Billing

At Washington Orthopaedics and Sports Medicine, we are committed to emphasizing thorough and personalized care for all of our patients. To achieve this level of care we feel it is crucial that you have adequate time in your appointment to discuss your needs and concerns with your physician. In order to provide the highest standard of care in today’s changing healthcare environment, we have found it necessary to limit our insurance participation to Medicare alone.

Frequently Asked Questions

  • I have a commercial insurance plan. Can I still see one of the WOSM doctors?
    • Absolutely! If you have insurance other than Medicare, it simply means that to see one of our physicians you will be seeing them “out of network”. Fortunately, most commercial insurance plans have different tiers of coverage that permit you to see a physician not in your network. If you have a PPO (Preferred Provider Organization) or POS (Point of Service) plan, you likely have out of network benefits that would give you the flexibility to see one of our physicians.
  • How much will I have to pay to see an “out of network” WOSM physician?
    • The costs associated with an office visit vary based on your individual insurance benefits. Most commercial insurance providers make their benefits very clear, and can usually be determined in advance of your appointment. We encourage you to review your policy or contact your insurance provider’s benefit department. The most common differences between seeing “in-network” physicians (who are contracted with your insurance provider) versus an “out-of-network” physician at WOSM are the amount of your annual “out-of-network” deductible and the amount of your co-insurance. Patients typically have a deductible responsibility whether seeing a provider who is “in-network” or “out-of-network”.
  • How will my claim be processed?
    • We collect payment at the time of service for your office visit. As a courtesy to you, we will submit all claims to your insurance carrier for you so that you can receive reimbursement directly from them. In order to make this process as efficient as possible, please be sure that your current insurance information is on file with the front desk at each visit.
    • Surgical or MRI services will first be submitted to your insurance company. After we receive reimbursement from your insurance carrier, our billing department will contact you to discuss your financial obligations.
  • Further billing questions?
    • Please contact our billing department at 301-657-3465. They will be happy to help you with any questions regarding the processing of your claims or about your bill.

Worker’s Compensation Patients: We require that you have a letter of authorization on file with our office prior to your appointment. If we do not have this letter by the time of your appointment, your appointment may be rescheduled.