What Our Patients Say

Dr. Cowen is awesome! I’ve been going to him for over 10+ years and he even delivered me! – Amy S. (Yelp)

What Our Patients Say

“I’ve been a patient here for 10 years. I still drive 40 minutes here rather than finding a place close to home, because it cannot be beat… I have nothing but great things to say about Comprehensive Women’s Healthcare!” – K N. (Yelp)

Updating Your Information

Patients are responsible for providing accurate, up-to-date information. You can update your insurance, personal and medical information from within “My Health Record” in this website. As you may have several physicians, this information can change without the treating doctor being aware of these changes. We ask that you login prior to any scheduled appointment to keep this information current.

Transferring of Records

You will need to request in writing if you want to have copies of your records sent to another doctor or organization. You will need to include the specific dates of service, medical information requested and the reason for this request. Your signed request for release of records will need to be received before records are sent. We use a copying service, Photostat, which copies records weekly. There is a $32.50 charge for copies of records sent to the patient.

Test

>50% of outgoing referrals you must generate a CCDA in patient search by name, once created CCDA found in EMR all note. New box for new referral

Surgery Scheduling

We have created this web page to assist you in learning the process of scheduling surgery or office procedures, verifying benefits, and determining what your out of pocket expenses will be for your upcoming surgery or procedure.

Considering Surgery? Have it in Our Office!

We have increased our In Office Surgery Program!

Why?

* Lower costs for the patient
* Time savings for the patient and the Doctors * Reduced anesthesia
* Better patient tolerance
* Faster recovery time
* Procedure performed in the comfort of our office

Who?

* Ablations – Novasure
* Essure Birth Control
* LEEPS
* Minor procedures/biopsies requiring anesthesia

When?

Usually we perform these procedures one Friday each month, but can be done in the hospital other days

How?

Encompass Medical brings everything you and the doctor needs for an in office surgery experience. At a cost savings to you, their fee is only $325 (not covered by insurance), and not a percentage of your hospital fees (For example if you have a 90/10 plan, you are responsible for 10% of all fees, so if a hospital charges $10,000 for an ablation, your portion to the hospital alone would be $1000). See Insurance Information below for detailed insurance payment information.

Our doctors want you to be as comfortable as possible and use anesthesia for all ablations and Essure procedures

THINGS TO DO TO GET READY FOR SURGERY

1. Call your insurance company with the codes given below and ask the questions below to determine if your surgery/office procedure is covered and how much it will cost you. Pay close attention to your deductible! (We will call your insurance company also, but it is always good to have us both call)

2. Have all tests ordered by your doctor to ensure you are a candidate for surgery, and that insurance will approve your surgery/procedure. (Please see below for tests required)

3. Have your consult appointment with your doctor to discuss your test results, and all your treatment options, and finalize surgery plans. If you are not already on the surgery schedule, at this appointment time it is best to have the ideal days you are available to have your surgery.

4. Call our surgery scheduler at 817-424-3112 ext 8 to coordinate a surgery/procedure date. It takes 2-3 days to coordinate with hospital, anesthesia and assistant surgeons.

INSURANCE INFORMATION

If you are considering surgery, this section will give you the common procedures codes for surgeries we perform, so you can contact your insurance company to see if it is a covered benefit. You will need to ask your insurance company several questions:

Is the procedure code a covered benefit?

Is it covered at 100% or what is your percentage that you are required to pay. (this percentage will be paid to all involved in your care, for example if you owe 10%, then that is 10% to our office, 10% to the hospital, 10% to anesthesia, 10% to pathology). We can give you the allowable for our portion, you will need to contact the hospital and anesthesia office for information on their charges. (Baylor Grapevine 817-424-4545, Harris Methodist Southlake Center 817-748-8700, Pinnacle Anesthesia 972-233-1999)

Do you have a deductible to meet? What is it and how much of it has been met?

Do you have a facility co-pay?

