Patient Information

Our Office Policies

We look forward to seeing you on your scheduled appointment date. If you are a new patient, information is being sent to you in an effort to streamline the check-in process and answer any questions you may have regarding your visit. We will be contacting you a few days prior to your appointment to confirm the appointment date and time, pre-register your demographic information and remind you to have a driver available to take you home after the appointment if needed. When you check-in for your appointment, we will need to copy your insurance card(s) in order to bill your insurance company and we will need a copy of your Driver's License or photo ID for identification purposes.

Mission Statement

The mission of Pinellas Cardiology is to provide quality health services and facilities for the community, to promote wellness, to relieve suffering, and to restore health as swiftly, safely, and humanely as it can be done, consistent with the best service we can give at the highest value for all concerned.

Billing

The Pinellas Cardiology accepts cash and personal checks as well as the following credit cards:

  • Visa
    •
  • MasterCard
    •
  • American Express
    •
  • Discover
    •
  • Personal Check
    •
  • Apple Pay
    •

We also accept these payment options :

At Pinellas Cardiology, we are committed to providing you with the best possible medical care, and we want to ensure you understand our financial policies clearly.

Insurance: We participate with most major insurance plans. It is your responsibility to provide us with current and accurate insurance information at each visit. Please be aware that having insurance does not guarantee payment. Your insurance policy is a contract between you and your insurance company, and you are ultimately responsible for all charges.

Medicare: We participate with the Medicare program and accept the Medicare allowable payment, patient deductible, and/or 20% co-insurance. If you have supplemental insurance (Medigap) to cover the portion of charges that Medicare does not pay, please provide us with a copy of your insurance card and any forms your insurance company may require. Medicare or secondary carriers do not cover some services. In these cases, you may be asked to sign a waiver form, which states that you understand that you will be responsible for these charges.

Medicaid: If you have Medicaid coverage of any kind, please notify us prior to your visit. This is part of your agreement with Medicaid; failure to notify us of Medicaid coverage may result in your fiscal responsibility for services rendered.

Co-payments, Coinsurance, and Deductibles: Co-payments, coinsurance, and deductibles are due at the time of service. We accept checks and major credit cards. NO CASH PAYMENT. If you are unsure of your financial responsibility, please contact your insurance company prior to your appointment.

Non-Covered services: Please be aware that some or all of the services you receive may be non-covered or considered non-reasonable or not necessary by Medicare or other insurers. A payment is due at the time of service and any remaining balance due will be billed via a statement.

Claim Submission: We will submit your claims to your insurance. Your insurance may need you to supply chain information directly. It is your responsibility to comply with their request.

Coverage Changes: If your primary or secondary insurance changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits.

Self-Pay Patients: If you do not have insurance coverage, payment is due in full at the time of service. We offer a discount for self-paying patients who pay in full at the time of service. Please inquire about our self-pay rates.

Referrals and Authorizations: Some insurance plans require referrals or authorizations for specialty care. It is your responsibility to obtain any necessary referrals or authorizations prior to your appointment. If you request an office visit or diagnostic testing without a referral authorization, your insurance plan may deem this as out-of-network or non-covered treatment, and you will be responsible for a larger amount or the full cost of the visit. Please ensure you understand what services are covered and are prepared to pay for any service deemed to be non-covered or not authorized by the plan.

Billing and Collections: You will receive a statement for any balance due after your insurance company has processed your claim. Payment is due upon receipt of the statement. If you are unable to pay your balance in full, please contact our billing office to discuss payment options. Accounts that are more than 90 days past due may be turned over to a collection agency.


Medicare: We participate with the Medicare program and accept the Medicare allowable payment, patient deductible, and/or 20% co-insurance. If you have supplemental insurance (Medigap) to cover the portion of charges that Medicare does not pay, please provide us with a copy of your insurance card and any forms your insurance company may require. Medicare or secondary carriers do not cover some services. In these cases, you may be asked to sign a waiver form, which states that you understand that you will be responsible for these charges.

Medicaid: If you have Medicaid coverage of any kind, please notify us prior to your visit. This is part of your agreement with Medicaid; failure to notify us of Medicaid coverage may result in your fiscal responsibility for services rendered.

Co-payments, Coinsurance, and Deductibles: Co-payments, coinsurance, and deductibles are due at the time of service. We accept checks and major credit cards. NO CASH PAYMENT. If you are unsure of your financial responsibility, please contact your insurance company prior to your appointment.

Non-Covered services: Please be aware that some or all of the services you receive may be non-covered or considered non-reasonable or not necessary by Medicare or other insurers. A payment is due at the time of service and any remaining balance due will be billed via a statement.

Claim Submission: We will submit your claims to your insurance. Your insurance may need you to supply chain information directly. It is your responsibility to comply with their request.

Coverage Changes: If your primary or secondary insurance changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits.

Self-Pay Patients: If you do not have insurance coverage, payment is due in full at the time of service. We offer a discount for self-paying patients who pay in full at the time of service. Please inquire about our self-pay rates.

Referrals and Authorizations: Some insurance plans require referrals or authorizations for specialty care. It is your responsibility to obtain any necessary referrals or authorizations prior to your appointment. If you request an office visit or diagnostic testing without a referral authorization, your insurance plan may deem this as out-of-network or non-covered treatment, and you will be responsible for a larger amount or the full cost of the visit. Please ensure you understand what services are covered and are prepared to pay for any service deemed to be non-covered or not authorized by the plan.

Billing and Collections: You will receive a statement for any balance due after your insurance company has processed your claim. Payment is due upon receipt of the statement. If you are unable to pay your balance in full, please contact our billing office to discuss payment options. Accounts that are more than 90 days past due may be turned over to a collection agency.


Appointments/Cancellations

With the exception of serious emergencies, it is expected that you keep all of your appointments. If you need to reschedule an appointment we require 24 hours notice. In such a case, please call our office and arrange for a make-up appointment with one of our patient care coordinators.

Missed Appointments and Cancellations: 

If you need to cancel or reschedule an appointment, please provide us with at least 24 hours' notice. Failure to do so may result in a no-show and $25.00 no show fee for office visits and $75.00 no show fee per diagnosing testing (stress test or an Echo).

Emergencies

Our office provides on-call service for emergencies. Call (727) 521-4995 so that the physician on call can be contacted.

We provide 24-hour emergency coverage for all patients. If you have an emergency after office hours, call our office at 727-521-4995 and follow the prompts for direction.

Patient Forms

The Pinellas Cardiology provides our patients with office forms for your convenience. We recommend you print and fill these forms prior to your appointment to save time.

  • Patient Registration
  • Medical History
  • X-ray Records Release
  • HIPAA Compliance
  • Consent
  • Financial Agreement

Note: These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here.


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