Compassionate care since 1954
Bay Valley Medical Group BVMG Offices
   
Patient Information

Regulatory Policies

Utilization Management Affirmation Statement

Bay Valley Medical Group’s utilization management decision making is based only on appropriateness of care and service and existence of coverage. Bay Valley Medical Group does not specifically reward practitioners or other individuals for issuing denials of coverage or service care.  Bay Valley Medical Group does not offer financial incentives to utilization management decision makers that encourage decisions that result in underutilization.

Bay Valley Medical Group’s medical program description, policies, or practitioner contracts do not contain language indicating improper utilization incentive programs. Terms under which practitioners may be entitled to a bonus or incentive pay cannot influence practitioner’s decisions to withhold, delay, or deny necessary service.

  • UM decision making is based only on appropriateness of care and service and existence of coverage.
  • The medical group does not specifically reward practitioners or other individuals for issuing denials of coverage or service care.
  • The medical group does not offer financial incentives to UM decision makers that encourage decisions that result in underutilization.
  • Practitioners are ensured independence and impartiality in making referral decisions that will not influence:
    • Hiring
    • Compensation
    • Termination
    • Promotion
    • Any other similar matters

Notice of Privacy Practices

Patient Rights & Responsibilities
These are your rights and responsibilities as a patient of Bay Valley Medical Group
Patient Rights

• Right to be treated with dignity, respect and courtesy.
• Right to receive information about Bay Valley Medical Group’s services, providers and patient rights and    responsibilities.
• Right to participate in the selection of your primary care physician.
• Right to be allowed privacy and confidentiality regarding your treatment and consultation.
• Right to be allowed privacy and confidentiality regarding your medical records. No information will    be released without your written consent.
• Right to participate in decision-making regarding your health care. The right to ask questions, discuss and    receive clear information from your physician regarding your health status and appropriate or medically    necessary treatment options – regardless of cost or benefit coverage.
• Right to make recommendations regarding Bay Valley Medical Group’s patient rights and responsibilities    policy.
• Right to express your grievances/complaints or appeals about Bay Valley Medical Group, or the care    provided, to the customer service department, to your health plan and/or to other regulatory agencies.

Patient Responsibilities

• Responsibility to treat Bay Valley Medical Group staff and physicians with dignity, respect and courtesy.
• Responsibility to supply information that Bay Valley Medical Group and its providers need in order to care    for  you.
• Responsibility to know your health plan benefits.
• Responsibility to be prepared with questions and a list of your prescriptions at the time of your office visit.
• Responsibility to understand your health problems and participate in developing mutually agreed upon    treatment goals, to the degree possible. 
• Responsibility to follow the plans and instructions for care that you have agreed upon with your provider.
• Responsibility to notify Bay Valley Medical Group of any changes to your personal information, such as    name,  address, phone number, employment, births, deaths, or marital status.
• Responsibility to provide us with advance notice (24 hours preferred) when you must cancel an    appointment.
• Responsibility to provide us with feedback and to let us know how we can improve upon our care and    service.
 
Copyright © 2012 - BAY VALLEY MEDICAL GROUP - All rights reserved