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Accreditation Association for Ambulatory Health Care Florida Agency for Health care Administration State of Florida American Society of Plastic Surgeons Medicare

Patient Info: Guide to Surgery

Do not eat or drink anything after midnight. This includes no coffee, chewing gum, mints, etc. Refrain from smoking. Smoking severely impairs your ability to heal from surgery and significantly increases your chances of having complications. Do not drink alcohol 24 hours before surgery. Take a bath or a shower both the evening prior and the morning of surgery to reduce the chance of infection.

If you experience any health changes between the last time you were seen by your physician and the surgery date, or if there is any possibility of pregnancy, notify your physician before your surgery day. If you are taking any of the following medications, ask your physician if you need to stop them prior to surgery. However, you should not stop taking any medication without prior approval from your physician. Below is a standard guideline of medications that need to be stopped:

Things to Remember

Make arrangements with a responsible adult companion to drive you home after surgery and stay with you for 12 to 24 hours following surgery. Wear loose, comfortable clothing and flat shoes. You will be provided a gown for surgery. Bring storage cases for glasses or contacts. Dentures may need to be removed as well.

Do not wear jewelry or valuable items. Personal items are stored for safe keeping during surgery. Bring insurance cars, picture ID, and a list of medications and allergies. Arrive at Key Biscayne Surgery Center one (1) Hour prior to your appointment time to allow time for your paper work and pre-op. Arriving late may bump your surgery time back or necessitate rescheduling.

Post Surgical Information

Patient's Statement of Rights and Responsibilities

The staff of this health care facility recognizes you have rights while a patient receiving medical care. In return, there are responsibilities for certain behavior on your part as the patient. This statement of rights and responsibilities is posted in our facility in at least one location that is used by all patients.

Your rights and responsibilities include:

A patient, patient representative or surrogate is responsible for

Complaints

Please contact us if you have a question or concern about your rights or responsibilities. You can ask any of our staff to help you contact the Administrative Director at the surgery center. Or, you can call 305-365-7770.

We want to provide you with excellent service, including answering your questions and responding to your concerns.

You may also choose to contact the licensing agency of the state,
Agency for Health Care Administration
2727 Mahan Drive, Tallahassee, FL 32308
1-888-419-3456

If you are covered by Medicare, you may choose to contact the Medicare Ombudsman at 1-800-MEDICARE (1-800-633-4227) or on line at http://www.medicare.gov/claims-and-appeals/index.html. The role of the Medicare Beneficiary Ombudsman is to ensure that Medicare beneficiaries receive the information and help you need to understand your Medicare options and to apply your Medicare rights and protections.

 Click here for Patient Bill of Rights in spanish.

Privacy Notice

 Click here for Privacy Notice in english.

 Click here for Privacy Notice in spanish.

Patient Rights Under Florida Transparency Act of 2016

Services Provided by ASC Surgery Center, a state licensed health care facility.

ASC Surgery Center schedules patient care when your physician schedules a procedure for you at this surgery center. The facility has one fee that covers the following items: Nursing, technician and related services; use of the facility; testing for certain lab tests performed at the surgery center just as glucose (blood sugar), pregnancy, and hemoglobin; medications administered before, during and after your surgery while in the facility; surgical supplies used by the physician and staff; equipment used in the facility; surgical dressings; implants except those specifically classified as premium implants that require additional patient payment.

Separate Providers

Services may be provided in this facility by the facility as well as by other health care providers who may separately bill the patient. Those separate health care providers may or may not participate with the same health insurers or health maintenance organizations (HMOs) as this facility. Patients and prospective patients should contact each health care provider who will provide services in the facility to determine the health insurers and HMOs with which the provider participates as a network provider or preferred provider.

Another health care provider who will bill you for services includes your physician performing the procedure. Other providers who will bill separately if they provide you with health care services in this surgery center include an anesthesia provider who delivers anesthesia services to you at the facility and a pathology provider and laboratory which will analyze tissue your physician may require be sent to the laboratory to diagnose your condition.

You can contact the facility’s anesthesia providers about whether they participate in your health plan. The anesthesia providers are:

Name of anesthesia provider group: Key Anesthesia, LLC
Mailing address: 7300 N. Kendall Drive - Miami, Fl 33156
Telephone number: (786) 270-3990

We may be required to send tissue for analysis by a pathology lab contracted with your health plan. Your insurer’s provider network information may include the pathology lab in the insurer’s network of providers. You may want to check with your insurer. Or, you can contact the laboratory directly about whether they participate in your health plan.

The pathology labs we send tissue to for analysis include:

Name of Pathology: Lab Corp
Website: www.Labcorp.com
Telephone number: (800) 877-7831

Name of Pathology: DermPath/Quest
Website: DermpathDiagnostics.com
Telephone number: 1-(800) 697-9302

Estimate of Charges

Patient or prospective patients may request from this facility and other health care providers an estimate of charges prior to receiving services. We must respond to you within seven days of your request.

Our estimate will be based upon the procedure your physician tells us that he or she plans to perform and the insurance information that you provide to us. We normally will contact your insurer to learn of your eligibility for the procedure and will then base our estimate upon what the insurer tells us about the payment they will make for the procedure. The procedure your physician actually performs may differ from the initial one planned based upon your medical condition at the time of the procedure. Since we cannot forecast the change, the estimate will be based upon the planned procedure as scheduled by your physician.

You may pay less or more for this procedure or service at another facility or in another health care setting.

Financial Assistance Arrangements

We only schedule procedures at this facility by physicians who are on the medical staff at the facility. If your physician has determined that special financial assistance may be warranted and the physician agrees to those special financial arrangements for his or her services, you may be eligible to obtain financial assistance through Care Credit, by completing their application process which includes information about your income and expenses and receiving approval. Please contact our facility for further assistance.

Collections

Prior to your scheduled procedure, we will contact you with the results of the verification of your insurance benefits to advise of your insurance deductible and co-payment amounts that will be due from you prior to your surgery. We expect the amount estimate due to be paid on the day of your surgery when you register at our admission desk, unless previous arrangements with our billing office have been made.

If you need special consideration for payment of the amount due, you must contact us prior to the date of the planned procedure so we can evaluate your eligibility.

If we received denial of payment from your insurer or Health Maintenance Organization, we will notify you. If we receive payment from your insurer or HMO that is less than projected, we will notify you of additional payment due. Payment will be expected within 15 days of notification of the balance due. Failure to pay the balance due by the deadline will result in your account being turned over to a collection agency.

If you have notified us in advance that you have no insurance and will pay cash for your procedure, you may be eligible to receive a discount off the usual charge for payment of your estimated charges in advance of the scheduled procedure. You must attest that you have no insurance and you must pay the full estimated charges in advance. If the procedure performed by your physician differs from the one scheduled, you may owe the difference between the scheduled procedure and the actual procedure performed. The balance, if any, will be due within 15 days. Failure to pay the balance will result in the discount arrangement being null and void and a full payment will be due.

LOCATION

580 Crandon Blvd #301
Key Biscayne, FL 33149

Tel: (305) 365-7770
Fax: (305) 365-7778


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