About Us
BOOK APPOINTMENTThe beginning
CardioCare was founded in 2007 when a number independent, forward-thinking cardiologists in the area came together to form one practice. Since then, we have expanded the number of board-certified cardiologists in our ranks and now occupy 5 offices throughout the region. This growth has allowed us to further our mission of excellent, patient-centered, and accessible cardiac care.
Our diagnostic center is conveniently located at the CardioCare facility
Our in-office diagnostic centers incorporate the latest technology for all aspects of cardiac care. We use the latest techniques and technologies to provide fast, accurate, and same-day test results.
Referral Policy
Certain health insurance plans require that you obtain a referral authorization from your Primary Care Physician (PCP) prior to receiving care from a specialist’s office such as ours. If your plan is one of these and you were unable lo provide a referral at the time of service, you can still be seen. However, you will have until the end of the business day to get a referral to us. If we do not receive the referral within that time, the cost of the visit becomes your responsibility.
The written referral should include the following:
- Your name and insurance plan membership number
- The name of the physician you will be seeing
- The type of visit or testing authorized by your PCP
- The time frame for the authorization
- The number of visits authorized
The referral can be faxed to 301-654-4237.
Prescription Policy
It is the policy of CardioCare to assist patients in prescription maintenance and requests. A dedicated prescription line is available to patients and will be managed daily to ensure a timely turnaround. Requests will be handled as quickly as possible with a commitment to respond within 48 hours.
- The nurses and medical assistants will manage the prescription requests.
- Pharmacists and patients will have access to Cardiocare’s dedicated prescription line. Pharmacists may also fax pharmacy requests to 301-654-3761. Requests for mail in and internet pharmacy will be managed as needed.
- Throughout the day an assigned nurse will remove the requests from the dedicated prescription line, attend to faxes and patient requests. Nursing staff will then secure physician approval and order after which the prescription will be called in or faxed to the pharmacy. In some instances, the patient may elect to come to the office to pick up the prescription or have the prescription mailed to their home.
- Prescription requests must include the patient name and date of birth, the medication required and the ordering physician. The pharmacy telephone number and/or fax number, or mailing address must be included.
- All prescriptions will be called in or written on a physician order form.
Payment Policy
Patient Financial Responsibility:
The patient (or patient’s guardian, if a minor) is ultimately responsible for the payment for his or her treatment and care.
We are pleased to assist you by billing our contracted insurers. However, the patient is required to provide us with the most correct and updated information about their Insurance, and will be responsible for any charges incurred if the information provided is not correct or updated.
Patients are responsible for the payment of copays, coinsurance, deductibles, and all other procedures or treatments not covered by their insurance plan. Payment is due at the time of service, and for your convenience, we accept cash, check, and most major credit cards at our office.
Patients may incur, and are responsible for the payment of additional charges at the discretion of CardioCare LLC. These charges may Include (but are not limited to):
- Charge for returned checks
- Charge for missed appointments without 48 hours notice
- Charge for extensive forms completion
- Any costs associated with the collection of patient balances
Payment Plans:
CardloCare LLC will offer payment plans for patients with balances higher than $100 by agreeing to allow CardioCare LLC to charge your credit or debit card every 30 days for the agreed upon installments. You can change the monthly debit date as needed by contacting the Billing Office at least 48 hours prior to the debit date.
Cancellation / No Show Policy
We understand that there are times when someone will miss an appointment due lo emergencies or obligations for work or family. However, when patients do not call to cancel an appointment and return the time slot to us, they may be preventing other patients from getting needed appointments and treatment. The person in need who gets left out could be you!
If an appointment is not cancelled at least 48 hours in advance, you will be charged the following no show fees:
- $50 for an office visit
- $150 for echo or ultrasound studies
- $250 for nuclear studies
We understand that special, unavoidable circumstances may cause you to cancel within 24 hours. Fees in this instance may be waived, but only with management/physician’s approval.
Our practice firmly believes that a good physician/patient relationship is based upon understanding and open communication. Questions about cancellation and no show fees should be directed to the Billing Department at 301-656-5050, option 5).
Privacy Policy
As part of my healthcare, CardioCare, LLC originates and maintains paper and/or electronic records describing my health history, symptoms, examination and test results, diagnoses, treatment, and/or any plans for future care or treatment. I understand that this information serves as:
- A basis for planning my care and treatment,
- A means of communication among the many health professionals who contribute to my care,
- A source of information for applying my diagnosis and surgical information to my bill, · A means by which a third-party payer can verify that services billed were actually provided, and
- A tool for routine healthcare operations such as assessing quality and reviewing the competence of healthcare professionals.
