DANIEL MORRA, MD
Physician and Office Administrator
Billing and Reception
Front Desk / Reception
JAIME BECKER, RN
KARIS MEYER, RN
ELIZABETH SPIREK, RN
PAT BRANDMEYER, RN
Information Technology Support
WELCOME TO RIGHT FROM THE START PEDIATRICS, SC!
Morra and his staff of Right from the Start (RFTS) Pediatrics would
like to welcome you to our practice. We look forward to providing
quality pediatric care to your children for many years to come. We
would like you to review our office policies and welcome any questions
you have about them.
At the time of your first visit, or shortly
thereafter, Dr. Morra requests that you obtain all of your child's
previous medical records for his review. Your child's vaccination
record and growth chart are two of the more valuable pieces of your
child's medical record, and if possible, you should obtain these (via
fax to our office) if nothing else while your previous physician
prepares your old records for transfer. If you have not already, you
will need to sign consent for those records to be sent to us. We will
have a similar consent for you to sign.
There are other forms
that you will need to review and consents that you will need to sign at
your first visit here. Please take the time now to review these, ask
any questions you have about them, and sign them for inclusion in your
child?s chart. These forms include the following:
* Notice of Privacy Practices (NOPP) according to the Health Insurance Portability and Accountability Act (HIPAA) of 1996
* General Consent or Refusal of Consent to Administration of Antibiotics
Designation of Assigned Adult Representatives (a form which gives or
denies permission for family members other than parent(s) to accompany
your child to this office)
* Acknowledgement of Receipt of NOPP
* Consent for Release and Use of Confidential Information
Please read on to review our office policies, and again - WELCOME!
Dr. Morra will see patients according to the following schedule:
MONDAY 9 AM - 6 PM
TUESDAY 9 AM - 5 PM
THURSDAY 9 AM - 5 PM
FRIDAY 9 AM - 5 PM
SATURDAY 9 AM - 1 PM
will be made to see patients by appointment only. If you are unable to
keep a previously scheduled appointment, you are asked to notify our
office within 24 hours. There will be a $10 charge for "no-shows," that
is, appointments which are missed for which we did not receive a phone
call. This includes appointments which are made on the day seen
Walk-in appointments disrupt and
delay Dr. Morra's and other patients' schedules, and are discouraged.
If your child must be seen on an emergency basis, in the judgment of
Dr. Morra, every effort will be made to accommodate you. Appointments
on Saturday and those after 5 pm on Monday are intended to accommodate
the working parent(s), and will be filled at the discretion of our
staff. Patients will only be seen after-hours or on Sundays or holidays
in cases of extreme emergency, in the judgment of Dr. Morra. Additional
charges will be billed to you or your insurance company for emergency,
after-hours, Sunday or holiday appointments.
Special note must
be made for families with more than two children. We ask that you
attempt to make appointments for only two children at a time, and bring
additional children later on the same day or on another day.
Remember that the phone should be used for brief discussion only. Anything further should be reserved for an office visit.
you call our office, please give your child's name and as much
information about the problem as possible. We will often err on the
side of caution and advise you to bring your child in. Have a pen and
paper available for any instructions given.
Some refills will be
accommodated over the phone, but at the discretion of Dr. Morra and his
staff, we will often ask you to bring your child in.
Morra has a strict policy regarding antibiotics. Most infections, in
some studies up to 80%, are caused by viruses for which taking
antibiotics will not be helpful and could even be harmful.
Overprescription of antibiotics can cause bacteria (NOT children) to
become resistant to a particular antibiotic, thus making it even more
difficult to treat.
Antibiotic prescriptions will NOT be called
in without an office visit. Antibiotic prescriptions will NOT be
refilled over the phone; an additional visit is required.
Morra knows that your children are dear to you, and that any illness or
injury they may be experiencing may be considered an "emergency."
However, problems that can be handled by close parental attention
and/or over-the-counter medications should be handled as such.
Prescription refills and discussion of minor problems should be handled
during regular office hours. Dr. Morra checks his e-mail regularly and
may ask a parent to use e-mail to keep in touch with him regarding a
problem, but contact via this method should not be used routinely.
cases where you believe a visit to the emergency department at St.
