FAQ

Click through the drop-down menus below to learn more about our office, our doctor, our policies, and your healthcare.

Contacting Our Office

I have an urgent medical question but it is after normal business hours, who should I contact?

If you have a medical emergency, call 911 immediately. For urgent medical questions that are foot and/or ankle related, you may reach Dr. Siegel directly via direct messaging him through our patient portal, onpatient. onpatient is our preferred method of communicating with our established patients.

ONPATIENT MESSENGER

Questions may also be directed to patient.questions@mfatampa.com.  You may also contact us after-hours on our main office line (813) 549-5678 and leave a voicemail when prompted. Dr. Siegel and his staff are alerted to any urgent emails or voicemails after-hours and will return your email or call as soon as possible.

Issues that are considered an emergency and require the help of 911 include:

  • New onset shortness of breath/trouble breathing.
  • New onset chest pain.
  • Lacerations of skin or significant trauma to the lower extremity.
  • Profuse bleeding that does not slow after a few minutes of steady, direct pressure.
  • A loved one that shows signs of shock such as weak pulse, rapid or shallow breathing, or cold, clammy skin.

Issues that are considered urgent and should be directed to Dr. Siegel during after-hours:

  • Questions from a post-operative patient who has unrelenting pain, or significant bleeding.
  • New trauma to a surgical site.
  • Immediate (within last week) post-operative patients with fever over 101 degrees.
  • New onset calf pain.
  • New onset redness, pain swelling, purulence (pus) to a wound.

Issues that are usually considered not urgent and can be handled during office hours:

  • Issues concerning durable medical equipment such as walking boots, canes, walkers, crutches, orthotics, medical supplies.
  • Issues related to medication refills.
  • Questions regarding post-operative protocol that are NOT an emergency.
  • Issues regarding billing.
  • Non-urgent questions regarding a treatment plan.

What is the address for Modern Foot & Ankle?

We are located at 1005 Dale Mabry Hwy, Lutz, FL 33548. We are conveniently located in the heart of the Pasco-Hillsborough corridor on the ground floor of the Bay Dermatology plaza across the street from the Lutz Super Target.

What is your phone and fax number?

Phone: To be directed to a Modern Foot & Ankle team member, contact us at (813) 549-5678.

Fax: Our direct fax number is (813) 701-9132.

For more information, please visit our contact page.

Can I communicate with Dr. Siegel and the office through the computer?

Absolutely! There are a few ways contact us through the computer. onpatient Direct Messages are continually checked throughout the day by Dr. Siegel and are the easiest method of communication.Onpatient is a HIPAA compliant message system that will protect your personal health information (PHI). Click below to access the onpatient message center.

ONPATIENT MESSENGER

If you are unable to direct message Dr. Siegel, you may also email him. Our email system is HIPAA compliant which means your personal health information (PHI) is secure.

How can I obtain my medical records?

Contact Modern Foot & Ankle at (813) 549-5678.

If you would like to forward your medical records, please download the form “Authorization to Release”(click here), fill out, and email (contact@mfatampa.com) or fax (813-701-9132) back to our office.

How do I find answers to billing questions?

Our knowledgeable team is happy to assist you with your billing questions. You may reach us at (813) 549-5678 during office hours. You may also contact us via email at billing@mfatampa.com

About the Office

What are the hours for Modern Foot & Ankle?

The hours for Modern Foot & Ankle are as follows:

                   Monday 10am–7pm
                   Tuesday 9am–4pm
                   Wednesday 9am–4pm
                   Thursday 9am–4pm
                   Friday 9am–4pm
      

Do you accept new patients?

Absolutely! Plus, same-day appointments are available for new and established patients.

How do I book an appointment?

We understand your time is precious and have taken steps to streamline every aspect of your care and visit using new technologies, including scheduling. We offer numerous ways to book an appointment.

1) Through the Website:

For new and established patients, you can book an appointment through this website by clicking on the “Book an Appointment” on our side bar or clicking here. On the appointment page, you’ll have 24/7 access to our full schedule. Setting up an appointment is as easy as filling in your information, selecting the time you’d prefer, and clicking “Submit.” That’s it! You will receive an automatic email from our office asking to confirm the appointment. Once you’ve confirmed your appointment request, you are confirmed with us.

BOOK APPOINTMENT

2) Through the Patient Portal:

If you have already received an invitation and registered for our patient portal, onpatient, you have access to our full schedule—which means you’re ready to book an appointment and fill out all forms from the comfort of your home. onpatient is easily accessible via the onpatient app (available through the App Store) or through onpatient.com.

3) Via Phone or in Person:

You can schedule an appointment with us by phone (813) 549-5678 or in person during our normal office hours. A friendly Modern Foot & Ankle associate will be happy to assist you.

