Robotic Surgery and Robotic Prostatectomy
By utilizing the da Vinci Robot, our physicians are able to re-enact traditional open surgical principals with the highest degree of accuracy and precision.
UROLOGIC
INSTITUTE of NJ
Specialty Center
What to Bring to Your Appointment:
* Your insurance card
* Physicians referral forms if required by insurance
* Pertinent information about your medical and surgical history
* Any recent x-rays or appropriate records you may have
* A list of current prescription, over-the-counter, or herbal medications
you are taking, including dose and frequency
Patient Forms/ Questionnaire Mailings:
New patients will need to fill out information about their health
history and their registration / payment information.
Follow-up patients often need to fill out questionnaires filled
out depending on
the condition being treated.
Please print these forms and fill them out prior to your appointment:
* New patient history
& medication form
* New patient review of system
form
* Prostate symptom
score form (BPH Questionnaire)
* Sexual health inventory
for men (SHIM score)
* Office sexual
questionnaire form
* Incontinence
questionnaire form
* Voiding diary form
* Interstitial cystitis
questionnaire
Hospital Affiliations:
Dr. Jack Vitenson - Hackensack University Medical
Center
Dr. Sergey Rome - Hackensack University Medical
Center, Valley Hospital
Dr. Pedram Ilbeigi - Hackensack University Medical
Center, Valley Hospital, UMDNJ - New Jersey Medical School,
Clara Maass Medical Center, Saint Michael's Medical Center
Dr. Sadeghi-Nejad - Hackensack University Medical
Center, UMDNJ - New Jersey Medical School, Veterans Administration
at East Orange, NJ
Insurance, Payment, Billing Information:
Physicians at the Urological Institute accept Medicare and most
insurance plans. Unfortunately, Medicaid is not accepted.
We provide insurance billing for insurance plans we accept. Anything
not covered by insurance will be your responsibility.
We request payment at the time of your appointment for services
that are not covered by insurance.
Your insurance company may also require you to pay a co-payment
at the time of your appointment; you are fully responsible for
payment of the co-pay before any services are rendered. If there
is a deductible on your insurance policy, you are responsible
to make prompt payment if our office is not reimbursed for services
rendered.
When necessary, our staff will work closely with patients who
require a payment plan.
We accept major credit cards for payment (Visa/MasterCard).
We will automatically bill your insurance carrier for you, and each
month you will receive a statement outlining the activity on your
account if it is active. Our fees are reasonable and are typically
near the 50th percentile for the United States. Please address any
questions concerning specific fees prior to any procedure or testing
that you may undergo. Questions concerning billing, accepted insurances
or professional fees should be addressed to our Accounts Manager during
office hours. Questions regarding your plan's coverage and benefits
should be directed to your employer or insurance company.
What to Bring to Your Appointment:
-
* Your insurance card
* Physicians referral forms if required by insurance
* Pertinent information about your medical and surgical history
* Any recent x-rays or appropriate records you may have
* A list of current prescription, over-the-counter, or herbal medications
you are taking, including dose and frequency
Patient Forms/ Questionnaire Mailings:
New patients will need to fill out information about their health
history and their registration / payment information.
Follow-up patients often need to fill out questionnaires filled
out depending on
the condition being treated.
Please print these forms and fill them out prior to your appointment:
- * New patient history
& medication form
* New patient review of system form
* Prostate symptom score form (BPH Questionnaire)
* Sexual health inventory for men (SHIM score)
* Office sexual questionnaire form
* Incontinence questionnaire form
* Voiding diary form
* Interstitial cystitis questionnaire
Hospital Affiliations:
Dr. Jack Vitenson - Hackensack University Medical
Center
Dr. Sergey Rome - Hackensack University Medical
Center, Valley Hospital
Dr. Pedram Ilbeigi - Hackensack University Medical
Center, Valley Hospital, UMDNJ - New Jersey Medical School,
Clara Maass Medical Center, Saint Michael's Medical Center
Dr. Sadeghi-Nejad - Hackensack University Medical
Center, UMDNJ - New Jersey Medical School, Veterans Administration
at East Orange, NJ
Insurance, Payment, Billing Information:
Physicians at the Urological Institute accept Medicare and most insurance plans. Unfortunately, Medicaid is not accepted.
We provide insurance billing for insurance plans we accept. Anything not covered by insurance will be your responsibility.
We request payment at the time of your appointment for services that are not covered by insurance.
Your insurance company may also require you to pay a co-payment at the time of your appointment; you are fully responsible for payment of the co-pay before any services are rendered. If there is a deductible on your insurance policy, you are responsible to make prompt payment if our office is not reimbursed for services rendered.
When necessary, our staff will work closely with patients who require a payment plan.
We accept major credit cards for payment (Visa/MasterCard). We will automatically bill your insurance carrier for you, and each month you will receive a statement outlining the activity on your account if it is active. Our fees are reasonable and are typically near the 50th percentile for the United States. Please address any questions concerning specific fees prior to any procedure or testing that you may undergo. Questions concerning billing, accepted insurances or professional fees should be addressed to our Accounts Manager during office hours. Questions regarding your plan's coverage and benefits should be directed to your employer or insurance company.
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