Patient Information

Our Scope of Service

Mission:

It is Dr. Bednarz’s mission to serve Central Texas and surrounding areas with expert foot & ankle care by working with his patients to educate each patient individually in order to determine the treatment option that is not only curative but meets the patient’s functional needs, either surgically or with conservative management.

Our Services:

Diagnose and treat all areas of foot and ankle reconstruction and traumatic repair to include:
Custom Orthotics
Patients are typically given a prescription for orthotics. We offer this service in our clinic; they are done in two appointments. The first appointment you will come in and have your feet scanned and measured. Once that is done the scan is sent off for the orthotics to be made and the typical turnaround is 2 weeks. For the second appointment you will be asked to bring several pairs of shoes in and have your orthotics fitted into your shoes. This service is $400 for 1st pair and $250 for 2nd pair and is not covered by insurance.
Fractures

Fractures are treated conservative with close follow up, x-rays, immobilization and physical therapy vs surgical repair.  Surgical repair is reserved for patients that have significant displacement of the fracture especially when the fracture line enters the joint surface.

Sprains

Most sprains are treated conservatively with RICE (Rest, Ice, Compression, Elevation), immobilization and physical therapy. Most patients heal without the need for surgery. However, if the ligament is ruptured and causes the joint involved to feel unstable (don't trust it) or persistent despite physical therapy then the ligament will likely require surgical reconstruction.

Cartilage Injuries

Injuries to the joint surface that create "pot-holes" or isolated areas of arthritis that can in some cases be treated conservatively or required surgical reconstruction.

Overuse Injuries

Stress fracture, tendinitis, tendinopathy, myositis, etc.  Most of these injuries are treated with rest, sometimes immobilization, activity modification, shoe wear changes, orthotics, physical therapy and at times surgery.

Ingrown Toenails

Treated conservatively and surgically most times in the office with a minor procedure.

Tendon Injuries

Achilles, peroneal, anterior tibial, posterior tibial, flexor and extensor tendonitis, tendinosis or ruptures. All are treated by us conservatively and surgically. We would go over in great detail how and why it should be treated conservatively or surgically depending on the pathology involved. When you leave the office, you should know the anatomy of the tendon involved, why it was injured, prevention of future injuries and who it will be fixed.

Impingement

Impingement lesion can be treated conservatively but may need arthroscopic debridement vs open removal of the impingement lesion.

Bunions

Hallux valgus deformity if symptomatic despite conservative efforts can be reconstructed with a variety of surgical procedures with different post-operative protocols. We would give you a detailed explanation of the entire procedure and options, why that specific procedure should be done, post-operative protocol and what to expect post-operatively. All questions will be encouraged and answered.

Lesser Toe Deformities

Most can be treated conservatively but if despite conservative management you have pain and discomfort that is interfering with your life to the point you cannot do the things you like to do then you would be a candidate for surgery. We would give you a detailed explanation of the entire procedure and options, why that specific procedure should be done, post-operative protocol and what to expect post-operatively. All questions will be encouraged and answered.

Osteoarthritis / Post Traumatic Arthritis

We treat all joints of the foot and ankle for arthritic complaints. Treatment consists of all state-of-the-art conservative and surgical techniques. Conservative techniques include anti-inflammatories both nature and prescription, injections with steroids, PRP or stem cell, bracing and orthotics. Surgical treats can vary depending on multiple factors involved patients age, activity level, size, expectations, underlying deformities, etc. Surgical options include joint preservation procedures, osteotomies, fusions and replacements.

Tendinopathy

Tendinopathy or tendinosis means tendon degeneration. Tendinopathy can cause chronic pain and deformity. Most times, it can be treated with conservative management to include anti-inflammatories both nature and prescription, immobilization, physical therapy, injections with PRP, and orthotics. If despite conservative management, you have pain and discomfort, then you would be a candidate for surgery. We would give you a detailed explanation of the entire procedure and options, why that specific procedure should be done, post-operative protocol and what to expect post-operatively.

Our Products:

Custom Orthotics
  • Digital Scan
  • Custom fit into patient shoes
DME Bracing
  • As required medically, per physician order
  • CAM walker boot
  • Ankle Brace
  • OTC shoe inserts
  • OTC shoe padding
  • Fiberglass casting/splinting

Availability:

Monday – Friday 8:30am- 5:00pm

After hours or during lunch calls are answered with an answering service with options for emergent response or a call back during regular office hours.

