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Clinic Information

As one of our patients, we hope you find the following information useful. If you have any questions not answered here, please contact us by calling 608-231-3410, or e-mailing at info@orthoteam.com. Our fax number is: 608-231-3430.

Our main clinic is located at 2 Science Court, Suite 101, Madison, Wisconsin 53711. We also hold clinic one day a week in Stoughton Hospital next to the Urgent Care center at 900 Ridge Street, Stoughton, Wisconsin 53589. To schedule an appointment for either clinic call our Madison office at (608) 231-3410.

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Directions to our Madison clinic: When coming from the Beltline (Hwy. 12/18) from either east or west, exit on Whitney Way north. Proceed past Westgate Mall and turn right (east) on Science Drive at University Research Park. Curve north and just before reaching Mineral Point Road, turn right on Science Court.

When coming from the north, west or east: turn onto Mineral Point Road and then turn south on Science Drive. Your next left turn is Science Court.

Free parking is provided, with handicapped parking directly in front of the building. Our office is on the entry level immediately to the left.

Clinic Hours

Our clinic is currently open Monday, Tuesday, Wednesday, and Friday from 8:00am-4:30pm. We are presently closed on Thursday. Examinations are by appointment only. If you call our office after hours or during a weekend, you may reach Dr. Rogerson, Renee Burke PA-C, or Joanna Hutchins PA-C directly or leave a message on our answering machine.

Insurance Coverage
Insurances that both Stoughton Hospital and Dr. Rogerson are contracted with are as follows: WPS, WEA (through Alliance), Worker’s compensation, Medicare, Medicaid, Alliance, GHC (limited- call our office for clarification). Dr. Rogerson has a limited Physicians Plus HMO contract for only PP+ members of Stoughton Hospital, Stoughton School District, and State of Wisconsin employees from Jan 1, 2014 until January 1, 2015. Stoughton Hospital accepts Physicians Plus. Dr. Rogerson is an out-of-network provider for all HMO point-of-service (POS) plans, Anthem Blue Cross Blue Shield, United, Cigna, Humana, and Aetna but often sees patients with these insurances. If surgery is necessary, Stoughton Hospital does have contracts with Anthem Blue Cross Blue Shield Preferred HMO/POS, Blue Access, and Blue Traditional plans, United (not medical assistance), and Cigna insurances. Aetna claims often process through Health EOS. Stoughton Hospital does not have a contract with Humana. We have a contract with Tricare, however, Stoughton Hospital does not. All surgical patients should get prior authorization for both surgeon and hospital fees prior to proceeding with surgery.

Billing Procedures
As a courtesy to our patients, we will be happy to help you complete and submit medical claims to your primary and secondary insurance, including Medicare. We are always here to assist you, but we rely on you to provide us with current insurance information. Questions that arise regarding your specific insurance coverage are between you and the insurance company, and you should contact your carrier to resolve any difficulties.

You will not receive a bill from our clinic until your insurance provider has processed your claim. If your insurance does not cover the full amount of the bill, you will receive a bill for the remainder of the charge. It is your obligation to pay this portion by the due date listed. If you believe your insurance provider handled your claim incorrectly, please contact your insurance provider directly.

Medicare Coverage
Please note that our clinic welcomes Medicare assignments. If you carry an HMO secondary insurance, you may have difficulty seeking medical care outside their closed panel of doctors. We would still be happy to treat you if you are willing to pay the 20% copay that Medicare does not cover. You may utilize Mastercard or Visa if you desire.

Managed Care Plans (HMO/PPO)

Many patients belong to managed care plans, such as DeanCare, GHC, Physicians Plus, or Unity. Generally, these organizations are designed to exert greater control over the use of medical care. Therefore, it is important that you have a clear understanding of the requirements and procedures of your plan. For example, most plans require that a primary care physician (PCP) refer you for specialty care and ancillary services (x-ray, lab, physical therapy, braces, etc.). You also may be required to obtain ancillary services from specific facilities.

Managed care plans have a wide variety of procedures that patients are required to follow, and each plan’s requirements vary. If you have a point-of-service option, you may be allowed to see a specialist outside the plan by paying a copayment. A recent law passed in Wisconsin states that can continue to see your current physician if he leaves your managed care plan, up to the end of your plan year. You may want to discuss this with your plan’s administrator. Make sure you understand and follow your plan’s rules carefully; otherwise your plan may reduce or deny payment of services.

Copayments

Many insurance companies and managed care plans have copayments (copays). In most situations, your insurance card will indicate if a copay is required. If your card does not show whether you owe a copay, please call your insurance provider.

Like most clinics, our clinic requires that you pay your copay at the time of your appointment. Please give your copay to our receptionist when you check in. You may utilize Mastercard or Visa for this payment.

No Insurance/ Self Pay Patients

In these situations, payment in full is requested at the time of service and 50% of surgical fees are due in advance, unless alternative payment arrangements are made in advance with our office.

Hospital Care and Surgery

If your treatment involves admission to a hospital, you will be admitted under Dr. Rogerson’s care. Dr. Rogerson performs surgery at Stoughton Hospital. For information about Stoughton Hospital, please visit their web site at Stoughton.com. Driving directions to the hospital can be found on their site.

Many insurance plans require pre-authorization or precertification for hospital admissions. Admissions include surgery and other procedures performed at the hospital. Without proper pre-authorization or precertification, your insurance provider may deny or reduce your benefits. Please review your insurance plan carefully to see if any of these requirements apply.

Emergency Care

Dr. Rogerson no longer takes emergency call.

Prescriptions and Refills

We issue prescriptions and refills during scheduled office hours. Please call for refills at least 24 hours before you need the medication. To save yourself time, you may want to call your pharmacist to see if the prescription is ready before you leave your home or office.

Release of Information

You may request that we release your medical records to a third party, such as an insurance provider or attorney. Before we release these records, you will have to sign a form authorizing us to release this confidential information. To ensure accuracy and completeness, your attending physician will review your records prior to releasing them. Please allow time for this to take place.

Disability Insurance

If you have an insurance policy that provides income to you while you are disabled, we can assist you with the forms. Our office staff will go through these forms with you, as there may be areas of the forms that you need to fill out. Our clinic will mail these forms within three to five working days. Please allow us enough time to process these completely.

Worker’s Compensation
When registering with us, please bring the name and address of your worker’s compensation carrier and your file number.