General

What are your hours?

Our office staff is available to assist you 8:00am to 5:00pm Monday through Friday.

How do I get in contact with someone in an emergency?

If you are having an emergency, please call 911 or present to your emergency room. We are a specialty office and see patients on an appointment basis only.

Are you Physical Therapists?

Although we do offer physical therapy services, at the core of our practice are our board-certified medical doctors that specialize in Physical Medicine and Rehabilitation, also known as physiatry.

What is a physiatrist?

Physiatrists are physicians with a focus on physical medicine and rehabilitation. In the United States, physiatrists are required to complete four years of medical school, one year of an internship and three years of a residency. Rehabilitation physicians are experts in the neurological and musculoskeletal fields including: nerves, muscle and bones. Our office, therefore, diagnoses and treats injuries, disabling conditions and illnesses that affect how you move, at any period throughout your lifetime. Our goals are to reduce pain and restore function without surgery and to help you stay as active as possible at any age.

Watch the video - Why Physiatry

What kinds of pain and injuries do your doctors usually treat?

  • Neck or back pain
  • Sciatica or radicular pain
  • Sports-related injuries
  • Non-surgical joint or muscle pain
  • Musculoskeletal overuse injuries

What is an EMG/NCV?

Electromyography (EMG) & nerve conduction velocity (NCV) are tests to determine how your muscles and nerves work and if they are functioning correctly and if not, why. If the muscle is not working correctly, it must be decided whether there is a problem with the nerve or the muscle. EMG/NCV testing helps the doctor decide this. Unlike X-rays and MRI’s which are static images, an EMG is one of the few tests we have to show the actual function of the nerves and muscles. If this has been recommended for you, please visit our instruction sheet under special procedures found on the patient resources page.

What is an Epidural Steroid Injection?

An epidural steroid injection is a procedure that can be performed in the office for diagnostic and therapeutic purposes. It involves placing local anesthetic and steroid around an irritated nerve or into the epidural space. If this has been recommended for you, please visit our instruction sheet under special procedures found on the patient resources page.

What is Radiofrequency Denervation/Ablation?

This procedure deactivates minor sensory nerves around the spine. This is done using radiofrequency energy to heat the surrounding tissue and deactivate the nerve fibers that register pain. The doctor will access the affected nerve using fluoroscopy for guidance. Once properly positioned, a special probe then allows for the delivery of radiofrequency energy to the targeted area. The results of this procedure can last from months to years. If this has been recommended for you, please visit our instruction sheet under special procedures found on the patient resources page.

Prescriptions

What do I do if I need a refill on a medication?

Please contact your pharmacy for all medications, except for narcotic pain medications. The pharmacy will then notify us through an electronic system and we will call you when these are available. Our prescription policy is that it takes 24-48 hours to refill a medication, and we do not refill medications on Fridays or the weekends. Please plan accordingly

How long will it take to get my prescription?

Please allow 24-48 hours on prescriptions requests received Monday through Thursday. We do not do refills on Fridays or over the weekend.

Medical Records

How can I be sure of total patient confidentiality?

We take patient confidentiality very seriously. All of our employees are required to sign a patient confidentiality agreement regarding the care of your personal medical information. We have a form that you sign at your first visit that states how we are allowed to disclose, or give out, your protected health information. Please feel free to call the office if you have any questions.

How can I get my medical records?

You can submit a request for medical records by calling us at 303-494-7773 x102 or email at admin@spinewest.com. A document must be signed before we can release medical records to you based on the HIPAA guidelines. Typical turnaround time is less than 24 hours.

If you are requesting your medical records on behalf of an attorney we ask that you please have your attorney mail or fax a formal request to us at 303-494-1104.

Can I walk in and get copies of my medical records?

We would prefer that you make a request ahead simply because it allows us time to get them together and so you don’t have to wait. In most cases, we can have them ready for you the following day. However, if you do walk in and request copies of your records, we will do our best to get them printed for you as quickly as possible.

 

MRI

What kinds of MRIs can you do at Spine West?

  • Spine (Cervical, Thoracic, Lumbar, Sacral)
  • Ankle
  • Foot
  • Hip
  • Knee
  • Lower leg/shin
  • Sacroiliac(SI) Joint
  • Shoulder
  • Wrist

I'm claustrophobic, is your open-sided MRI great for me?

Although our open-sided MRI is a great alternative for those who suffer from claustrophobia, there are simply some instances where it is not enough. For a picture of our MRI machine click here.

We do our very best to make you feel comfortable if you are claustrophobic.

Is there size/weight restrictions for your MRI?

Our open-sided MRI allows for more room than a standard MRI, but you may have trouble fitting if you weigh more than 275lbs. Typically if you are looking for a lumbar spine MRI, if at your widest point which us usually around your belly button, you measure 47 inches or more in circumference, you may not fit in the MRI coil. For extremity MRIs such as shoulders, knees and ankles,  sizing is much less of an issue. Please call our staff to discuss if you feel you may not fit in our MRI.

