HAND AND MICRO ASSOCIATES

We are pleased that you will be having your surgical procedure with us, and are confident that you will have the very best surgical experience possible.

Office visits

Private Insurance

We currently accept insurance from these companies:

  • Aetna – OhioHealth Employees only
  • Anthem BC/BS not in network for Member ID beginning with YRA, YRE, or YRS
  • BWC
  • Department of Labor
  • Medical Mutual
  • Medicare
  • NGS-OSU Primecare
  • OSU Student Health
  • United Health Care

What do you need to bring (New patient)?

Insurance- Please call a billing specialist at Hand and Microsurgery Associates to input insurance and benefit information at 614-262-4263 (HAND)

  • Bring all previous evaluations. Imaging (X-rays and radiology reports) and records.
  • Bring Identification (i.e. Driver’s License)
  • Primary Care physician contact information
  • How did you find us? (referral source)
  • Job Expectations
  • FMLA/Disability paperwork
  • List of medication
  • Medicare documentation requirement
  • Expect visit to last 2 to 4 hours to allow time for imaging, physician evaluation and possible therapy intervention.
  • Please give at least a 24 hour notice for any cancellation. There is a $50.00 cancellation fee for all no-shows and cancellations less than 24 hours before set appointment

What do you need to bring (Established Patient)?

  • Update Billing office with current insurance information by calling 614-262-4263 (HAND)
  • Update Primary Care Physician contact information
  • How were you referred to us?
  • Job Expectations
  • Update FMLA/Disability paperwork
  • Update List of medication
  • Update Medicare documentation requirement
  • Expect visit to last 2 to 4 hours to allow time for imaging, physician evaluation and possible therapy intervention.
  • Please give at least a 24 hour notice for any cancellation. There is a $50.00 cancellation fee for all no-shows and cancellations less than 24 hours before set appointment.

Bureau of Workers’ Compensation (New patient)

  • Expect visit to last 2 to 4 hours to allow time for imaging, physician evaluation and possible therapy intervention.
  • BWC claim # and allowed ICD-9 codes
  • Claim status
  • Previous evaluations
  • Previous imaging
  • Physician of record contact info
  • How did you find us? (Referral source)
  • Employer name and contact information
  • Job description
  • MEDCO-14
  • Disposition for Return to Work or Restrictions
  • List of medications
  • BWC documentation requirement
  • Please give at least a 24 hour notice for any cancellation. There is a $50.00 cancellation fee for all no-shows and cancellations less than 24 hours before set appointment.

Bureau of Workers’ Compensation (Established Patient)

  • Expect visit to last 2 to 4 hours to allow time for imaging, physician evaluation and possible therapy intervention.
  • Update claim number and approved ICD-9 codes
  • Claim status
  • recent evaluations
  • recent images obtained at outside facility
  • update physician of record contact info
  • new problem or continuity of previous evaluation
  • employer name and contact info
  • job description
  • update MED-14 and work restrictions
  • disposition for Return To Work or restrictions
  • change in medications
  • BWC documentation requirement
  • Please give at least a 24 hour notice for any cancellation. There is a $50.00 cancellation fee for all no-shows and cancellations less than 24 hours before set appointment.

SELF-PAY (New patient)

  • Expect visit to last 2 to 4 hours to allow time for imaging, physician evaluation and possible therapy intervention.
  • Contact our billing specialist for payment requirements.
  • estimate cost/down payment/payment plan
  • previous evaluations
  • previous imaging
  • primary care physician contact info
  • referring facility
  • employer name and contact info
  • job description
  • work restrictions
  • disposition for Return To Work or restrictions
  • Please give at least a 24 hour notice for any cancellation. There is a $50.00 cancellation fee for all no-shows and cancellations less than 24 hours before set appointment.

SELF-PAY (Established patient)

  • Expect visit to last 2 to 4 hours to allow time for imaging, physician evaluation and possible therapy intervention.
  • Contact our billing specialist for payment requirements.
  • Bring outside evaluations
  • Bring previous imaging from outside facilities
  • Update primary care physician contact info
  • Referral source contact information
  • Update employer name and contact info
  • Update job description
  • Update work restrictions
  • Update Disposition for Return To Work or restrictions
  • Please give at least a 24 hour notice for any cancellation. There is a $50.00 cancellation fee for all no-shows and cancellations less than 24 hours before set appointment.

