- Friendly Staff
- Wait Time
- Appropriate Followup
- Spends Time With Me
- Bedside Manner
- Accurate Diagnosis
- Easy Appointments
Share Your Experience
Have you seen Dr. Richard Legouri?
Posted on June 30th, 2017
Posted on February 21st, 2014
Charged my insurance co. for a surgery, even though he just looked at a x-ray that we brought in and said it was a fracture and told us to get a "boot"
Our office makes every effort to follow the current coding practices for reporting medical services as dictated by the Federal government and the Insurance industry. These regulations can be quite complicated and generate many questions from our patients. We provide a handout at the checkout desk to explain specific situations. A fracture "broken bone" or dislocation is most often diagnosed by x-ray and can vary greatly in severity and treatment options. Most people consider “surgery” as something done in the operating room by a surgeon with a scalpel. For billing and insurance coding purposes, all fractures are considered “surgery”. They are subject to special "Surgical Package” rules, regardless of whether these services were provided at the hospital, operating room, or in the office. An Insurance claim for fracture or dislocation care will typically appear as follows: 1) An Exam at the documented level for diagnosis and decision about: the best treatment options 2) An X-Ray often is used to diagnose the fracture and/or a post fracture, treatment x-ray to ensure proper alignment 3) A Fracture or Dislocation Code will be assigned based on the site, type of fracture and whether' the' treatment is closed or open. Open treatment for all fracture is, most often performed in an operating, room at the hospital. Closed treatment is, usually performed at the Emergency Room or in the Physician’s Office. However, all fracture treatment is, considered "major surgery" and will often times be reported as surgery on your insurance, company Explanation of Benefits. 4) The Cast Application (if required) for the Initial work of applying the cast is included in the above Fracture code, at no charge. Subsequent applications are separately reportable and billable. 5) Cast Supplies (if required) are reported separately to the cast application and are billable 6) Subsequent Fracture or Dislocation care: Most "routine fractures/dislocation" will require several post operative visits which are included at no charge in fracture/dislocation “surgical” fee if related to the same diagnosis. Subsequent X-Rays, Cast Application and Supplies are separately billable. The post op period for most fractures/dislocations are 90 days from the initial treatment. During this time, there is no charge for additional visits, regardless of how many are needed! This may vary depending on the type of fracture. Some fractures/dislocations may need additional surgery, procedures or physical therapy that are not included in the fracture fees. These are the special rules we all are required to use to report those services. This is not our choice. Insurance coverage and payment amounts vary greatly by payer. If you have any questions about your particular coverage, it is best to check with your company's representative. Please do not hesitate to call us at 631-474-0008 if' we may answer any additional questions.
Dependable -down to earth-
Posted on February 10th, 2012
My family have used Dr. Legouri for many different accidents and injuries. Never a problem. Always a smile .Thanks Dr. Legouri
Posted on May 11th, 2008
My elderly mother broke her hip and Dr. Legouri did a wonderful job in easing our anxiety over the situation. We have never had to wait more than 15 minutes for our appointments.
Posted on August 22nd, 2017
Posted on June 30th, 2017
Posted on October 17th, 2016
Posted on July 7th, 2016
Posted on February 6th, 2016
Posted on October 24th, 2015
Posted on January 15th, 2015
Dr. Richard Legouri is similar to the following 3 Doctors near Port Jefferson, NY.
- Back Pain Get the facts about back pain, including the symptoms and causes.
- Carpal Tunnel Syndrome Facts about carpal tunnel syndrome, including the causes and symptoms.
- Dupuytren's Contracture Dupuytren’s contracture is a thickening of the tissue in your hand
- View All Care Guides Prepare for your next visit with our extensive library of Care Guides