• Please be sure that Dr. George Knapp is the patient’s designated Primary Care Provider (PCP).
  
• Provide all health insurance identification cards at each visit.
  
• Co-payments and deductibles are due at the time of your visit.
  
• Fees will be charged for no show or appointments cancelled without 24 hours notice.
  
• There will be a charge for returned checks.
  
• Fees for any services NOT covered by health insurance are patient’s responsibility.
  
• There may be a charge to fill out forms such as FMLA, Short Term Disability, Physicians Statements, etc.
  
• Account balances not paid will be charged are billing fee after each 30-day billing cycle.
  
• Unpaid balances over 120 days may be turned over to a collection agency.

Membership Fee beginning Jan.1, 2025

As a result of fee cuts in Medicare payments to physicians over the last few years and an additional cut of 2.8% for the coming year, we are instituting a non-refundable membership fee of $50 per year, subject to change. All other insurances base their fees on the Medicare fee schedule and will also reduce their fees.

Medicare’s Conversion factor:

Fee-for-service payments under the Medicare program are determined by multiplying the Relative Value Units (RVUs) for work, practice expense and malpractice for a given service by the fee schedule conversion factor. These values are then adjusted based on Geographic Practice Cost Indices (GPCIs). Center for Medicare Services (CMS) proposes a conversion factor of $32.3562, which reflects a nearly 2.8% reduction in payment across the fee schedule, from CY2024

Excess Administrative Costs:

Insurance companies are requiring us to prior authorize many drugs especially Diabetic, Weight Loss and Cholesterol meds. We then have to periodically re-authorize medication to verify their effectiveness. The same applies to certain Radiology and Cardiology tests as well. This has put an incredible burden on our staff and doctors navigating multiple forms and speaking with their representatives. It has become so burdensome that it now requires a full time person just to manage these tasks. As a result we will be charging $35 for each Prior Authorization and each Re-authorization. Any denials that you want to appeal will be charged a minimum of $75 per Appeal.