Office Policies

 

Referals Prescriptions Financial Billing Insurance Administrative Fees

Referralsskyflowers-big

If you need a referral for a doctor you have seen before, please log on and leave a secure email requesting the referral. Alternatively, you may leave a message on our answering machine. Required Information: Child’s name, date of birth, name of insurance company, insurance ID number, name, provider number, phone and fax number of doctor being referred to, reason (diagnosis) for visit, any special procedures being performed, a contact phone number for patient. As much as possible, please allow us 3 business days to fill your referrals. The best practice is to log on to request the referral at the time that you make the appointment with the specialist. If your insurance requires paper referrals, please inform us if you will pick it up, or if you wish us to fax the referral to your specialist. (Only Health Partners requires a paper referral.)

If you would like to see a new specialist who you have not seen before, please make an appointment for Dr. Lieberman to evaluate the problem and help you choose the best specialist to assist you.

Prescriptions

If you need a prescription refill for a medication your child has been on before, please log on and send a secure email requesting this. Alternatively, you may leave a message on our answering machine. The refill will be sent in as soon as possible, usually at the end of the business day. If your child has not been seen in over 4 months for any chronic problem, please make an appointment as well. Many chronic medications require monitoring.

Required Information: Child’s full name, date of birth, name of prescription, dosage and directions, and if you require more than one refill.

Options to receive your prescription are: call into pharmacy (please leave pharmacy name, zip code and phone number), mailed home (please leave name and address information) or picked up in the office.

Please keep in mind that controlled substances (ex. Adderall, Ritalin, Focalin, etc) cannot be called into the pharmacy.

If you need a prescription for a medication your child has not been on before, please make an appointment so that Dr. Lieberman can evaluate the problem and help you choose the best possible course of action to help your child.

Hospital Affiliations

If a child needs to go the emergency department or to be admitted to the hospital, Dr. Lieberman will faciliate this by first, determining if the parent prefers a particular hospital. CHOP, St. Christopher’s, Thomas Jefferson, Abington, and Bryn Mawr all have good, inpatient pediatric programs, and pediatricians to see patients in the Emergency Department if needed. CHOP and St. Christopher’s emergency departments are always staffed by pediatric emergency specialists. Next, Dr. Lieberman will contact the emergency department or the inpatient specialist, and make a personal referral for the child. The child can then be transported, either by the parents or an ambulance, to the hospital. The emergency  room and inpatient specialists would then take over the care of the sick child, maintaining excellent communication with Dr. Lieberman. After discharge, the child would once again resume care at Fairmount Pediatrics.

Dr. Lieberman is on staff at Pennsylvania Hospital and at Albert Einstein Medical Center. The affiliation with Pennsylvania allows her to see a new baby in the nursery there, if you prefer not to use the excellent, inpatient nursery doctors there. However, patients are free to use any of the excellent pediatric programs in the region.

HMOs do require physicians to choose a ‘capitated’ site for xrays, all radiology, physical therapy and podiatry from a limited number of sites. If you have an HMO, and Fairmount Pediatrics is your primary care office, please contact your insurance for this detail.

Parents’ Decision Making

Fairmount Pediatrics supports parents communicating with each other regarding their children’s care, even in cases of divorce or separation. Our policy is that the parent who is with the child at the visit is fully empowered to make all healthcare decisions for the child at the visit. The only exception will be if a parent does not have legal custody of a child, and Fairmount Pediatrics has been provided with a notarized letter, signed by both parents or a judge, informing us that one parent cannot make medical decisions.

Financial

 

Billing

 

Fairmount Pediatrics and Adolescent Medicine will make every effort to bill your insurance for you. Please provide complete and up to date insurance information at every visit. In the event that your insurance is not active, or denies a visit, the cost of the visit is your responsibility. If you need assistance in working with your insurance, please call in advance, and arrange a time to bring in the bill.

We are currently accepting new patients from birth through 21 years of age.

Insurance

We participate with most major insurance companies including Blue Cross Blue Shield, Aetna, Keystone, Personal Choice, United Healthcare, NJ Horizon Blue Cross, and others. Please call your insurance provider to check our participation. Ask specifically about Fairmount Pediatrics and Adolescent Medicine. If you just ask about Dr. Lieberman’s participation, you may be given information about her previous place of employment. Also, please be sure you are not accidentally asking about the Fairmount Primary Care Health Center. They are located on Fairmount Avenue. We are located on Hamilton Street.

Please note that we only accept three Medicaid plans: Keystone First, United and Health Partners. We do not participate with Americhoice, Aetna Medicaid, or Coventry Medicaid. If you have these plans and wish to be seen in this office, please call Health Partners or Keystone Mercy and request to have your plan changed to one of them. You can find those phone numbers at the bottom of the New Patient page, or use these links to go to their websites:. Keystone First   Health Partners

Our office participates with the Pennsylvania CHIP program. If you have a child under 18 years old that is uninsured, CHIP provides free and low cost insurance. Please visit their website for more information. CHIP website link

 

Administrative Fees

Please see the following list of administrative fees that our office uses to expedite your needs:

  • School/Camp Forms: $5 per form. This fee is waived for annual well-visits for children aged 5-17 years old which are scheduled in April, May and July, regardless of when you bring us the form.
  • Record Transfers: $20.00 per record
  • Driver’s License Form: $20.00*
    • If the applicant has not had a physical within 6 months, we are required by law to perform a brief evaluation of your child. The office charges $20.00 for this visit due to many insurance companies only allowing one well visit per year.
    • There is no fee if your child has had a physical within the last 6 months. He/she must be present to sign the form in the presence of a physician. This is required by the Department of Motor Vehicles.
  • Returned Check: $35.00
  • Billing Late Fee: $10.00
  • No-Show/ Short-notice cancellation charge: $100 — This fee applies if you cancel your appointment with less than 24 hours notice, if you arrive after the start-time of your appointment and cannot be seen, or if you do not arrive to your appointment at all. Please note: Patients who no-show or cancel with less than 24 hours notice twice will be asked to leave the practice.