How much does an MRI cost?

Spine West Open-Sided MRI is the best value in Boulder.

Our self-pay rate is $395 for an MRI without contrast which is the most common. If you need an MRI with contrast, our rate is $520. This, of course, means that you cannot submit the claim to your insurance for benefits if you plan to self-pay and payment must be made at the time of service.

We accept most insurances for our MRI. Keep in mind that if you intend on using your insurance benefits, a pre-authorization may be required. The amount that your insurance allows for an MRI that is performed at Spine West can vary. If you would like to know the rate your insurance allows, please contact our billing office at 303-494-7773 x114.

Insurance & Billing

Who do I call if I have a question about my bill?

The billing office can be reached at 303-494-7773 x 111 or by email at billing@spinewest.com.

Can I walk in and pay my bill?

Yes, you most certainly can. Just come to the front desk and let them know what you need to do. You can also pay your bill over the phone by using your credit card. Just call 303-494-7773 and ask for the billing office. You can also pay your latest statement online via the patient portal.

What health insurances do you accept?

We accept most commercial and governmental health insurance plans and will bill them directly for you but we may or may not be in network with your specific plan. Please contact your insurance provider for details on your coverage. For additional questions and coverage information please visit the Insurance & Billing section of our website.

Do you bill my insurance?

We will gladly bill any insurance. However, we may not be considered a “preferred provider” on your particular plan, which means your insurance may not pay the full amount. You can contact your insurance company (the number should be on the back of your card) to inquire about your specific benefits.

Why do you verify insurance coverage at every visit?

We verify your coverage at every visit because it helps to eliminate billing problems later on. Many times, we may not have seen you in some time, and your insurance company may have changed. We do this with your best interest in mind, because if we did not verify your coverage, you would be responsible for the bill if there were to be a problem with your insurance.

Do I need a referral from another physician?

This depends on your health insurance plan. Most HMOs and EPOs do require a referral, whereas most PPO’s do not. We urge you to check with your insurance company if you are not sure. It is the responsibility of the patient to follow their insurance guidelines regarding referrals if his or her insurance requires it.

Do you take liens?

Unfortunately, we do not accept liens.

Appointments

What are your hours?

Our office staff is available to assist you 8:00am to 5:00pm Monday through Friday.

How do I schedule an appointment?

Please call 303-494-7773 Monday through Friday 8:00am to 5:00pm.

How do I cancel my appointment?

Please call 303-494-7773 Monday through Friday 8:00am to 5:00pm.

You must notify Spine West no later than 12 noon the business day prior to your appointment to change or cancel your appointment.

If notification comes in less time your account will be assessed a $50 cancellation fee. No notification of canceling or rescheduling your appointment will cause a $50 no-show fee to be added to your account.

LAST MINUTE CANCELLATIONS AND NO-SHOWS PREVENT OTHERS FROM GETTING TIMELY SERVICE. THANK YOU FOR YOUR UNDERSTANDING.

How long does it take for me to get in to see a provider?

We make every effort to get our emergent patients in to see a provider as soon as possible. For all routine visits, we are able to offer you the next available office visit. We do have a cancellation list and please let our schedulers know if you would like to be called to possibly come in sooner.

What should I bring to my first appointment?

Prior to your appointment please login to our Patient Portal and complete the medical history form and surgical and allergies form. Also, please bring a copy of your valid insurance card. In addition, if you have any diagnostic imaging studies, such as x-rays, MRI’s or CT scans, these are helpful for your initial appointment.

Do I need to bring my diagnostic images with me when I come to my first appointment?

Yes if possible. The doctors like to see the latest images taken, whether it is x-rays, MRI’s or CT scans. We do not have the ability to connect to most imaging facilities software and therefore it is helpful for you to pick up copies and bring them with you to your first appointment.

If I come earlier than my scheduled appointment time, can I get in to see the doctor earlier?

We cannot guarantee you will get in any earlier simply because we see all scheduled patients first. However, we may occasionally have a cancellation or a no-show, which may allow the provider to work you in earlier than your scheduled time.

If I walk in, can I be seen?

No. We do not have walk in hours. Please call our office number to schedule an appointment.

How long will I have to wait to see the doctor after checking in?

We do our absolute best to make sure you get in to see your provider at the time of your scheduled appointment. Occasionally, however, there are circumstances that may arise, that may cause your Doctor to be running behind schedule. We will, however, make every effort to get you in as quickly as possible and to alert you to any changes in schedule as they happen. If you feel you have waited longer than necessary, please feel free to check with the front desk.

Frequently Asked Questions

Answers to a number of our most frequently asked questions. If you have any questions which are not answered below, please contact our office directly.

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