Common Questions
Everything You Need to Know for a Seamless Experience.
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Medical benefits are paid by your own auto insurance carrier regardless of fault.
If you are not the named insured, but live with a relative who has an auto insurance policy, your medical bills are paid under that policy.
There are no co-pays or deductibles for auto-related medical bills.
Auto accidents or injuries are defined as the following: all injures from the maintenance or use of a motor vehicle, accidents that occur while getting in or out of a motor vehicle, pedestrians struck by a motor vehicle. Your auto premium may increase as the result of filing a medical loss, but it is best to check with your insurance agent about the specifics of your policy.
A workers’ compensation injury may be caused by a specific injury or repetitive trauma over a period of time.
Yes.
If your claim is denied, we bill your private health insurance carrier with a copy of the workers’ compensation denial.
There is no precertification for workers’ compensation in Pennsylvania, but we do precertify workers’ compensation for federal employees.
You can pay by check, cash, credit card or CareCredit.
Yes. OIP offers patients the ability to pay their statements online. To make a payment online, please click here to visit OIP’s Online Bill Payment service page.
No. Due to the nature of services rendered to patients, the Orthopedic Institute of Pennsylvania is not able to provide refunds per money paid via our online payment service.
For comments/questions regarding a statement that you received from us, please call us at 1-800-834-4020.
You may return the product during the warranty period.
If the DME was provided to you for surgery and you did not have the surgery or use the product then you may return it.
Products that have been worn are not returnable.
Insurance cards, photo ID, any x-rays or MRIs pertinent, list of medications, list of surgeries, a referral if your insurance requires one, patient information form, health history form, and any other form your specific physician may require to be completed (i.e., back forms, hip forms, and the foot form).
Yes.
OIP has 20 orthopedic surgeons and 5 orthopedic-trained physician assistants on staff.
The OIP physicians offer general orthopedic care to ensure we have a clear and balanced perspective on each patient’s issues. They also offer specialized care within or outside the practice, if necessary.
All of the OIP physicians have office hours at the various office locations, however, not all the physicians practice at every location.
It takes 7 to 10 business days and there is a $10 dollar fee.
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1. Suspicious mass or tumor
a. On initial evaluation or follow up
2. Staging of known cancer
3. Suspected or known infection (septic arthritis or osteomyelitis)
4. Suspected Osteonecrosis
5. Evaluation of Rheumatoid Arthritis or other autoimmune diseases
6. Evaluation of Post-op Complications
a. Infection, delayed union, other
7. Suspected fracture with prior imaging non-diagnostic
8. Abnormal bones scan with non-diagnostic Xray
9. Significant injury with suspected ligament, cartilage, tendon, nerve or bone injury with non-diagnostic prior imaging
a. Suspected massive rotator cuff tear
10. Evaluation of pain or more minor injury with initial imaging non-diagnostic:
a. Pain lasting 3 months or greater
b. Failed conservative therapy: Must include each one:
i. Rest: modified activities or assistive devices/rigid splints or braces
ii. Ice or heat
iii. Medications and/or injections
iv. Physical therapy or a physician directed home exercise program
or chiropractic care
1. Document instructions given
2. Document compliance and results
3. Document duration and dates
1. Tumor, masses, or cancer: suspected or known
2. Neurological Deficits
3. Trauma or acute injury
a. With neurological deficits
b. With progressive symptoms during conservative treatment
4. Infection: known or suspected
5. Inflammation: Ankylosing Spondylitis
6. Pre-op Evaluation