Joseph's in Breese, or St. Louis Children's Hospital or Cardinal
Glennon Children's Hospital in St. Louis is necessary, Dr. Morra asks
that you call him FIRST. After hours, your call should be directed to
the St. Joseph's Hospital switchboard (618-526-4511). The operator
there will page Dr. Morra and, barring unforeseen circumstances, he
will do his best to return your call within 15 minutes.
Your cooperation in limiting after-hours calls will be appreciated by Dr. Morra and his family.
arriving at our office for your first appointment, you will be asked to
complete a "Patient Registration" form, as well as a detailed Health
History form regarding your child. Each subsequent visit, you will be
asked to confirm or update this information. You should let us know of
any recent changes in address, phone number, employer, insurance
company, or health history (if we are not already aware of it). It is
your responsibility to make sure that the insurance card we have is the
one that is in effect at the time of the visit. Any errors in our
system may leave you with unwanted financial responsibilities. It is a
good habit to show us your current insurance card with each and every
visit to our office. This is especially important with patients insured
by Illinois Healthcare and Family Services (formerly known as IL
Department of Public Aid, or DPA). We must see your IL HFS card with
SPECIAL NOTE ABOUT MINOR PATIENTS - Since we are a
pediatric practice, we, by definition, take care of patients who are
minors. As a policy, we require that an adult be present with EVERY
patient under the age of 18 when he or she is seen in our office. We
need to have written consent by every patient's mother and/or father as
to whom may bring their child in the office in cases of well or sick
visits - this consent is included in your initial registration packet.
The "adult" must be over the age of 18 and designated on the Assigned
Adult Representative form.
Doing this during your initial registration removes any doubt that may come up later.
do everything we can to hold down the cost of medical care. You can
help in this regard by eliminating the need for us to bill you. The
following is a summary of our payment policy.
All payment is expected AT THE TIME OF SERVICE unless other prior arrangements are made with Dr. Morra.
includes payment of applicable coinsurance and copayments for
participating insurance companies. RFTS accepts cash, personal check
(Illinois or Missouri addresses only), VISA, MasterCard, Discover, or
Patients with an outstanding balance of ninety (90)
days overdue must make arrangements for payment prior to scheduling
appointments. If there is a significant financial hardship, you are
encouraged to discuss it with Dr. Morra. You may be encouraged to save
money by going to your county health department to receive vaccinations
until your financial situation is resolved.
We bill insurance
companies electronically as a courtesy to you. You are expected to pay
your copayment(s) and/or deductible at the time of service. If we have
not received payment from your insurance company within 60 days of the
date of service, you will be expected to pay the balance in full. You
are responsible for all charges. We will not bill secondary insurance
companies, but you may submit our charges to these companies if you
Your time of service receipt includes all information necessary for submitting claims to your insurance company.
realize that there may be times when hardship may cause a concern about
the payment of fees. Feel free, personally and privately, to discuss
these concerns with Dr. Morra; he will understand. Any suitable
arrangement will be considered. Written acknowledgement of such an
arrangement will be required to include in the chart.
If you have questions or need any assistance with billing questions, please call the office during regular business hours.
Overpayments will be refunded upon written request to the responsible party within 30 days.
- Managed care insurance plans (i.e. HMOs) often require a referral
from our office BEFORE seeing a specialist or visiting a laboratory or
radiology facility. It is your responsibility to determine whether a
referral is necessary. If you have seen a specialist without a
referral, but require one based on your health plan, you will NOT be
issued a retroactive referral. You will be financially responsible for
This includes chiropractic visits. Dr. Morra's
policy on chiropractic visits may be found on www.dmorra.yourmd.com,
and they are included here as well.
