's office can be. We have included our necessary paperwork for you to download (patient forms under MyNBPeds). Please print and complete at home to help your first visit be more comfortable. Do not hesitate to call our office with questions.
• Please arrive 15 minutes prior to your scheduled appointment to provide administrative time to update your registration information prior to seeing the physician.
• Remember that a parent, legal guardian, or Consent Proxy must be present with the child at all office visits.
• Bring all insurance cards that provide coverage for your child.
• Bring your child's immunization record.
• Complete in advance and bring Patient Registration, Guarantor Registration, Signature Page and Preauthorization to Treat Minors and/or Consent Proxy forms.
• Please review our Financial Policy, Group Practice Policy and Notice of Privacy Practices.
• Our Medical Records Release form is also available for you to download and send to your previous physician if you are transferring your medical to New Beginnings Pediatrics.
• Co-payments are collected upon arrival. Refer to your insurance card for office co-payment amount.
PATIENT RIGHTS AND RESPONSIBILITIES:
Our goal is to provide you with the utmost professional medical care available. To do this we need to establish a relationship with you as the parent that allows open communication between you and the pediatrician. Both you and your child's pediatrician have certain responsibilities to ensure proper medical care:
• New Beginnings Pediatrics can treat you child until his/her 18th birthday and completion of High School.
• Treatment plans, prognosis, and diagnoses will be explained to you at each visit.
• You will be able to reach a pediatrician for emergencies when our office is closed.
• Your child's medical record will be kept confidential.
• You may review your child's medical record with the pediatrician at a scheduled time.
• Employees will identify themselves and explain why they are treating your child.
• If you do not understand your billing statement, it will be explained to you by an assigned employee.
• You are responsible to make co-payments at the time of service in accordance with you insurance contract. If you have no insurance, payment in full is your responsibility at the time of service.
• You are responsible to know your insurance benefits.
• You are responsible to give an accurate medical history and inform the pediatrician of any changes.
• You are responsible to be compliant with treatment plans.
• You are responsible to keep all scheduled appointments, be on time and inform us if you cannot keep an appointment. Habitual missed appointments may result in termination of care from New Beginnings Pediatrics. We are required to report consistent missed appointments to certain health plans.
• You are responsible to update demographic information.
Thank you for choosing New Beginnings Pediatrics as your health care provider. We are committed to your treatment being successful. Please understand that payment of your bill is considered part of your treatment. The following is a statement of our Financial Policy. We require that you sign an acknowledgment of receiving this policy.
FULL PAYMENT IS DUE AT TIME OF SERVICE.
WE ACCEPT CASH, CHECKS, AND MOST BANK CARDS FOR DEBIT, CREDIT, HEALTH SAVINGS AND FLEXIBLE SPENDING ACCOUNTS
We will file all insurance claim forms as a courtesy to our patients, provided we receive a copy of your insurance card and assignment of benefits is given to New Beginnings Pediatrics. If we are a participating provider with your insurance company, we will bill them first. All co-payments will be collected at the time of service as in accordance with our contract with that insurance company. If we are not a participating provider with your insurance carrier, payment in full is collected at the time of service. It is your responsibility to know your insurance benefits.
USUAL AND CUSTOMARY FEES
Our practice is committed to providing the best treatment for our patients and we charge what is usual and customary for this area. You are responsible for payment regardless of any insurance company's arbitrary determination of usual and customary rates.
We currently* contract with Buckeye Community Health Plan, CareSource and Molina with the Medicaid Managed Care Program. It is your responsibility to designate New Beginnings Pediatrics as your child's medical care provider. You must present your Medicaid Managed Care Card at every visit for verification of medical provider. You can be turned away, if you do not present your card.
*Negotiations with these companies are ongoing and our participation with them might end at any time. We will notify patients if this happens.
REGARDING COURT ORDERS
This office will hold the presenting parent/guardian whose signature is on our acknowledgment form financially responsible for all charges incurred, regardless of divorce decree or child support order as stated by Ohio Law.
If collection outside of this office becomes necessary, you will be charged a processing fee and your patient relationship with the providers at New Beginnings Pediatrics will be terminated.
Every attempt is made to ensure your account responsibility does not become delinquent. Your account will be considered delinquent at 60 days from date of service. Payment plans can be arranged with our billing department and are not extended for more than 90 days. Balances that are not reconciled within one year will be referred to outside collection regardless of a formal or implied payment plan.