Surgery - PRE OPERATIVE PATIENTS

Personal Requirements

  • Please contact our billing specialist to discuss billing expectations and understand global time period for your surgery.
  • Day of surgery must bring: Driver’s license, insurance card, deductible, co-payment and/or co-insurance. Please bring a valid form of payment with you. Our billing specialist can assist you with this. Please call or meet with them the day you decide to schedule surgery.
  • Must have an adult (18 years or older) drive you home from the facility unless you are only using a local anesthetic. Any other form of anesthesia requires another person over 18 years old to drive you home after your procedure. (See types of anesthesia below)
  • review list of medications which must be discontinued prior to surgery (link to medication list)
  • nothing to eat at midnight the night before surgery
  • You may take daily necessary medications the morning of surgery with a sip of water
  • Actions which will result in cancellation of your surgery are:
  • Confirm date and time and location of follow-up
  • Confirm with physician immediate limitations of operated extremity.
  • Cancellation policy: If you cancel your surgery with less than a 72 hour notice there will be a $300.00 fee.

Medical Requirements

Types of Anesthesia

Check Anesthesia requirements

  • Local: Able to drive to and from surgery (no driver needed)
  • Monitored Anesthesia Care (MAC): Requires an adult (over 18 years old) driver and must have 24 hour supervision post-surgery.
  • Regional Anesthesia: Requires an adult (over 18 years old) driver and must have 24 hour supervision post-surgery.
  • General Anesthesia: Requires an adult (over 18 years old) driver and must have 24 hour supervision post-surgery.
  • No driving for 24 hours after anesthesia or while taking narcotic medication for pain.

Overnight Accommodations

If you choose to stay overnight there are several local hotels to choose from.

  • Cambria Suites
    9100 Lyra Drive
    Columbus, Ohio 43240
    614-841-9100
  • Hilton
    8700 Lyra Drive
    Columbus, Ohio 43240
    614-885-1600
  • Hilton Garden Inn
    8535 Lyra Drive
    Columbus, Ohio 43240
    614-846-8884
  • Candlewood Suites
    8515 Lyra Drive
    Columbus, Ohio 43240
    614-436-6600
  • Comfort Inn
    8400 Lyra Drive
    Columbus, Ohio 43240
    614-791-9700

Return to Work

  • Provide complete job description
  • Receive an estimate from your physician about when you may return to work.
  • Obtain FMLA/Disability paperwork
  • Provide contact information of employer Human Resources.

Financial

Check our Financial information

  • Patient must bring: Driver’s license, insurance card, deductible, co-payment and/or co-insurance. Please bring a valid form of payment with you. Our billing specialist can assist you with this. Please call or meet with them the day you decide to schedule surgery.
  • Cancellation policy: If you cancel your surgery with less than a 72 hour notice there will be a $300.00 fee.

Surgery - POST-OPERATIVE PATIENTS

Immediate expectations

  • Dressing: May show some minor drainage. That is normal. Your physician will inform you if you can remove the bandage before your follow up appointment.
  • Care after anesthesia:
    • Local: Able to drive to and from surgery (no driver needed)
    • Monitored Anesthesia Care (MAC): Requires an adult (over 18 years old) driver and must have 24 hour supervision post-surgery.
    • Regional Anesthesia: Requires an adult (over 18 years old) driver and must have 24 hour supervision post-surgery.
    • General Anesthesia: Requires an adult (over 18 years old) driver and must have 24 hour supervision post-surgery.
    • No driving for 24 hours after anesthesia or while taking narcotic medication for pain.
  • Elevation: After surgery, keep elbow above heart and hand above elbow regardless of anesthesia type used during procedure.
  • Ice or Heat? If you had a regional block or extremity is still numb due to anesthesia, DO NOT USE ICE. Never use heat.
  • After 24 hours patient may return to discontinued medications.
  • Please provide patient’s contact information to our office for emergent/urgent questions regarding your surgery.
  • Resume eating with a light diet and slowing progress to a normal diet as tolerated.
  • Pain Medication.
    Local anesthesia: Start pain medication 4-6 hours after surgery.
    Regional anesthesia: Start pain medication 4 to 6 hours after surgery and continue every 6 hours until numbing medication wears off.
    General Anesthesia: Start pain medication 4-6 hours after you leave the facility and take as instructed by your physician.

What to expect the next few days after surgery

  • Elevation: After surgery, keep elbow above heart and hand above elbow regardless of anesthesia type used during procedure.
  • Move your shoulder to prevent stiffness
  • Regional Block users: A sling is not necessary after your block wears off.

Dressing

  • Follow post op instructions.

Hand Therapy

Check Hand and Arm Therapy Specialists

  • Our therapy is provided in our facility, but is a separate company. It is important to know your financial obligations. Please contact our billing specialist for information.
  • Compliance is imperative for satisfactory outcomes.
  • Bring all splints and dressing materials to all appointments.
  • Patient’s physician will collaborate with the therapist on a regular basis.
  • It is very important to complete the home therapy to take full advantage of therapy and to receive optimal results.
  • Splint adjustments are common and necessary to remain effective. Most splints are custom made within therapy
  • Therapists will inform patients on how and where to obtain supplies for dressings and aftercare.
  • Patient should obtain contact information for therapist incase questions arise. The patient is welcome to call anytime for guidance.