I understand and, at my request, a Notice of Information Practices can be provided that provides a more complete description of information uses and disclosures. I understand that I have the following rights and privileges:
- The right to review the notice prior to signing this consent, and
- The right to request restrictions as to how my health information may be used or disclosed to carry out treatment, payment, or health care operations.
I understand that CardioCare, LLC is not required to agree to the restrictions requested. I understand that I may revoke this consent in writing, except to the extent that the organization has already taken action in reliance thereon. I also understand that by refusing to sign this consent or revoking this consent, this organization may refuse to treat me as permitted by Section 164.506 of the Code of Federal Regulations.
I further understand that CardioCare, LLC reserves the right to change their notice and practices and prior to implementation, in accordance with Section 164.520 of the Code of Federal Regulations. Should CardioCare, LLC change their notice, they will send a copy of any revised notice to the address I’ve provided (whether U.S. mail or, if I agree, email). I understand that I can restrict the use or disclosure of my health information.
Comprehensive Insurance List
INSURANCE CO. | PARTICIPATE? | ADDITIONAL INFO | IMAGE OF THE CARD |
AARP | Yes | Secondary plan only | |
Advantage MD-Johns Hopkins | No | Medicare replacement plan | |
Aetna | Yes | Prior auth required for diagnostic studies, referrals required w/ HMO policies | |
Amerigroup DC | Dr. Marshall only | DC Medicaid | |
Amerigroup MD | Dr. Marshall only | MD Medicaid | |
APWU –Cigna | Yes | American postal workers union | |
Assurant Health | Yes | ||
Bankers Life | Yes | Typically second to Medicare | |
BCBS Horizon of New Jersey | No | ||
Carefirst BCBS (Local) | Yes | 3 letter alpha prefix followed by 9#s | |
Carefirst BCBS Federal | Yes | R followed by 9#s | |
Carefirst Administrators | Yes | Says “Administrators” at the top of the card.. also group# is the same as the alpha prefix | |
Carefirst Network Leasing | Yes | Prefix is A and 2 numbers located in the middle of the card.. Union info in the top right corner. | |
Cigna | Yes | Prior auth required for diagnostic studies, referrals required w/ HMO policies – AKA: Connecticut General | |
Cigna Connect | NO | Please note that we do not participate with the connect network | |
Continental Life | Yes | Part of the Aetna Network | |
Coresource | Yes | Could be w/ Aetna, PHCS or Multiplan | |
Coventry Health Plan | Yes | ||
DC Medicaid | Dr. Marshall Only | ||
Desert Mutual | Yes | United Healthcare network | |
Felra/UFCW | Yes | ||
Foreign Service Benefit plan | Yes | Now under the Aetna network, but refer to the card for claims mailing address | |
GEHA | Yes | Prior auth for Nuclears and Caths –bill through United healthcare Shared Service, unless secondary to Medicare | |
Golden Rule | Yes | Part of the UHC network | |
GPM Life | Yes | ||
Guaranteed Trust Life | Yes | ||
HealthNet Federal/Tricare | Yes | ||
Humana | Yes | Prior auth required w/ diagnostic studies | |
Johns Hopkins | No | Non-par even when it says Tricare | |
Kaiser | No | ||
KPIC –PHCS | Yes | PHCS network | |
Loomis | Yes | ||
Maryland Physicians Care | Yes | ||
MD Medicaid | Secondary Only | ||
MDIPA/Opt Choice | Yes | Referral required – UHC network | |
Medicare | Yes | ||
Medicare Railroad | Yes | ||
MedStar Family Health | No | ||
Meritan Health | Yes | Aetna network | |
Mutual of Omaha | Yes | ||
NALC | Yes | National Association of Letter Carriers -Cigna Network | |
NCAS | Yes | ||
Oxford | Yes | UHC network | |
Physicians Mutual | Yes | ||
Priority Partners | No | ||
Samba | Yes | Cigna network | |
Student Resource | Yes | UHC network – make sure pt is covered for the school year – also may require referral from student medical center | |
The mail handlers benefits | Yes | Aetna network | |
UMR | Yes | UHC network | |
United Healthcare | Yes | Prior auths for diagnostic studies – referrals for HMO policies | |
USAA | Yes |