FAQ

Appointments

Please call 402-476-1455 to schedule an appointment.

 

 

We take antibiotic treatments seriously because of the resistant forms of diseases out there that are caused by the overutilization of antibiotics. The provider wants to make sure you have all of the signs and symptoms of a bacterial infection, for which antibiotic prescriptions may be appropriate. Patients with a virus are usually not candidates for antibiotics, and the virus must run its course. However, many over-the-counter medications can help treat the symptoms of viral infections.

Yes. You need to arrive 10 minutes before your appointment time. Frequently, we may need you to complete paperwork or update your account before the visit.

 

All of our providers want their schedules to run on time. There are a number of reasons why a Provider may be late. Sometimes, the patient(s) before you took longer because of procedures, an emergency, or the patient had a complex issue that required more attention. Please anticipate your appointment taking 60 minutes from check-in. It may not take that long, but at least you’ll have allowed for that amount of time. Please call ahead if you need to cancel an appointment.

We see all patients, regardless of their insurance status. We have a Sliding Fee Discount Program for patients at 200% or below the Federal Poverty Limits. 

Patients who arrive late disrupt the entire patient schedule. To help our Providers from falling behind, we reserve the right to reschedule patients who are late for their appointment.

Bluestem Health makes every attempt to remind patients of their upcoming appointment. Currently, 1 out of 4 patients does not show up for their appointment. Our EHR allows us to call, text, or email patients a reminder for their appointment. Please confirm your appointment when we contact you and connect with our patient portal.

In recent years, there has been a big push for providers to prescribe fewer opioid medications because of the amount of abuse in the system. Providers base their prescriptions for pain management on many different values. Ultimately, it is their medical license on the line if they overprescribe narcotic medication. Therefore, each provider deals with pain management in a way that they feel comfortable with prescribing. If you are struggling with a substance use condition, talk to your provider.

Billing & Patient Accounts

Any payments made may take two to three weeks to post to the account. If you make your copayment at the time of service, it is normal to receive one statement while payment is being processed before being posted to your account. You may not see the payment you have made reflected on the next statement, but it’s likely to show up once posted, assuming your payment is approved.

Patients who are on the sliding fee discount program are asked to make their nominal fee payment (currently $30 – $70) at the time of their appointment for the office visit. We will charge any lab work, x-rays, vaccinations, etc. after the visit is completed, because we don’t know those costs at the time of the visit. Patients will see these charges on their next statement. If you would rather pay for those charges on the day of your visit, please ask the front desk for an estimate of the charges. If the doctor has not completed their charting, charges may not be known until the encounter is closed.

Patients should prepare to pay $100 at the time of the visit. Any remaining balance for office visits and other applicable charges will be billed on their next statement. If the patient does not have the $100 and has an emergent condition, they will be triaged by a Nurse, and they will be billed for their visit if the condition requires them to be seen that day. If the condition is not urgent, we may ask the patient to reschedule their appointment for a later date. If you have no insurance, ask about applying for our sliding scale fee program.

Sliding fee discounts expire every 12 months. If your benefits expire, you need to reapply with our Outreach team. We allow patients 30 days to renew their sliding fee discount program application following their medical appointment. If you do not renew, your account will move to the “Self-Pay” status. To ensure you are still eligible for the sliding fee discount program, please verify when you make your appointment.

Prescription Requests

The pharmacy must initiate all prescription refills. To request a refill, please call your pharmacy seven days before you run out of medications. Calling your provider tends to slow down the process.

Be patient. All pharmacies handle refill requests differently. Primarily, pharmacies request prescription refills by two common methods: electronically and by fax. Electronic refill requests go straight to the provider’s Electronic Health Records queue, which usually has a faster response. Requests submitted by fax have to be manually researched. Depending on what other tasks the nurse is working on at that time, they fill refill requests on a first-come, first-served basis. We receive over 200 refill requests a day and have four nurses monitoring these refill requests. Each time a pharmacy sends a request, more paperwork accumulates in that nurse’s queue.