What ages do you see?

We see patients of every age for all foot and ankle conditions, pathologies, and injuries.

Do you perform surgery?

Dr. Siegel has extensive training and experience in forefoot, rearfoot, and ankle surgery. This includes lower extremity traumatology, cosmetic foot surgery, and elective foot surgery. Although surgery is a cornerstone of our practice, we understand that the decision to receive surgery is not an easy one and will try all other conservative, non-invasive options prior to undergoing surgical intervention.

I just have something small that is bothering me. Should I still see you?

When it comes to your health, there is nothing too small for us to evaluate. We treat a variety of lower extremity pathologies: from toenail issues to broken bones and more.

What do current and former patients say about this practice?

We aim for excellence and value our patients’ feedback. For a full list of our current and previous testimonials, please click here.

Do you sell over-the-counter or cash products?

Our office dispenses a variety of over-the-counter (OTC) products, such as foot creams and accommodative pads, at competitive prices. We only stock products personally recommended by Dr. Siegel to ensure you are getting the best products for your feet. We also offer cash services for cutting-edge treatments, such as custom-molded orthotics and amniotic membrane injections.

For a list of some of our cash prices, please click on the button below. Since our stock of over-the-counter creams, balms, and medications changes, please contact our office for more information about those products.

Cash Prices

Office Protocol and Billing

Does Dr. Siegel accept my insurance?

Dr. Siegel is contracted with and accepts almost all local and national insurances. Please refer to your benefits booklet or insurance-carrier website for a list of doctors available to you and to verify your in-network coverage. Your plan may even provide a level of coverage for doctors not listed. 

Can you give me an accurate estimate for an in-office procedure?

We understand the importance of price transparency and aim to keep patients informed of all costs while under our care. If your insurance is out-of-network and you haven’t met your out-of-network deductible or you are a cash-payer, we will be able to provide an exact total at the time. 

For in-network insurances, we can provide estimates using the Medicare Fee Schedule and past claims payouts; however, the exact amount you will be expected to pay is based on a number of variables that may be unknown until after a claim has been submitted. This includes your coverage eligibility, the amount your insurance company agrees to pay (i.e., the contracted rate), your outstanding deductible, your co-insurance coverage (if the deductible has been met), and applicable co-pays.

Please note: all estimates provided by Dr. Siegel’s office should not be construed as a guarantee of coverage or payment. Payment of benefits is subjected to all terms, conditions, limitations, and exclusions of the member’s contract at the time of service.

Why must I update my paperwork and show my insurance card every calendar year?

In order to make sure we have the most current information in our system, we require all patients, new and established, to update any and all paperwork through our check-in iPad system at least once per calendar year. For established patients, this can take anywhere from 30 seconds to a few minutes, based on how much information needs to be updated.

Insurance companies supply identification cards that must be presented by the patient prior to receiving any service. Insurance companies will sometimes update the cards with new information. Even though your coverage may be the same, important filing data on the card may have changed. Our office strives to submit claims on your behalf in both a timely and accurate manner. To avoid delayed payment and possible non-payment of claims, verification of coverage and updated demographic information is required each time you arrive.

What’s the billing process (Private Insurance)?

When you make your appointment, we will collect information from you about your insurance and basic demographic information (such as name, date of birth, gender, and address). This will allow us to bill your insurance carrier. We use this information to check your insurance eligibility and to see if you have any copay, co-insurance, or outstanding deductible.

When you arrive on the day of your appointment, we will need a copy of your insurance and photo ID to make sure all of the information we collected is correct. If a co-pay is due, we will require payment of that prior to seeing the doctor.

After seeing the doctor, any outstanding deductible or coinsurance charges will be due. Any cash products dispensed will be charged at checkout as well.

Within 48 hours of your visit, all charges incurred will be electronically sent to your insurance company for processing. Typically, it takes 30-45 days for your insurance carrier to process the claim. After processing, the insurance carrier will send us an electronic remittance advice (ERA) which shows what the carrier has paid and the amount that is patient responsibility (PR).

We will then send out a statement with any balance that may be due from you.

Can’t you just send me a bill for my copay?

Unfortunately, no.  The contract between you and your insurance company is very strict. In addition, our office’s requirement for accepting your insurance is that we must collect all copays at the time of service, which means, with the exception of some situations beyond our control, we must collect copay on the day of your appointment and not bill you later.

Will you bill my primary and secondary insurance carriers?

Yes. As a courtesy to our patients, our office will submit the bill to your insurance carrier and will assist if problems arise. You are requested to supply the pertinent billing information that the insurer may require (e.g., a referral for the specific date of service).

When can I expect to receive a bill from your office?

