We look forward to meeting you
(Our address at bottom of this page)
We are back in the office.
We lost power at home for five days and I feel for all of you that were in the same boat or even worse still dealing with power outage.
We will be calling to reschedule patients this week when everyone can get back to the office.
I will be opening extra hours this week to get patients taken care of due to weather cancellations.
Regarding UNITED HEALTHCARE:
In 2023 I need to make a tough decision about if I can continue to stay in-network with UNITED HEALTHCARE.
With marked inflation and increased staffing costs to pay my team a living wage and their health insurance premiums it's time to look at new models to best care for my patients and my team members.
Insurance carriers have been unwilling to negotiate fee schedules. There is never a cost-of-living increase, in fact insurance companies usually decrease reimbursement if anything like we are now seeing with Medicare for reimbursement in 2023.
SO, WHAT CAN YOU DO IF YOU HAVE UNITED AS YOUR INSURANCE?
Call your HR person. Ask them to have someone from United reach out to me.
I have been unsuccessful finding anyone at United Provider relations willing to negotiate. They pretty much just tell me to terminate the contract.
I will keep you informed about my decision by the end of January.
Hopefully someone reaches out.
I can still see you out of network and file your claims for you even I am out of network with United or any other insurance company.
Prices are listed on my website. I hope to continue to be your physician despite what happens.
Thanks, and together maybe we can make the system better now and in the future!
(Read that NYT article on hair loss? Look below for my inaugural blog on the topic.)
REGARDING WAITING FOR SKIN EXAMS:
Please know we are working extra hours to take care of everyone.
We are prioritizing acute rashes, lesions at risk for skin cancer and other urgent needs.
I appreciate your patience and understanding.
THREE NOTES ON SKIN CANCER SCREENING EXAMS:
1) Do you need one? A lot of people don't.
But we do need to promptly evaluate lesions that change or are unusual.
Per CDC web site,
"The U.S. Preventive Services Task Force (USPSTF) has concluded there is not enough evidence to recommend for or against routine screening (total body examination by a doctor) to find skin cancers early. This recommendation is for people who do not have a history of skin cancer and who do not have any suspicious moles or other spots. Report any unusual moles or changes in your skin to your doctor. Also talk to your doctor if you are at increased risk of skin cancer."
2) A skin cancer screening exam is to screen for cancers and educate you about your cancer risks/how to reduce risks.
It is a complex visit that requires concentration and careful charting. They take extra time both in the office and after you leave the office.
If you have other skin issues/questions we will need to schedule another visit for the problems not related to the screening. Please be respectful of this as we are attending to the needs of all our patients.
3) I am booked out a few months for screening exams.
It is OK but if you have a concerning lesion, we will get you in within 2 weeks. See note below about how to reach me if you have trouble booking and you are concerned about a cancer.
WHAT I WANT YOU TO KNOW ABOUT SKIN CANCERS:
80% of melanomas are new so they usually come up between "screenings".
It is important that you know the red flags. If any lesion on your skin (especially if new) is black, itches for more than a month, changes over weeks to months or is an "ugly duckling" that looks different I need to see you within 2 weeks.
Basal cell and squamous cell skin cancers are most common, also are new and high-risk areas are head/neck areas.
Many people say they, "looked like a pimple" when they first appeared. So, if a "pimple" or "blemish" or "scratch" does not go away in 60 days I need to see it within 30 days. If it is growing quickly, I need to see you within 14 days.
SO HOW CAN YOU REACH US IF YOU NOTICE SOMETHING UNUSUAL OR CHANGING?
Please call us at 512-302-4047 and my team will get you in within 1-2 weeks depending on your flexibility.
You can also send us an email any time in the "Contact Us" section at bottom of this page and we will call you to schedule.
IF YOU ARE HAVING TROUBLE BOOKING FOR A VERY URGENT MATTER
(LIKE A CONCERN FOR SKIN CANCER)
You can send me a TEXT at 512-799-7681 and I will work with my team to get you taken care of in a timely fashion.
**But please always call the office or send email first and do not send any photos to this number.**
COVID 19 (and 20 and 21 and 22 and now 23) POLICY
If you OR a household member have:
-BEEN EXPOSED TO ANYONE THAT TESTED + TO COVID 19 or SUSPECTED + FOR COVID 19 IN THE LAST TWO WEEKS
-EXPERIENCED TEMP > 100F . LOSS OF SMELL OR TASTE, NASAL CONGESTION OR HEAD COLD SYMPTOMS IN THE LAST TWO WEEKS
-COUGHING, OR SHORTNESS OF BREATH IN THE IN THE LAST 14 DAYS.
-DIARRHEA, VOMITING, NAUSEA, BELLY PAIN IN THE LAST 14 DAYS
Please reschedule your appointment for 30 days out or change to telemedicine visit.
DiamondGlow™. Experience skin that feels and looks luminous, nourished, and renewed. A next-level skin resurfacing technology that does more than just skim the surface.
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1600 West 38th Street, suite number 315, Austin, TX 78731, US
Phone number: (512) 302-4047
Monday - Friday: 9:00am - 5:00pm
Monday -Friday : 9am-12:30 and 1:30-5pm
Copyright © 2023 Dr. Dano Dermatology - All Rights Reserved.