Bluestem Health tells patients they should request medication refills through their pharmacy seven days before they run out. If you do not follow this process, we make no guarantees the medication refill will be filled within two to three days after the refill request is received from the pharmacy. When the Nurse receives the fax, he/she has to look up the patient in the Electronic Health Record, send a refill request to the Provider, and then the Provider has to electronically submit the refill request. Providers try to check their queues several times a day, but depending on how many patients they see that day, it is common for them to refill the medications 2 days after receiving the request. That is why we tell all of our patients to request the medication refill when they still have 7 days left.

Phone Calls

All medication refills must be requested through the pharmacy. Patients who call the pharmacy often receive the refills in a faster turnaround time.

We have a dedicated Call Center, and our phone operators receive, on average, more than 15,000 calls a month. If your call isn’t answered right away and you need a quick response, we recommend using our callback feature so that when one of our Call Center team members is available, they’ll assist the next caller in the queue.  While we cannot guarantee how long you may have to be on hold, our internal phone system audits show that the average hold time is below three minutes.

Messages go to the Provider’s nurse, who are often engaging with patients throughout the day. Nurses typically check messages twice a day, before lunch and around 3:00pm. Anyone leaving a message after 3:00pm should expect a call back until the next business day.

There’s no reason to worry, we don’t need to call patients back if their lab work shows no issues. If lab work needs to be addressed, your Provider or their nurse will call you back to discuss results and next steps. Sometimes, it takes 1 or 2 days for the lab company to get results back to us. If the lab company notices an abnormal or dangerous lab, they will call the on-call Provider to notify them. Then, the patient will be notified, if warranted. If you do not receive a call back or letter within 1 week of your appointment, please call our office to find out more information.

Dental Clinic

Your first appointment will be with our Outreach Team. They will review your sliding fee application and documents with you. Depending on your sliding fee discount, the initial visit fee varies. We usually tell our patients to bring the nominal fee of $75.00 for a comprehensive oral exam and full mouth series of radiographs.

We will try our best to work with our schedule to accommodate an emergency walk in/call in patient within a day or two. Our weekly emergency dental clinic is open every Wednesday from 7:45am – 4:00pm.

No. Your first visit will be with a dentist, who will go over your health history; the dental assistant then takes a full mouth series of x-rays. The dentist will do a thorough oral exam; they will review your x-rays and develop a treatment plan. Depending on your oral health, the dentist may suggest different types of cleaning (simple/deep cleaning or gross debridement).

Appointments for cleanings will be scheduled with a dental hygienist. During the cleaning, the dental hygienist cleans the patient’s teeth and educates you on ways to improve and maintain good oral health. They may also teach appropriate brushing and flossing techniques.

A full mouth series is a complete set of intraoral X-rays taken of the patient’s teeth and adjacent hard tissue. These X-rays are used to check for decay between the teeth. They also show bone loss when severe gum disease or a dental infection is present. These X-rays help to find dental problems in the jaw, such as impacted teeth, abscesses, cysts, tumors, and bone changes linked to some diseases. They help the dentist do a thorough oral evaluation.

 

We are one of the two safety-net dental clinics in Lincoln and offer a sliding fee discount. As a result, we do get a lot of patients from Lincoln and surrounding areas needing dental care. Our schedules fill up quickly. We do our best to accommodate each patient that walks through our door, but we do have a no-show list. Feel free to call us occasionally to see if we have cancellations or a no-show which might allow you to get an appointment.

Extraction of wisdom teeth can be complicated. We do extract simple erupted wisdom teeth at our clinic. A limited exam is another option we can offer. Most of the time these patients require Panorex (X-rays of the upper and lower jaw) but we do not have a Panorex machine at our clinic. Therefore, we refer those patients to the College of Dentistry or oral surgeons in the community for extraction of impacted wisdom teeth.