The type of insurance you have will determine when you receive a bill from our office. We send our claims to the insurance carrier usually within 48 hours. Typically, you will receive a bill after your insurance company has processed the claim with either a payment or rejection. There may be times when your insurance has not responded to our request for payment. At this time, you may be asked to become actively involved in resolving the open balance.

I handle all the bills in my family. Why can’t someone in the central business office talk to me about my spouse’s account?

Federal HIPAA laws set forth to protect the confidentiality of patient medical information prohibits our office from disclosing information without the consent of the adult patient. Detailed information can be discussed with a spouse once proper permission has been obtained. Please contact our office to obtain an authorization form or you may complete an electronic version upon registration.

Insurance Claims, Patient Statements, and Covered Services

What will my insurance cover?

Due to the multitude of insurance carriers and plans, it is almost impossible to say exactly what procedures and equipment your carrier will cover and to what degree. Typically, insurance will cover things such as the office visits, simple in-office procedures (injections, taping, x-ray), and various outpatient surgical procedures. Some plans cover Durable Medical Equipment (boots, braces), while some do not. All insurances do not pay for over-the-counter cash products, such as the lotions, creams, and pads sold in our clinic.

Remember: even if your insurance covers the service, you are still responsible for any outstanding deductible, coinsurance, and copay before the insurance coverage applies. If you have any questions about what your insurance does and does not cover, we strongly recommend you contact your insurance carrier directly.

Why did the insurance carrier only pay part of my bill?

Most insurance plans require you to pay a deductible and/or co-insurance. In addition, you could be responsible for non-covered services and co-pays for some services. We encourage you to call member services at your insurance carrier for more information.

I am on Medicare. Why am I being billed more than expected?

Similar to private insurances, Medicare has a yearly deductible that must be met before any services are paid. In 2018, the Medicare deductible is $183. This amount changes year to year and is set by the government. After the deductible has been met, a 20% coinsurance will apply. If you have a supplemental policy, the 20% coinsurance will be covered by that policy (after all supplemental deductibles have been applied).

Why am I receiving a statement from another laboratory that I have never been to?

There may be some test that we are not equipped to handle internally. In such cases, the test may be forwarded to another lab for completion. Insurance information will be sent along with the specimen to assist with proper billing of your test.

Why did my insurance carrier deny the claim?

Your insurance carrier may deny the claim for one or more reasons. It is always best to call member services at your insurance carrier to discuss your account. Some popular denial reasons are:

  •  You were not covered by your plan on the date of service.
  •  The patient cannot be identified.
  •  The primary care physician did not issue a referral.
  •  The service was not authorized.
  •  The service you received was out-of-network.
  •  The balance is due to the patient’s deductible, coinsurance and/or copay.
  • The account denied as “other insurance carrier is primary.”

Why do I need to call the insurance carrier if they do not pay the bill?

You are ultimately responsible for the total bill or any portion of the bill that your insurance carrier did not pay. Our office’s billing professionals will make every effort to resolve the account balance with your insurance carrier in a timely manner. Occasionally, we are unable to resolve the issue with your carrier and will need your assistance.

What happens if I don’t agree with my insurance company on their determination of not covering my bill -- do I still have to pay?

Yes. You are still responsible to pay our statements even if you disagree with your insurance company on its determination of nonpayment for the service. At the time of a service, each patient signs a document declaring that, upon receipt of a bill from our office, they will pay the bill; however, you are encouraged to pursue your disagreement with your insurance company through a formal grievance process. Most insurance companies have outlined the grievance procedure in your benefits pamphlet.

What is a “routine” service, and why won’t my insurance company pay for it?

“Routine” services are provided in the absence of a disease, condition, or relevant symptoms. In other words, there is no medical condition that prompts performance of the service.

These services are vital for early detection of many medical conditions and are very important for your care; however, this does not guarantee that your insurance company will cover them. If your insurance policy does not cover these types of services, you may become responsible for payment. We recommend you contact your insurance company to find out what type of “routine” coverage you have. If you have an H.S.A., H.R.A., or F.S.A., routine care is sometimes covered as a “qualified medical expenditure”, however we recommend you review your bank’s terms and conditions.

I have Medicare. Why am I being charged for nail trimming and callus trimming?

Medicare has very clear, strict rules concerning what is covered and what is not. If you are an individual without systemic disease (e.g., diabetes), nail fungus, or a condition that requires taking blood thinners, Medicare will not pay for nail- or callus-trimming care as this is deemed “routine care.” Attempting to bill Medicare for these services is considered fraudulent. While Medicare does not cover these services, we understand the importance of these procedures and gladly offer these “routine” services for a nominal fee.

Are custom-molded orthotics covered under my insurance policy?