I believe there is a role
for chiropractors in our community. When it comes to pain and
musculoskeletal problems AND MEDICAL OPTIONS HAVE BEEN EXHAUSTED, I
believe a chiropractor or acupuncturist could be considered. Referral
to a chiropractor will ONLY be issued by me if a patient has seen an
orthopedist, neurologist, and/or a physical or massage therapist first.
relates to some chiropractors' beliefs that they can affect medical
processes with spinal manipulation, I am a staunch opponent of the
chiropractic field. In my medical opinion, babies cannot be cured of
colic by chiropractic. Allergies and asthma cannot be cured or affected
by chiropractic. Manipulation by a chiropractor cannot prevent
devastating childhood illnesses, which many studies have shown
necessitate the administration of vaccines such as DTaP, Hib, polio,
MMR, Varivax ("chicken pox vaccine"), Prevnar (pneumococcal vaccine),
Hepatitis A, and Hepatitis B.
Chiropractors can be used to
affect changes in the musculoskeletal system, just as an optometrist
treats the eyes or a podiatrist treats feet. However, when they start
extending themselves and claiming that manipulation can affect the
physiology of the body (i.e. how the body systems work), I think they
are extending themselves too far. This is similar to me claiming that I
am an expert on infectious diseases or pediatric surgery. I don't claim
to be able to do more than I know or to able to do more with medicine
than can be done. Chiropractors should not do that either.
If you would like to discuss chiropractic care with me further, please call the office to make an appointment.
- Dr. Morra is committed to providing the best medical care for your
children. His fees are usual and customary for our area, and he
believes that they are fair and reasonable. Unfortunately, some
insurance companies cut back on expenses by discounting the usual and
customary fees paid to us without any explanation to you or Dr. Morra.
This is a cost-cutting measure for them, and not a direct implication
that Dr. Morra's fees are unfairly high.
Fees for other services provided by our staff-
PAST DUE ACCOUNT (STATEMENT SENT TO YOU)
PHYSICAL FORM (WITH VISIT)
PHYSICAL FORM (OTHER TIME)
SPORTS OR CAMP FORM (WITH VISIT)
SPORTS OR CAMP FORM (OTHER TIME)
PRESCRIPTION REFILL (WITH VISIT)
PRESCRIPTION REFILL (OTHER TIME)
$5 EACH PRESCRIPTION
MISSED APPOINTMENT (NO CALL/NO SHOW)
RETURNED ("BOUNCED") CHECK (AND BAD DEBIT PAYMENTS)
mentioned previously, there are additional charges for after-hours,
Sunday, holiday, and emergency visits. These charges are in addition to
the usual charges for service.
Please note also that "quick
looks" in a patient's sibling's ears or throat will count as an
additional office visit, and a copayment for that sibling will have to
Thank you for taking the time to read and understand our general and financial policies.
|Poison Control (800-222-1222)|
your child has ingested something that you believe to be a poison, do
not induce vomiting. You may call Dr. Morra, or call the Poison Control
Center at (800) 222-1222.
|Patients with Medicaid (Illinois Public Aid)|
Medicaid will NOT be accepted as a secondary insurance at Dr. Morra's office.
secondary insurance should function to "pick up the slack" for any
costs that a primary insurance does not pay. However, the Illinois
Department of Healthcare and Family Services (HFS) apparently does not
feel it is necessary to pick up this slack.
For example, when
HFS should pay a copay for a patient who has a primary insurance, they
do not do so. Many other services that are not covered by a primary
insurance are not covered by HFS.
Dr. Morra, then, basically
provides medical services for free. Although this is a nice thing, it
is also not fair to Dr. Morra or other patients who do have to pay for
The fairest way to deal with this problem is to have
patients who have Medicaid as a secondary be required to pay the
balance on their account after their primary insurer processes the
claim. This includes copays.
Dr. Morra and his staff appreciates your understanding in this matter.
|National Health Service Corps|
Morra practices in a Federally Designated Healthcare Professional
Shortage Area. His office is designated as a preferred site for the
National Health Service Corps (NHSC). This designation will remain in
place through September 2009.
As a NHSC provider, Dr. Morra
agrees to see patients without regard for ability to pay. If a patient
does not have insurance and does not have Medicaid, his/her family can
provide financial information to the office and possibly qualify for a
discounted fee scale.
If you believe you qualify for such a program, let Dr. Morra or his staff know.