If financially you are able to have the surgery, there are several clinical tests they need to be done in our office or ordered by our office to get your surgery approved. We will list those tests below. In general, you will need to have all required tests, and then a consult at our office with your doctor to discuss all the results, and develop your treatment plan. It is good to come to the consult appointment with some idea of dates you would like for your surgery. In general we use Tuesday’s and Friday’s as our blocked time for surgeries, although occasionally we can accommodate you on different days. We schedule hysterectomies and all in-patient surgeries on the 1st, 3rd and 5th Tuesday and Friday’s are for our outpatient procedures.

Procedure Codes for Surgery/Office Procedures & Tests Required for that Surgery

In Office or Hospital Endometrial Ablation (Novasure) CPT code 58563

* CBC, recent sonogram (within 6 months), recent pelvic exam, current pap smear, possible endometrial biopsy

In Office or Hospital Essure Tubal Ligation CPT code 58565

* CBC and pregnancy test

Total Laproscopic Hysterectomy (TLH) CPT code 58570

Total Abdominal Hysterectomy CPT code 58150

* CBC, sonogram, possible endometrial biopsy, recent pelvic exam, current pap smear

Laparoscopic Assisted Vaginal Hysterectomy (LAVH) CPT code 58550

* CBC, sonogram, possible endometrial biopsy, recent pelvic exam, current pap smear

Laparoscopic Supracervical Hysterectomy (LASH) CPT code 58544

* CBC, sonogram, possible endometrial biopsy, recent pelvic exam, current pap smear

Laparoscopic Bilateral Tubal Ligation (Tubes Tied) CPT code 58670 (Cowen) 58671 (Neal)

* CBC and pregnancy test

Removal of Ovarian Cyst (Laparascopy) 58661

* CBC

Hysteroscopy CPT code 58558

* CBC

Trans Obturator Sling (Bladder Repair) CPT code 57288

* CBC, urodynamic testing

Laser of Cervix CPT code 57513

* CBC the day of surgery

Hymenotomy CPT code 56700

* CBC the day of surgery

Hysterosalpingogram (HSG) CPT code 58340

Office Procedures

Colposcopy (Abnormal Pap Smear Evaluation) CPT code 57454

LEEP (Abnormal Pap Smear Treatment) CPT code 57522

Mirena IUD J7302 Insertion 58300 *For IUD device, deductibles typically apply

Paragard IUD J7300 Insertion 58300 *For IUD device, deductibles typically apply

Implanon J7307 Insertion 11981 or 11975 *For device, deductibles typically apply

RECOVERY

Abdominal Hysterectomy usually requires 2 nights in the hospital, and a 6 week recovery. You will not be allowed to drive for 2 weeks.

Vaginal Hysterectomy usually requires 1-2 nights in the hospital and a 4-6 week recovery. You will not be allowed to drive for 2 weeks.

Supracervical hysterectomy usually requires an overnight stay (23 hrs observation) and has a 2-4 week recovery. You will not be allowed to drive for 2 weeks.

Bladder surgery usually requires a 1 night stay in the hospital and a 2-3 week recovery.

Tubal ligations, hysteroscopy, laparoscopy and ablations are done on an outpatient basis, and have a 1-2 day recovery.

Surgery Checklist

1. Have initial appointment with your doctor
2. Call your insurance company and verify your benefits and your out of pocket expenses
3. Have all required clinical testing ordered
4. Have consult appointment to discuss all results of testing and establish treatment plan. At this time, please tell your doctor several different dates that you are available for surgery. He will then give your chart to our surgery scheduler.
5. Contact the surgery scheduler to confirm you are able to proceed with surgery. Kim can be reached at 817-424-3112 ext 8 or at www.surgery@grapevineob.com.
6. Give surgery coordinator 2-3 days to coordinate requested dates with hospital, assistant surgeons, and contact insurance company for verification and pre-certification.

Surgery coordinator will contact you with surgery time and date, location, and out of pocket expenses for proposed surgery. We send an email and/or a letter with all information.

