Keep Bodies in Motion


Patient Portal

Front Range Orthopaedic's PATIENT PORTAL is a secure gateway that provides you with a safe and efficient internet-based method of communicating with our office.

Through PATIENT PORTAL you can:
  • View past and upcoming appointments
  • Request new appointments
  • View and update contact information
  • Complete new patient paperwork
  • View and pay account balance
  • Exchange secure messages with our office

Financial Policy

Welcome to our office! We are pleased you have entrusted Front Range Orthopaedics with your care and service. We would like to take a moment to inform you of our financial policies.

We accept cash, personal checks, Visa or MasterCard and Care Credit (www.carecredit.com) for payment of your account. If you have no insurance, or have insurance with which we do not contract, you will be expected to pay for your visit in full, on the day of your visit. If your insurance is one we do contract with, you are expected to pay your co-pay at the time of your visit. A late fee may be assessed if you do not pay your co-payment at the time of service.

Insurance

No Insurance

If you have no insurance, we expect you to pay for your visit at the time of service. In the event of surgery, our Financial Advisor can help answer questions about possible payment options.

Medicare

We are Participating Medicare Providers and we will submit your insurance claims to Medicare. Medicare will process the claims and pay Front Range Orthopaedics directly. You are responsible for your deductible and any co-insurance at the time of service.

Medicaid

We do participate with the Medicaid program. On each visit you must provide us with a copy of your current Medicaid Card indicating that you are still Medicaid eligible. Should services be rendered after your eligibility ends, you are responsible for payment based on our normal fee schedule. All co-payments are to be paid on the day of service.

Contracted Insurance

If you have insurance, and if we contract with your carrier, we will submit your insurance claims for you if you supply us with the information necessary to do so. This includes a copy of your insurance card, an address to which we may submit claims, and a telephone number allowing us to verify your coverage. You may check with your insurance provider to verify that Front Range Orthopaedics is one of their network providers. You are responsible for your co-payment at the time of service and for any amounts not covered by your insurance, including deductibles. If coverage is denied for any reason, you are responsible for payment of the entire balance due based on our normal fee schedule. It is not the responsibility of Front Range Orthopaedics to understand the terms of your coverage. This is a patient-responsibility. We advise you to understand what is covered by your policy prior to obtaining services from any provider. We will reasonably assist if we can; however ultimately your insurance agreement is a contract between you and your carrier.

Private Insurance

As a courtesy we will be happy to file your insurance claim for you, even if we do not contract with the carrier. You will be required to provide all of the necessary billing information. If you have an unmet deductible amount or a co-insurance payment, we will collect that at the time of service. All insurance payments that are paid directly to you should be endorsed and paid to Front Range Orthopaedics, PC. It is your responsibility to contact your insurance carrier in the event of non-payment. Any balance due after the insurance company pays Front Range Orthopaedics is a patient's responsibility.

Workers' Compensation and Auto Insurance

If your visit here involves a work-related or auto-related injury covered by Workers' Compensation or Auto Insurance, we must know the date of injury, where the injury occurred, and the name and telephone number of the adjuster assigned to your case. We cannot bill on your behalf without this information. If this information is not provided, or if payment is denied on your case for any reason, you are responsible for payment of the entire balance due based on our normal fee schedule.

Late or Non-Payment

If your account becomes delinquent you will be responsible for (original) billed charges plus additional late fees and collection costs. Balances over 90 days old, from date of billing, are considered late. Insurance coverage is a matter between you and your insurance company. You are ultimately responsible for the payment of your balances due, and failure to pay may result in your account regrettably being sent to a Collection Agency.

If you have any questions regarding our payment policies, please ask us before your visit. Thank You.

Insurances and Health Plans

We participate with nearly all insurance companies, health plans, and worker's compensation plans. Please bring your insurance/health plan card and your referral letter (if required by your health plan) to your appointment.

Preparing For Surgery

Your physician will provide you with a personalized treatment plan including how to prepare for your surgery as well as post operative instructions. If you have questions or concerns, please direct them to your physician at Front Range Orthopaedics.

