HIPAA Policy
Office Policies


General Office Policies
We appreciate the value of your time and we make every effort to see our patients at their scheduled appointment time, however, due to the nature of our practice, if a provider is called to the hospital for a cardiac emergency, it may be necessary to delay or reschedule your office appointment. 
We appreciate your understanding regarding these emergencies. In light of this need to possibly delay or reschedule your appointment, please be sure to provide the office staff with accurate “alternative” contact information.  This can be your cell phone number or a family member’s work, cell or home number.
As a courtesy, our office provides reminder calls for appointments, however, it is ultimately your responsibility to remember your appointment. As a courtesy to all patients we request that you arrive 15 minutes before your scheduled appointment time. If you arrive more than 10 minutes late, you may be asked to reschedule.
Should YOU need to reschedule or cancel your appointment, please be courteous and contact our office at least 24 hours prior to your scheduled appointment time.  Please note: all missed appointments without 24 hour prior notification will be subject to a missed appointment fee which must be paid prior to you being seen at your next appointment.
A Delaware Heart & Vascular, P.A. cardiologist is available for Emergencies 24 hours a day, 7 days a week, 365 days a year. The on-call cardiologist may be reached by calling the main office number: 302-734-1414.
Any form that you need completed by our physicians for any reason must be brought to your appointment.  There is a $25 fee per form and it may take up to one week to be completed.   Please plan accordingly.   Once completed, you will be contacted to pick the form(s) up at the front desk. 

Please note: Federal HIPAA regulations require written authorization in order for your health-related information to be released for purposes other than treatment or payment. You will be asked to complete a DH&V “Authorization to Release Medical Information Form” which will be kept in your file for such purposes. 
You may also be asked to complete / update certain medical authorization and or acknowledgement forms on an annual basis per Federal, State or local guidelines. We appreciate your cooperation in completing those documents upon request.
Fees for Copying Records:
We charge for copies of medical records based on guidelines from the Medical Society of Delaware.

·         $2.00 per page for pages 1-10

·         $1.00 per page for pages 11-20
·         $0.90 per page for pages 21-60
·         $0.50 per page for pages 61 and above

We participate with most insurance plans. If you have any questions concerning our participation, please call our billing company, Twin Hearts Management @ 302-777-5700 prior to your scheduled appointment.
Knowing your insurance benefits including eligibility, covered benefits, and medically necessary procedures is your responsibility. Please contact the customer service department at your insurance company for questions regarding your coverage. You are responsible for any charges not covered by your plan.
If we do not participate with your insurance company, payment in full is required at the time of service unless other arrangements have been made in advance.  
Please update our office with any personal or insurance changes that may affect the processing of your claims.
Payments and Billing:
Except as indicated above, payment is expected at the time services are provided unless other arrangements have been made in advance. Please remember to bring your insurance card(s) and any co-payments you are responsible for with you to the office for each visit. We gladly accept cash, check & all major credit cards. Due to insurance regulations and federal guidelines, your appointment may be declined in the event your insurance information is not updated or copayments are not collected at the time of your visit. 
For your convenience, Visa, MasterCard, American Express and Discover are accepted, in addition to cash, checks and debit cards, as methods of payment.
All Co-pays are expected at the time of service for office visits. We will bill your insurance for any testing. Should your insurance require a co-pay/co-insurance, we will bill you. 

If you have questions regarding your bill please contact our billing department, Twin Hearts Management, LLC. @ 302-777-5700.