Fees to our office are due 48 hours prior to your surgery time. You may pay in full with cash, check or credit card, or use our Online Payment Plan to satisfy your surgery charges to our office (www.grapevineob.com).

Pre Op Instructions – ALL SURGERIES

Nothing to eat or drink after midnight the night before your surgery No water, gum, candy or smoking on the morning of your surgery (you will be cancelled by anesthesia if you eat,drink, smoke or have candy the morning of your surgery) Report to the hospital at your designated time, 1 1/2 hours prior to your surgery time.
Avoid aspirin, and ibuprofen (Motrin) 2 weeks prior to your surgery

Returned Check Policy

There is a fee of $20 for any check returned by the bank.

Prescription Renewals

Prescription renewals are most efficiently handled through our practice’s messaging system which is available on this website. Please try to anticipate your need for prescription refills by notifying the office at least 48 hours in advance or by advising your physician of your needs during regularly scheduled office visits. If you have not been seen in this practice within the past twelve months, it is our policy that you make an appointment to renew your medication.

Preoperative Instructions

Do not take aspirin, vitamin E, ibuprofen, or any pain or anti-inflammatory medications for one week prior to surgery. Most pain medications can increase bleeding so it is important that you let your doctor know if you have taken any of these medications. You may take Tylenol. If you are on coumadin or any other blood thinner, you must see your internist to make sure you are off this medication before surgery. You will need medical clearance from your internist if you are over 65 or if you have any medical problems. Do not eat or drink anything after midnight prior to surgery unless instructed otherwise. Please check with your insurance company for surgery approval or second opinion. Any co-payment, co-insurance or deductible is your responsibility. If you have any questions as to whether the hospital, anesthesiologist or pathologist participate with your insurance plan please call them to check. You may find their telephone numbers if you call the Hospital. If they do not participate, you may be responsible for the bill from these other healthcare providers. Call the hospital after 3:00 PM the day before surgery to find out the time you will need to be in the hospital. Ask for same day surgery.

Post Operative Instructions for Hysterectomy

Hysterectomy – Vaginal, Abdominal or Laparoscopy Assisted

Though you are well enough to return home following your surgery, there are a few instructions that will assist you when you return to your home environment.

1. Even though you may feel well, your body needs plenty of rest to heal. Take it easy those first few weeks. Don’t work. Drink plenty of fluids, at least 2-3 quarts per day, especially during the first week. Let your family assist you. Try to sleep at least 8-10 hours per day.

2. Use stairs sparingly, once or twice per day if possible. Don’t lift more than 15 pounds during those first two weeks.

3. Pelvic rest is advised for at least six weeks, or until you have been advised differently by your physcian. Pelvic rest means no sex, tampons, or douching.

4. Please advance your diet slowly. Avoid fatty foods or dairy products until your appetite and bowel functions have returned to normal. Gas and constipation can usually be remedied with over the counter preparations such as Milk of Magnesia, Colace, Mylicon or Fibercon.

5. Some vaginal bleeding or serous discharge is normal following surgery. However, heavy vaginal bleeding like a period or foul smelling discharge should prompt you to call the office for assistance.

6. Although some postoperative pain is unavoidable, this pain should be adequately relieved by medications prescribed. Should you not receive adequate relief, please call the office for assistance.

7. Abdominal incision should not require any special care, except for avoiding immersion in the tub. Showers are perfectly acceptable. Pat incision dry and even use a blow dryer. Should the incision show signs of drainage, redness, bleeding or gaping, please call the office.

8. Remember that you should be seen in 1-2 weeks from the time of discharge from the hospital. Please be sure to call for your appointment.

Patient Login

Logging in is easy as 1 2 3

  • 1 Log in with your user name (email address) and password (hit Change/reset password link to create a password for your account. Do not register for an account, this will create a duplicate)
  • 2 Under Manage My Health Record complete the tabs of information about your health. Under Reports and Tools click view Recent Test Results to see a digital copy of your lab results.
  • 3 Under Contact and Communication click Check My Inbox to see messages from the office.
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