Hospital and Surgical Locations

With the opening of Memorial's North Hospital (Briargate Parkway & Union Blvd.), many busy surgeons must decide where to practice in order to minimize travel time and maximize time devoted to direct patient care. The physicians of Front Range Orthopaedics have elected to practice at Memorial Hospital Central at 1400 E. Boulder Street (just west of the U.S. Olympic Training Center), and not to practice at the North hospital for now. One of the contributing factors in this decision is the advanced levels of care possible at the Central facility that are currently not available at the North facility.

For elective procedures, our physicians continue to hold privileges in the Penrose St. Francis System, and at most Ambulatory Surgery Centers in addition to Memorial Hospital Central. Please remember that Front Range Orthopaedics' physicians do not practice at Memorial Hospital North, even in response to emergency room visits. We are very happy to care for you or your family members at our Clinic or at Memorial Hospital Central.

Prescriptions

WHAT YOU SHOULD KNOW ABOUT HOME PAIN MANAGEMENT

  • Everyone feels pain differently and responds differently to pain relief treatments.
  • Your doctor has prescribed pain medications for you to use at home.
  • Take your pain medications as your doctor ordered.
  • Your prescribed medication will not take all your pain away, but will make you more comfortable.
  • Call if the medication is not giving you effective control over your pain.
  • Remember that good pain control will allow you to start moving sooner and do activities that will help you heal.

MEDICATION INFORMATION

  • When you receive a prescription from your doctor please make sure to follow the dosage recommendations and precautions given to you.
  • Always allow at least two business days for prescription refills. It's best to provide a refill request to your pharmacy three to four days before you will need it. Your pharmacy can fax us the request and we can authorize the refill for them.
  • Prescriptions are only refilled during regular clinic hours. They are never refilled after 5 pm, over the weekends, or on holidays.

IMPORTANT TIPS FOR YOUR PAIN MANAGEMENT

  • Oral pain pills will need at least 20 minute before they begin to take effect. If you are not on a schedule, take your pills as soon as you begin to have an increase in pain. Do not wait until your pain is severe before taking your pain pills. Make sure to take pills with food to decrease risk of nausea, unless otherwise instructed.
  • Being anxious or worrying can make your pain worse. Decrease stress in your environment. Dim the lights and use soothing music to help you relax.
  • Take frequent rest periods. This will help you to have the energy to do the daily activities that help you heal.
  • Remember to take frequent deep breaths and cough when needed. Pain can prevent deep breathing or coughing and this can lead to a lung infection called pneumonia. Taking your pain medication will help prevent the pain experienced with deep breathing or coughing.
  • Pain or pain medications can decrease your desire to eat or drink fluids. This can decrease your energy and affects your body's ability to heal. Dehydration can negatively impact circulation in your body so it is very important to drink lots of fluids during your recovery.
  • Pain pills may slow your GI system and contribute to constipation. Regular bowel movements are necessary. Increase the fiber in your diet will help. Sometimes an over the counter stool softener is needed while on pain medication.
  • Sometimes pain is worse in the morning. If you have more pain when you wake in the morning it usually means you did not have enough pain medicine in your bloodstream to last through the night. Your decreased activity and movements while sleeping can cause your joints and muscles to stiffen. Slowly increase your motion throughout the morning to get you started. You can also ask your doctor if using heat therapy might help your specific situation.
  • If your pain is constant try to take your pain medicine on a routine schedule such as every four to six hours. This will help keep your pain under control.
  • Ask your doctor if taking ibuprofen or aspirin with your prescribed medication will help decrease your pain. Avoid taking Tylenol or acetaminophen products if you are taking Percocet, Vicodin, or Norco – unless your doctor specifically instructs you to do so.

