
Each of the specialists in the Iowa Orthopaedic Center
sees patients in our convenient offices on a regular basis.
Visits with the physicians normally are done on an appointment
basis, unless it is an emergency situation. If your insurance
carrier does not require a referral from your primary
care physician, you do not need a referral to see one
of our specialists.
A sincere attempt is made to adhere to the appointment
schedule. Unfortunately, patients do not have emergencies
or complications on schedule, so delays are sometimes
unavoidable.
Enclosed are a patient information history sheet and
a general information form for you to complete and bring
with you at the time of your appointment. The information
will be placed in your medical record. A complete and
accurate questionnaire will assist us in serving you better.
You will also need to bring your health insurance cards
so we may scan them for your file. If there is ever any
change in either your health insurance or personal history,
please notify the office by phone, when you visit, or
come for an appointment.
If you have had x-rays or treatment by any other physician
or hospital for your musculoskeletal problem, a copy of
the x-ray and report along with a copy of any previous
treating physician's opinions should accompany you to
your appointment. This information is a necessary part
of your appointment. This information can be very helpful
to the IOC physician in prescribing a course of care.
Simply contact your physician or hospital so the information
will be ready for you to pick up and bring with you to
your appointment.
Our offices are equipped with the latest technology used
to aid in the diagnosis of orthopaedic problems. Our staff
has a wealth of experience in orthopaedic care.
If there should be a need for surgery or hospitalization,
patients can choose from the following Des Moines hospitals
- Mercy Medical Center, Iowa Lutheran Hospital, and Iowa
Methodist Medical Center. Surgery and hospitalization
are also available at the Pella Regional Medical Center
in Pella, Iowa, and at the Trinity Regional Medical Health
Center in Ft. Dodge, Iowa.

Many office visits require x-rays for the proper diagnosis
and treatment of orthopaedic injuries. You could receive
one billing for your physician's reading of the x-ray
and another billing that would represent the usage of
the x-ray equipment. These are two separately billed charges.
Should you have any questions about this or your x-ray
procedures, please contact our billing department at (515)
282-5288.
Some orthopaedic concerns will require additional diagnostic
testing, possibly even surgery, at one of the Des Moines
hospitals, in Pella, Fort Dodge, or one of the many county
hospitals we serve.
Should your orthopaedic, physical medicine, or podiatric
specialist order special diagnostic testing, our office
will contact a hospital that is convenient for you. Someone
from the hospital will then contact you to schedule the
test. After that test has been completed, please call
the Iowa Orthopaedic Center office to schedule a follow-up
appointment to discuss the results with your physician
from our office. The follow-up appointment should be 7
to 10 days after your test, unless the physician has directed
you otherwise.
If surgery is required, an Iowa Orthopaedic Center staff
member will schedule the surgical procedure at a hospital
that is convenient for you. You can expect a call from
the hospital nurse who will be requesting information
needed before you have surgery.
Because many insurance companies require presurgical notification
from the patient as well as from our office, check your
insurance requirements with your carrier. It is a good
practice to carry any medical insurance cards with you
in your purse or wallet when you come to the hospital.
Regular office hours are 8 a.m. to 5 p.m. Monday through
Friday.
Your appointment can be made in person, by phone, by your
primary care physician, or by a hospital emergency room
staff member. Calls for appointments need to be made during
our regular business hours by calling 515-247-8400 or
800-642-6381. If you are requesting an appointment for
a work-related injury, please make sure the office is
advised of this.
Call immediately if you have an emergency medical situation,
regardless of the hour. Our office phone numbers are 515-247-8400
and 800-642-6381 in Des Moines, or 641-621-1390 in Pella,
or in Fort Dodge 515-574-8333.
After normal office hours, our answering service will
take your message. The physician on call will return your
call as soon as possible.

Our fees are based on the services performed by our physicians.
Payment is expected following your visit with us and can
be made with cash, check, debit card, or MasterCard, Visa
or Discover credit cards. Should payment be a cause of
financial concern for you, arrangements can be made in
advance with one of our patient account representatives.
Some insurance companies now require a referral from your
primary care physician before seeing a specialist. If
your insurance carrier requires a referral, please make
sure you have obtained this referral number prior to your
appointment.
Our physician specialists have arrangements with several
insurance plans for direct payment of your medical costs
to the Iowa Orthopaedic Center.
Those insurance plans currently include: Medicare, Medicaid,
all Wellmark plans, Healthcare Preferred, CIGNA PPO, Primary
Care, Open Access, BAAl, John Deere Health Plan, United
Healthcare and Coventry. Because participation with insurance
carriers changes periodically, please contact the office
if your insurance carrier is not listed.
You should note that very few insurance companies pay
all the costs associated with your medical care. Most
will have some type of deductibles, co-pays, or other
guidelines. Nevertheless, the entire medical fee is your
responsibility.
We do file insurance claims with most insurance carriers.
However, our contract to provide your medical care is
with you and not your insurance company. Therefore, you
are responsible for full payment of your account with
us for whatever your insurance does not cover. Not all
insurance companies send your benefit payment directly
to us. Consequently, you may be asked to pay for your
office visits at the time of your appointment with us.
All co-payments required by your insurance company should
be paid at the time of your visit with us.
Insurance companies require that you report work-related
injuries to your employer before you seek medical attention.
All medical care and treatment must receive prior authorization
by the employer or the workers' compensation carrier.
Our contract for service is with you, and we require payment
for your orthopaedic care at the time of your visit. However,
our staff can assist you with necessary information you
may need to pursue liability claims for which you receive
treatment.
Prescription refill requests are available from 8 a.m.
to 5 p.m. Monday through Friday only. Please call and
ask to speak to your physician's nurse. The nurse will
need to know the name of your prescription, and the name
and phone number of the pharmacy you want contacted for
the refill. We also accept prescription renewal calls
during regular business hours from your pharmacist.
Disability and Family Medical Leave forms, along with
other kinds of forms that request information from us
regarding your medical diagnosis and/or treatment plan,
will be completed for you at a nominal fee.
Please bring the following with you to your appointment
or surgery.
· Insurance card
· Copies of x-rays or MRI scans related to your
current condition
· A referral number, if required, by your health
insurance company.