Schedule an appointment

To schedule a consult visit
To schedule an appointment with a sleep or pulmonary specialist, call 248-465-9253 (WAKE). Our staff will assist you in scheduling a visit within one week.
Our office hours are Monday thru Friday 9 AM to 5 PM. Please call to check on availability at other times.

To schedule a sleep study
Nighttime sleep studies (polysomnograms) are scheduled 7 nights per week. Portable home sleep studies are scheduled Monday thru Friday. Special circumstances may permit for a weekend pick up or drop off for the home sleep study machine. If indicated, these tests may be scheduled by our sleep specialist after meeting the patient in consultation.

To schedule pulmonary function testing
Pulmonary function testing may be scheduled from Monday thru Thursday from 10 AM to 4 PM. A prescription from a physician is required. To schedule pulmonary function testing, call 248-465-9253 (WAKE).

Cancellation and No Show Policy

Our goal is to provide quality individualized medical care. "No-shows" and late cancellations inconvenience those individuals who need access to medical care in a timely manner. Starting January 8, 2018, we will be enforcing cancellation/missed/no show fees. This policy enables us to better utilize available appointments for our patients in need of medical care.

Cancellations
We know that your time is valuable and that there may be special unavioidable circumstances that may cause you to cancel, however in order to be respectful of the medical needs of other patients, please be courteous and call our office at 248-465-9253, to cancel your appointment.

We ask that if you must change or cancel an appointment, please notify us no less than 24-hours (1 business day) from your scheduled appointment. For example, if your appointment is on Wednesday at 2 p.m., it must be cancelled no later than Tuesday at 2 p.m.

Missed/No Show Appointments
We understand that occasional missed appointments can occur for a variety of reasons. A "No Show/Late Cancellation" is defined as missing an appointment without cancelling.

Cancellation/Missed/No Show Appointment Fee

1. Office appointments which are cancelled with less than 24 business hours or no show will be subject to a twenty-five-dollar ($25.00) cancellation fee.
2. Diagnostic appointments
   • In lab sleep study (polysomnogram) with notice of less than 24 business hours or no show will be subject to a one hundred-dollar ($100.00) cancellation fee.
   • Overnight home sleep apnea test with notice of less than 24 business hours or no show will be subject to a sixty-dollar ($60.00) cancellation fee.

Medical Record Request Policy

Record requests by our patients will be processed within 15 working days. We will either mail or fax the records to the information you provide on the authorization form. Charges for copying medical records is $25 and must be paid prior to sending the records. Methods of payment: Cash or credit card, no personal checks.

Insurance and Financial Policies

The Center for Respiratory and Sleep Disorders participates with many HMO and PPO plans, as well as Medicare and Medicaid. However, health insurance is ever changing and knowing the particulars for patient's individual insurances is the responsibility of the patient. Keep in mind that a patient's insurance policy is a contract between the patient and their insurance company. Knowing the benefits and status of an insurance is the responsibility of each patient. Determining answers to questions like:

• what the deductibles and co-pays are

• whether a referral is required

• whether testing and/or procedures are covered (we can provide patients the needed codes for that determination)

• whether The Center for Respiratory and Sleep Disorders is in network or what tier we are for a particular insurance policy

• whether The Center for Respiratory and Sleep Disorers participates with a certain health insurance

need to be known by the patient prior to their first visit. This is accomplished by contacting the insurance company.

All patients will be required to present a valid driver's license or photo ID, and current medical insurance card at every office visit. Please notify us of any changes in insurance coverage prior to the time of service. Insurance denials for termination of coverage will be automatically billed to the patient. Payment, including co-payments and balances are due at the time of service unless charges are being submitted to the insurance company.

Please be aware that some services may not be covered under your insurance. Any charges denied by insurance as non-covered are the responsibility of the patient. The Center for Respiratory and Sleep Disorders will not misrepresent a non-covered service in order to obtain payments from your insurance company.

The Center for Respiratory and Sleep Disorders recognizes that some of our patients may be without insurance or not have a referral at the time of their appointment. These patients are designated by our office as self-pay. For self-pay patients (see definition below), payments are expected in full at the time of the service.

A Self-Pay Patient is defined as a patient who:

1. Has no health insurance coverage of any kind, including federal and state health care programs such as Medicare and Medicaid or other insurance coverage such as insurance provided by a school, AFLAC, or homeowner's policy
2. The stated insurance is determined to be inactive
3. Has current insurance but at the time of appointment does not have a required referral from their primary care physician
4. Claims to have public or private health insurance coverage but is not able to produce verifiable insurance identification
5. Insurance information provided is for a commercial insurance plan in which The Center for Respiratory and Sleep Disorders clinic does not participate
6. Does not claim third party liability for the patient's health care treatment
7. Is not eligible for worker's compensation coverage
8. Has no other responsible party covering the expenses associated with the care received from our clinic

At their scheduled appointment, self-pay patients will need to sign a form identifying themselves as such. They will be required to pay for the office visit as well as any other services performed during that visit at the time of service. The price will be based on whether they are a new or existing patient and the level of their visit as determined by Dr. Lawrence MacDonald. Accepted payment methods for self-pay patients are Visa, MasterCard, American Express, money orders, cashier checks, and cash. Personal checks are not accepted. Please contact our office if you have any questions related to this matter.