NON-PRESCRIPTIVE MEDICATIONS FOR PAIN

  1. Dietary supplements (I suggest lifetime use) Chondroitin sulfate (1,200 mg. a day) and glucosamine (1,500 mg. a day) are helpful in relieving pain. They are generally safe, and can be bought at grocery stores, pharmacies, and health food stores.
    • Dietary supplements are not well regulated. We cannot assure supplements contain what they say they contain, or do not contain harmful substances.
    • Two published articles suggest glucosamine sulfate may slow down the rate of osteoarthritis.
    • Chondroitin and glucosamine have a mild pain relieving and anti inflammatory effect. They take a while to act. Do not stop unless you have taken them for two months. They are safe to take with any medicine.
  2. Over the counter medicines (use for episodes of pain)
    • Acetaminophen (Tylenol) is as good as Ibuprofen in relieving arthritis pain. The maximum safe daily dose is 4,000 mg. a day. - You can buy 250 tablets of 500 mg. Acetaminophen for $12. I suggest two 500mg tablets, four times a day.
      • You can take this with glucosamine and chondroitin.
      • Too much Acetaminophen can adversely affect your liver or kidneys.
      • Don't take it Acetaminophen if you have liver or kidney disease.
      • Don't have over an ounce of alcohol a day.
    • NSAIDs (Non-Steroidal Anti-Inflammatory Drugs)
      • These are commonly used medicines for arthritis.
      • They are more dangerous the longer you use them.
      • NSAIDs account for 20,000 deaths a year from gastro-intestinal bleeding.
      • "Manufacturers of non-prescription (over-the-counter) NSAIDs are also being asked to revise their labeling to provide more specific information about the potential CV and GI risks of their individual products and remind patients that these products of the limited dose and duration of treatment in accordance with the package instructions." (11APR05) http://www.fda.gov/cder/drug/infopage/cox2/default.htm
      • Ibuprofen, also known as Motrin, Nuprin or Advil comes over the counter in 200mg tablets. In general, it is safe to take up to 2400mg a day (twelve 200mg tablets) for up to 2 weeks. Its duration of action is 4-6 hours
      • Naproxen sodium, also known as Aleve comes in 250mg tablets. It is generally safe to take 500-750 mg a day. (2-3 tablets for up to 2 weeks. The duration of action is 8-12 hours. It is especially good if you have morning aches and pains.
  3. Interactions
    • You may take glucosamine and chondroitin with acetaminophen or NSAIDs.
    • Although there are some theoretical problems, it is generally safe to take acetaminophen and NSAIDs together.
    • Don't take two different NSAIDs. That means you should not take Ibuprofen (Motrin, Nuprin, Advil, etc.) and Naproxen (Aleve). Prescription forms of NSAIDs include Relafen, Naprosyn, Orudis, Voltaren, Feldene, etc.
    • Don't take NSAIDs with COX-2 inhibitors, such as Celebrex..
    • You should not take NSAIDs with aspirin. (However, if you take low-dose aspirin to prevent heart attack or stroke, your Doctor may allow you to take NSAIDs.)
    • Low dose aspirin undoes the protective effect of COX-2 inhibitors on the gastrointestinal system.)
  4. Magnetic (standard neodymium 170-200 mTesla) bracelets have been shown to reduce arthritis pain by 20% in one study.1 You can order from Magnetic Therapy Ltd. ~$30-40 http://www.magnetictherapy.co.uk/mcp/MAGNETIC_BRACELETS.html 1 Randomised controlled trial of magnetic bracelets for relieving pain in osteoarthritis of the hip and knee Tim Harlow, Colin Greaves, Adrian White, Liz Brown, Anna Hart, Edzard ErnstBMJ 2004;329:1450-1454, doi:10.1136/bmj.329.7480.1450
    Hylagen
    Synvisc
    Orthovise
    Lovenox
    Fractures/Cast Care Link to AAOS/patient education/cast care

Prescription Refill Information

Always allow at least two business days for prescription refills. It's best to provide a refill request to your pharmacy three to four days before you will need it. Your pharmacy can fax us the request and we can authorize the refill for them. All prescription refills are handled during our normal office hours. Ask your pharmacist to fax a refill request to our office. It will be addressed by your physician within two to three business days. Plan ahead so you have an adequate three to four day supply of medication on hand during this timeframe. Prescriptions are only refilled during regular clinic hours. They are never refilled after 5 pm, over the weekends, or on holidays