Thank you in advance for complying with our Financial Policy. Please let us know if you have any questions or concerns.
Group Practice Policy:
New Beginnings Pediatrics is designed as a group medical practice. Each provider is part of that group practice. While we try to be accommodating to patient preference and provider availability, there may be times when your favorite provider is unavailable. We require that patients be willing to see any provider available for acute and emergent care. It is your prerogative to wait for an open appointment in your Primary Care Physician's schedule for follow up and routine appointments. However, you must understand there may not be an opening for a few days or weeks, depending on your appointment request and that provider's schedule. Unwillingness to accept this policy may result in discharge from New Beginnings Pediatrics.
Vaccine Policy Statement:
• We firmly believe in the effectiveness of vaccines to prevent serious illness and to save lives.
• We firmly believe in the safety of our vaccines.
• We firmly believe that all children and young adults should receive all of the recommended vaccines according to the schedule published by the Centers for Disease Control and Prevention and the American Academy of Pediatrics.
• We firmly believe, based on all available literature, evidence, and current studies, that vaccines do not cause autism or other developmental disabilities. We firmly believe that thimerosal, a preservative that has been in vaccines for decades and remains in some vaccines, does not cause autism or other developmental disabilities.
• We firmly believe that vaccinating children and young adults may be the single most important health-promoting intervention we perform as health care providers, and that you can perform as parents/caregivers. The recommended vaccines and their schedule given are the results of years and years of scientific study and data gathering on millions of children by thousands of our brightest scientists and physicians.
These things being said, we recognize that there has always been and will likely always be controversy surrounding vaccination. Indeed, Benjamin Franklin, persuaded by his brother, was opposed to smallpox vaccine until scientific data convinced him otherwise. Tragically, he had delayed inoculating his favorite son Franky, who contracted smallpox and died at the age of 4, leaving Ben with a lifetime of guilt and remorse. Quoting Mr. Franklin's autobiography:
"In 1736, I lost one of my sons, a fine boy of four years old, by the smallpox…I long regretted bitterly, and still regret that I had not given it to him by inoculation. This I mention for the sake of parents who omit that operation, on the supposition that they should never forgive themselves if a child died under it, my example showing that the regret may be the same either way, and that, therefore, the safer should be chosen."
The vaccine campaign is truly a victim of its own success. It is precisely because vaccines are so effective at preventing illness that we are even discussing whether or not they should be given. Because of vaccines, many of you have never seen a child with polio, tetanus, whooping cough, bacterial meningitis, or even chickenpox, or known a friend or family member whose child died of one of these diseases. Such success can make us complacent or even lazy about vaccinating. But such an attitude, if it becomes widespread, can only lead to tragic results.
Over the past several years, many people in Europe have chosen not to vaccinate their children with the MMR vaccine after publication of an unfounded suspicion (later retracted) that the vaccine caused autism. As a result of under immunization, there have been small outbreaks of measles and several deaths from complications of measles in Europe over the past several years.
Furthermore, by not vaccinating your child you are taking selfish advantage of thousands of others who do vaccinate their children, which decreases the likelihood that your child will contract one of these diseases. We feel such an attitude to be self-centered and unacceptable.
We are making you aware of these facts not to scare you or coerce you, but to emphasize the importance of vaccinating your child. We recognize that the choice may be a very emotional one for some parents. We will do everything we can to convince you that vaccinating according to the schedule is the right thing to do. However, should you have doubts, please discuss these with your health care provider in advance of your visit. In some cases, we may alter the schedule to accommodate parental concerns or reservations. Please be advised, however, that delaying or “breaking up the vaccines” to give one or two at a time over two or more visits goes against expert recommendations, and can put your child at risk for serious illness (or even death) and goes against our medical advice as providers at New Beginnings Pediatrics. Such additional visits will require additional co-pays on your part. Furthermore, please realize that you will be required to sign a “Refusal to Vaccinate” acknowledgment in the event of lengthy delays.
Finally, if you should absolutely refuse to vaccinate your child despite all our efforts, we will ask you to find another health care provider who shares your views. We do not keep a list of such providers, nor would we recommend any such physician. Please recognize that by not vaccinating you are putting your child at unnecessary risk for life-threatening illness and disability, and even death.
As medical professionals, we feel very strongly that vaccinating children on schedule with currently available vaccines is absolutely the right thing to do for all children and young adults. Thank you for your time in reading this policy, and please feel free to discuss any questions or concerns you may have about vaccines with any one of us.