7. Post-op Complications
8. Acute or Chronic Axial or radicular pain
a. Pain lasting 6 weeks or greater
b. ADLs must be affected
c. Progressive neurological deficit or an abnormal EMG
i. Must document specific dermatome, muscle weakness, reflex
abnormalities
d. Failed conservative therapy: Must include each one:
i. Rest: modified activities or bracing
ii. Ice or heat
iii. Medications, acupuncture or stimulators
1. Specific name of medication start date and duration and
results
iv. Epidurals or other injections (not trigger point injections)
v. Physical therapy or a physician directed home exercise program
or chiropractic care
1. Document instructions given
2. Document compliance and results
3. Document duration and dates
1. Musculoskeletal Pelvic MRI:
a. Mass or tumor
b. Significant injury to rule out fracture or other injury
c. Osteonecrosis of hips
d. Sacroiliitis
e. Sacroiliac joint dysfunction
f. Pain lasting 3 months or greater
g. Failed conservative therapy: Must include each one:
i. Rest: modified activities or assistive devices/rigid
splints or braces
ii. Ice or heat
iii. Medications and/or injections
iv. Physical therapy or a physician directed home
exercise program or chiropractic care
1. Document instructions given
2. Document compliance and results
3. Document duration
h. Persistent Pain not responsive to 4 weeks of conservative treatment
2. Prostate Cancer Evaluation, follow up, and surveillance
3. Mass or Tumors
4. Cancer detection, staging, or surveillance
a. 3, 6, or 12 month follow up
5. Infection:
a. Appendicitis
b. Diverticulitis not responding to conservative care
c. Inflammatory bowel disease
d. Abscess suspected
e. Fistula
f. Abnormal fluid collection
6. Pelvic Floor failure
7. Uterine abnormalities
8. Undescended Testes
9. Pre-op Evaluation
10. Post-op Complication
1. Suspicious Mass or Tumor
a. On initial evaluation or follow up
2. Staging of known Cancer
3. Known or suspected infection
4. Suspected Osteonecrosis or Legg-Calve-Perthes Disease
5. Suspected SCFE, tarsal coaltion
6. Evaluation of Post-op complication:
a. Infection, delayed union, other
7. Suspected fracture with prior imaging non-diagnostic
8. Abnormal bone scan with non-diagnostic xray
9. Significant injury with suspected ligament, cartilage, or bone injury
10. Evaluation of pain or more minor injury with initial imaging negative:
a. Pain lasting 3 months or greater
b. Failed conservative therapy: Must include each one:
i. Rest: modified activities or assistive devices/rigid splints or braces
ii. Ice or heat
iii. Medications and/or injections
iv. Physical therapy or a physician directed home exercise program orchiropractic care
1. Document instructions given
2. Document compliance and results
3. Document duration
1. Mediastinal or hilar mass
2. Myasthenia gravis with suspected thymoma
3. Brachial Plexus Dysfunction
4. Thoracic/Thoracoabdominal aneurysm
5. Suspected or confirmed Congenital Heart Disease
6. Thoracic Outlet Syndrome
1. Suspected or known MS
2. Seizure disorder, known or suspected new or refractory
3. Suspected Parkinson’s disorder
4. Neurological symptoms or deficits
a. Acute, new or fluctuating deficits
5. Mental status changes
6. Trauma to the head with neurological changes, vomiting, headache
7. Evaluation of headaches
a. Chronic with change in pattern/character
b. Sudden onset severe headache
c. New onset headache in pregnancy
8. Suspected brain tumor or cancer
9. Known or suspected stroke
10. Suspected Infection
11. Suspected Congenital abnormality
12. New onset tinnitus or vertigo associated with visual changes
MRI
1. Suspicious Mass or Tumor
2. Surveillance of Mass, Tumor, or Cancer
a. 3, 6, 12 month follow up
3. Suspected infection:
a. Appendicitis
b. Peritonitis
c. Pancreatitis
d. Inflammatory bowel disease
e. Cholecystitis
f. Abscess
g. Fistula
h. Hepatitis C
4. Preoperative Evaluation
5. Post-op complication
MRCP
1. Suspected Congenital Abnormality
2. Chronic pancreatitis or related complications
3. Biliary tree symptoms
4. Pre-op Evaluation
5. Post-op complication or surveillance
6. Inconclusive abnormalities identified on other imaging