Registering with a doctor

Registering with a doctor

Getting help for immune-mediated reproductive failure often involves registering with a physician who follows similar protocols to those initially conceived by Dr. Beer.  Two physicians that work closely with the program and have had great success helping women get pregnant and stay pregnant to term are  Dr Trobough and Dr Stricker. These doctors have a combined 50 years of experience treating women with infertility and recurrent pregnancy loss.

I. How to register

1. First, call our office at 408-356-9500.

2. You can choose either Dr. Trobough or Dr. Stricker as your immune specialist at the time you make your appointment for the initial consult.

II. Patient Intake Process

Self-Referral by a Patient

Medical records should be sent for the doctor’s office to review.

Physician Referral
Please send the patient’s medical records for review. Please include the patient’s home address and phone numbers at which the doctor’s office can contact a patient. The patient will be contacted about the doctor’s registration process. When a patient agrees to register with a doctor, medical records will be reviewed and the proper recommendations will be made. The doctor’s office will inform you by letter as treatment progresses regarding future testing and treatment medications. You may need a Medical Release Form to authorize the release of healthcare information from your local doctor.

Evaluation and Treatment Protocol

  1. Your registration packet and/or medical records will be reviewed by your doctor of choice and, based upon the information received, the appropriate testing will be recommended. Please note that there is a record review charge.
  2. After the review, you will be notified by e-mail or phone. The doctor’s staff will go over the testing that the physician has recommended and send you the necessary requisitions.
  3. At the time of the initial appointment, you will have a consultation to discuss the results of the testing and the treatment protocol that the physician is recommending.
  4. All services will need to be paid at the time of the appointment.
  5. If at some point additional evaluations are needed, staff will contact you to set up a follow-up consultation with the doctor to go over your results and any changes in the treatment plan.
  6. After the consultation, a letter will be sent out to your local referring physician to inform him/her of the test results and treatment plan and you will receive a copy of the letter. If you have self-referred, you will be sent two copies of the plan to take to your physician.

Changes to this protocol are made based on the individual needs of the patient. We have found that adhering to this protocol will expedite scheduling appointments and treatment.

III. Consultation Fees

An initial consultation with a doctor runs approximately $600 (USD), with a follow-up consultation running approximately $350 (USD).

Based on initial laboratory testing, a medical history review (registration and/or medical records), and a consultation, patients will receive treatment. The treatment protocol may vary during the course of treatment, as additional services become necessary or listed services are not performed, based on a change in the patient’s condition.

 Professional service fees will be billed by the physician for these services:

  1. Registration and/or medical record review
  2. Each office visit and physician consultation
  3. In-house, phone and/or e-mail follow-up
    consultation(s)
  4. Interpretation of test and management prior to or during conception cycles
  5. Interpretation of test and pregnancy management, including e-mail interpretation and management
  6. Supervision of home care services
  7. Letter for medical appeals and/or letters of medical necessity

Patients should be informed that insurance companies often do not cover the following fees:

Initial Medical Review (depending   on complexity)

$100-300
(typically $125)

Initial Consultation

$600

Follow-up Consultation

$350

Every other month monitoring   charge for active patients

$75

 

IV. Prices for Tests and Treatments

Prices are for the most common tests and treatments conducted by the physician. Professional fees (consultations, office visits etc. are charged separately).

There are several categories of immune problems that can cause pregnancy loss, IVF failures and infertility. This document explains the categories, treatments and success rates of parenthood.

V. Looking for a collaborating doctor?
Please visit Reproductive Immunology Support at Yahoo Groups and the Reproductive Immunology Support resources page.

VI. Questions

General questions should be emailed to us at: info (at) repro-med.net.