Coverage for orthotics varies by plan:

Medicare: Medicare does NOT cover custom-molded orthotics, unless the orthotic is attached to a lower extremity brace (which is a service we do not provide). Medicare beneficiaries will be charged the cash-adjusted price of $400 due at time of casting. If you have an H.S.A., H.R.A., or F.S.A., orthotics are usually covered as a “qualified medical expenditure”, however we recommend you review your bank’s terms and conditions.

Private Insurance: Very few insurances cover custom-molded orthotics. If you wish to see if orthotics are covered under your plan, we will provide you with instructions on how to check with your insurance. Remember: even if your insurance policy claims to cover custom-molded orthotics, you will still be responsible for any deductible or co-insurance at the time of casting.

If you do not wish to go through insurance or know that orthotics are not covered, we offer custom-molded orthotics at a price of $400 if you wish to pay in two payment periods. The casting procedure and supplies may also be billed separately to your insurance. If you have an H.S.A., H.R.A., or F.S.A., orthotics are usually covered as a “qualified medical expenditure”, however we recommend you review your bank’s terms and conditions.

My insurance company told me that if the claim had been filed differently, the service would have been covered. Why can’t you change the way my claim was billed?

Medical billing is a regulated and monitored by the government. The guidelines are very clear regarding how to properly code. A doctor must always accurately indicate the service or test performed as well as the precise reason it was performed. For instance, if you came in for an exam, your physician may perform several services or tests in order to diagnose or monitor different medical conditions. This means that it is possible not all of your services will have the same diagnosis code (i.e., reason) on the same day. Some services are routine in nature, while others may be ordered to follow up on an established condition. Because many plans have different benefits available depending upon the reason for the service, it is possible that they will pay differently on one or more services performed on the same day. Although it may be true that your insurance would have paid differently under a different diagnosis, a diagnosis cannot be changed for the sole purpose of obtaining benefit coverage. The diagnosis must reflect the true reason the service was performed.

If you feel the diagnosis indicated on your claim is incorrect, our staff of certified coders will review your claim for accuracy and make changes as supported by medical documentation.

Patient Payments

How can I pay my bill?

We recommend that you pay your bill online through the onpatient portal. This portal is accessible through our website at the menu bar on the top of this screen,  or directly through the onpatient website www.onpatient.com. You may also download the  onpatient iPhone app. Credit cards and debit cards are accepted online and is available 24 hours a day, 7 days a week. You have access to all of your statements on the onpatient portal.

PAY & VIEW STATEMENT

You may also pay in person by check, cash, credit card (Visa, Mastercard, Discover, AMEX), Apple Pay, debit card, or CareCredit. We accept H.S.A., F.S.A., and H.R.A. cards. Please note that you will be required to pay for all outstanding balances prior to seeing the doctor.

I have an H.S.A. (or F.S.A. or H.R.A.) plan. Do I need to pay when I come in?

Health Savings Account (H.S.A.), Flexible Spending Account (F.S.A.) and Healthcare Reimbursement Account (H.R.A.) plans generally have higher deductibles and out-of-pocket costs. As with any deductible plan, you may be asked to make a pre-payment on services which is expected to apply toward your deductible. You can submit your receipt through your H.S.A./H.R.A. account for reimbursement on eligible expenses. Patients who have been issued H.S.A./H.R.A. debit cards may be able to use them pay for most medical services at Modern Foot & Ankle. Keep in mind, however, that some services and products may not be covered as “eligible medical expenses” under your H.S.A., F.S.A., or H.R.A. account. Make sure to check with your employer or bank to find out more

What is CareCredit?

CareCredit is a healthcare credit card designed for your health, beauty, and wellness needs. It’s a way to pay for the costs of many treatments and procedures and allows you to make convenient monthly payments. We are able to offer you a CareCredit plan at our office on the day of service, based on credit approval. You are able to make interest free monthly payments up to 6 months after the date of your health care purchase. To learn more, click here.

Is CareCredit an insurance card?

CareCredit is a healthcare credit card and it does not replace medical insurance policies that you might have. It is intended to help you pay for out-of-pocket expenses that are not covered by your health plan.

How does CareCredit differ from my other bank or credit cards?

CareCredit differs from your regular credit cards. CareCredit extends special financing offers that you can’t get when using your Visa or MasterCard to pay for health, beauty and wellness care at enrolled providers. With shorter term financing options of 6, 12, 18 or 24 months no interest is charged on purchases of $200 or more when you make the minimum monthly payments and pay the full amount due by the end of the promotional period. If you do not, interest is charged from the original purchase date.

Where can I find out more about CareCredit?

Please visit or call our office (813-549-5678) to learn more. You may also visit CareCredit.com for more information.