Billing

Financial Policy and Patient Communication Guidelines

At Next Journey Orthopaedics, we are committed to providing excellent healthcare services while ensuring a transparent and efficient financial process for our patients. To facilitate this, we have implemented the following policies and guidelines:

  • 1. Upfront Written Financial Policy:
  • It is essential for our patients to be informed about our financial policies. Therefore, we have a comprehensive written financial policy in place. As part of this policy, we require authorization and payment information before any services. This not only streamlines the billing process but also eliminates delays associated with waiting for paper authorizations. If you have an outstanding balance, there will be a monthly charge of 25% of your remaining balance up to the total of $1000. This will occur up to three times. If there is still a remaining balance after a 90-day period, we require a payment plan to resolve the balance.

  • 2. Credit Card on File Policy:
  • We require credit card information on our payment processor’s secure platform. This information will only be used after your insurance company has processed the claim, and you will be notified via email of your patient responsibility. You have 48 hours (about 2 days) to dispute the amount before payment is processed. The card can be charged for visit payments not collected, no-show or late cancellation charges, unresolved insurance discrepancies within 90 days (about 3 months), and outstanding balances past 90 days (about 3 months).

  • 3. Credit Card on File Exemptions:
  • Patients with verified ACTIVE MEDICAID, WORKER’S COMPENSATION, STUDENT INSURANCE, MEDICARE and a MEDICARE SUPPLEMENT POLICY, TRICARE related policies, and PRIVATE PAY coverage are exempt from having a credit card on file.

  • 4. Pre-Visit Eligibility and Financial Responsibility:
  • To prevent issues related to eligibility and financial responsibility, we conduct eligibility checks at least 24 hours before a patient's visit. Our practice staff also proactively communicates with eligible patients, ensuring they understand our payment policies and have clear expectations regarding the payment process.

  • 5. Upfront Authorization and Payment Information:
  • To facilitate efficient billing, we secure authorization and payment information before services. This allows us to bill accurately after services, reducing confusion and delayed bill statements.

  • 6. Co-Pay Collection Before the Visit
  • We encourage the collection of co-pays before the visit while patients are in the waiting room. This approach not only ensures a smoother process but also allows our staff to address any questions or concerns the patient may have about our payment policies.

  • 7. Efficient and Simplified Billing Statements:
  • In cases where there is an outstanding balance, we send monthly billing statements. Utilizing both paper mail and electronic delivery systems, we offer multiple avenues for patients to make payments promptly. We understand the importance of clarity in billing statements. Our statements are designed to be simple and straightforward, providing patients with a clear understanding of their financial responsibility. Payment options, including online and phone payments, are prominently displayed.

  • 8. Empathetic Debt Collection Approach:
  • Our approach to medical debt collection is centered around empathy. We have dedicated, trained professionals who understand the sensitivity of the situation and approach patients with care. Our team is committed to assisting patients in navigating their financial responsibilities without compromising their overall well-being. If you have any questions or require further clarification on our financial policies, please contact our dedicated financial services team. Thank you for choosing Next Journey Orthopaedics for your healthcare needs.

  • Payment Option
  • If you have an active Privia patient portal, you have the option to pay online. Click the link below. You will be rerouted to a secure site where you will be asked to provide your account and credit card information.

    Please allow up to three business days for your payment to be posted to your next journey orthopaedics account.

    Please email any questions to financial@nextjourneyortho.net

Billing and Insurance

  • 1. A copy of your Driver's License:
  • 2. Copy of your insurance card (front and back)
  • 3. Complete and accurate information

Sometimes your insurance may still hold you responsible for co-payments, co-insurance, or other deductible amounts. We cannot guarantee coverage of services by your insurance company. Please contact our billing office 571-425-5406 or call your insurance carrier (on the back of your insurance card) should you have questions. If you do not see your insurance listed below, please select the HealthMe option or contact our billing office for more details on other options.

Also, click here to know about HMO

Workers Compensation

Prior to your visit, your employer must authorize all workers' comp claims. When you arrive to your appointment, you need to provide the following information:

  • 1. Workers' compensation claim number and Workers' compensation Company name
  • 2. Authorization Letter stating you are allowed to be seen by Next Journey Orthopaedics or Frederick Scott
  • 3. Date of Injury
  • 4. State of Injury
  • 5. Location of injury on body
  • 6. Adjusters contact information
  • - Name
  • - Phone number
  • - Fax number
  • 7. Employers' information
  • - Address
  • - Company name

DME

Return/Refund

Next Journey Orthopaedics provides Durable Medical Equipment (DME) to patients for their convenience. DME that is provided cannot be returned or refunded due to health and safety guidelines.

Accepted Insurances
  • Aetna Commercial/Medicare
  • Aetna Better Health Maryland, Virginia
  • Amerigroup MD
  • Amerihealth DC
  • Alterwood Health
  • Allegiance - Custom Ink
  • Apostrophe
  • Bright Health
  • CareFirst BCBS
  • CareFirst Community Health Plan of DC
  • ClaimDoc
  • Flume health
  • Maryland Physicians Care
  • Medicaid - District of Columbia
  • Medicare - Virginia
  • Medicare - DC
  • Medicare DME
  • MedStar Family Choice
  • Medstar Select- Commercial
  • Aetna Commercial/Medicare
  • Amerigroup MD
  • Lifeworks Advantage
  • Humana
  • Bright Health
  • Molina Complete Care - Medicaid/Medicare
  • Multiplan/PHCS
  • United Healthcare
  • United Healthcare Community Plan DC/Maryland/Virginia
  • Virginia Health Network
  • Virginia Premier
  • Virginia Premier Elite/Elite Plus
  • Medicaid Maryland
  • Medicaid Virginia
  • Anthem BCBS
  • Humana Military Tricare

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