Second Opinion-How to prepare

Private Insurance

  • Expect visit to last 2 to 4 hours to allow time for imaging, physician evaluation and possible therapy intervention.
  • Be able to provide the reason you are seeking a second opinion.
  • Provide insurance contact HMA billing specialist to input insurance and benefit information.
  • Provide previous evaluations and imaging
  • Provide primary care physician contact information
  • Provide referring physician or facility information
  • Provide Job expectations
  • Provide list of medications
  • Provide documentation for Medicare
  • Hand Therapy may be necessary. Please note that this is a separate company.
  • Things to expect
    • Complete diagnosis
    • Treatment options
    • Options may include: splints, medications, injections, therapy or surgery.

Bureau of Worker’s Compensation

  • Expect visit to last 2 to 4 hours to allow time for imaging, physician evaluation and possible therapy intervention.
  • Be able to provide the reason you are seeking a second opinion.
  • Provide BWC claim # and allowed ICD-9 codes
  • Provide claim status
  • Provide previous evaluations
  • Provide previous imaging
  • Provide physician of record contact info
  • Provide referring facility
  • Provide employer name and contact info
  • Provide job description
  • Provide previous restrictions and who provided these
  • Provide disposition for RTW or restrictions end date
  • Provide list of medications
  • Provide BWC documentation requirement
  • Provide Primary Care Physician contact information
  • Hand Therapy may be necessary. Please note that this is a separate company.

Self-Pay

  • Expect visit to last 2 to 4 hours to allow time for imaging, physician evaluation and possible therapy intervention.
  • Be able to provide the reason you are seeking a second opinion.
  • Please contact our billing specialist at 614… to know your financial obligations which include cost of initial evaluation (MD/CNP) , radiographs, and possibly meeting with a therapist.
  • Provide previous evaluations
  • Provide previous imaging
  • Provide primary care physician contact info
  • Provide referring facility
  • Provide employer name and contact info
  • Provide job description
  • Provide work restrictions
  • Provide disposition for RTW or restrictions
  • Provide list of medications
  • Hand Therapy may be necessary. Please note that this is a separate company
  • Things to expect
    • Complete diagnosis
    • Treatment options
    • Options may include: splints, medications, injections, therapy or surgery.

Types of Anesthesia

Local

  • patient may drive to and from surgery
  • patient will require no post-operative observation
  • the anesthetized area will resolve in 6-12 hours (sometimes the anesthetic lasts longer)

Regional

  • patient requires sedation and will require a driver over the age of 18 (not him or herself)
  • patient requires 24 hours of family or friend over the age of 18 for observation
  • the anesthestized area will resolve in 6-12 hours (sometimes the anesthestic lasts longer)
  • the anesthetized extremity may feel warmer than other areas and have a darker red to increase blood flow
  • the anesthetized area should have normal capillary refill and turgor
  • nausea may occur due to the anesthetics used for sedation or the narcotic pain medicine
  • nausea is common and an anti-nausea medication can be prescribed (antiemetic)
  • take the antiemetic medication 30 minutes prior to the narcotic pain medicine
  • surgery requiring a regional anesthetic should begin taking pain medicine prior to resolution of the “block”

General

  • patient requires sedation and will require a driver over the age of 18 (not him or herself)
  • patient requires 24 hours of family or friend over the age of 18 for observation
  • the anesthestized area will resolve in 6-12 hours (sometimes the anesthestic lasts longer)
  • the anesthetized extremity may feel warmer than other areas and have a darker red to increase blood flow
  • the anesthetized area should have normal capillary refill and turgor
  • nausea may occur due to the anesthetics used for sedation or the narcotic pain medicine
  • nausea is common and an anti-nausea medication can be prescribed (antiemetic)
  • take the antiemetic medication 30 minutes prior to the narcotic pain medicine

Overnight of Accommodations

If patients choose to stay overnight there are options

  • Cambria Suites
    9100 Lyra Drive
    Columbus, Ohio 43240
    614-841-9100
  • Hilton
    8700 Lyra Drive
    Columbus, Ohio 43240
    614-885-1600
  • Hilton Garden Inn
    8535 Lyra Drive
    Columbus, Ohio 43240
    614-846-8884
  • Candlewood Suites
    8515 Lyra Drive
    Columbus, Ohio 43240
    614-436-6600
  • Comfort Inn
    8400 Lyra Drive
    Columbus, Ohio 43240
    614-791-9700

Return to Work

What to do?

  • Please consult your physician at first office appointment to discuss when returning to work is optimal.
  • Please provide human resource contact information for your employer. Hand and Microsurgery Associates staff will contact your employer for streamline communication.