Contact Information and Locations:

Patient Financial Policy

Thank you for choosing Central Texas Orthopaedic Foot & Ankle Center as your health care provider. We are committed to building a successful physician-patient relationship with you and your family. Your clear understanding of our Patient Financial Policy is important to our professional relationship. Please understand that payment for services is a part of that relationship. Please ask if you have any questions about our fees, our policies, or your responsibilities. It is your responsibility to notify our office of any patient information changes (i.e., address, name, insurance information, etc.)

Co-pays
The patient is expected to present an insurance card at each visit. All co-payments and past due balances are due at time of check-in unless previous arrangements have been made with a billing coordinator. We accept cash and debit or credit cards.

Insurance Claims
Insurance is a contract between you and your insurance company. In most cases, we are NOT a part of this contract. We will bill your primary insurance company as a courtesy to you. In order to properly bill your insurance company, we require that you disclose all insurance information including primary and secondary insurance, as well as any change of insurance information. Failure to provide complete insurance information may result in patient responsibility for the entire bill. Although we may estimate what your insurance company may pay, it is the insurance company that makes the final determination of your eligibility and benefits. If your insurance company is not contracted with us, you agree to pay any portion of the charges not covered by insurance, including but not limited to those charges above the usual and customary allowance. If we are out of network for your insurance company and your insurance pays you directly, you are responsible for payment and agree to forward the payment to us immediately.

Participating Insurances
Aetna Medicare
Amerigroup Multiplan/PHCS
Blue Cross Blue Shield of Texas Superior Health Plan
Cigna SWHP
Humana Tricare
Medicaid Tri-West

If your insurance plan is one with which we are not a participating provider, you will be responsible for payment in full. However, as a courtesy, we will file your initial insurance claim and if not paid within 30 days you will be responsible.

Referrals and Preauthorization
Certain health insurances (HMO, POS, etc.) require that you obtain a referral or prior authorization from you Primary Care Provider (PCP) before visiting a specialist. If your insurance company requires a referral and/or preauthorization, you are responsible for obtaining it. Failure to obtain the referral and/or preauthorization may result in a lower or no payment from the insurance company, and the balance will be your responsibility. Alternative payment arrangements or rescheduling of your appointment may be necessary if not obtained.

Self-pay Accounts
Self-pay accounts are patients without insurance coverage, patients covered by insurance plans in which our practice does not participate, or patients without an insurance card on file with us. We do not accept attorney letters or contingency payments. It is always the patients’ responsibility to know if our office is participating with their plan. If there is a discrepancy with our information, the patient will be considered self-pay unless otherwise proven.
Self-pay patients will be required to pay $250 at the initial appointment and will be asked to make payment arrangements for the balance. Imaging patients will be billed by Coryell Health for any x-rays taken during the appointment. Payment arrangements are available if needed. Please ask to speak with a collection coordinator to discuss a mutually agreeable payment plan. It is never our intention to cause hardship to our patients, only to provide them with the best care possible and the lease amount of stress.

New Patient/Established Patient New Problem Visit – $250
Follow up Visit – $150
DME – 100% of any durable medical equipment/brace cost is due at time of service
Surgery or Procedure – Patient is responsible for paying 100% of estimated surgical or procedure cost in advance of the surgery or procedure. Any surgery or procedure that has not been paid at 100% prior to the scheduled procedure will be canceled or rescheduled.
Orthotics – $350 Orthotics are self-pay and will not be billed to insurance. The patient is responsible for 100% of the cost of orthotics and payment is due at the time of the orthotic scan appointment. Additional sets of orthotics are discounted to $200 that is due when the patient decides to order an additional pair.

Motor Vehicle Accident (MVA) and Third-Party Billing
We do not do any third-party billing. Our relationship is with you and not with the third-party liability insurance (auto, homeowner, etc.) It is your responsibility to seek reimbursement from them. However, at your request, we will submit a claim to your primary health insurance carrier. You may receive an accident questionnaire from them to be completed by you. If the questionnaire is not returned to your medical insurance company and/or we receive a denial on your claim, you will be responsible for payment in full.
COMPLETION OF FORMS POLICY
In order for us to better serve you, we request that you are aware of the following:
Your insurance company will not be billed as insurance companies do not reimburse for the time and judgment that are required to complete these forms.
Please allow 7 business days for completion of forms.

Minors
The parent(s) or guardian(s) is responsible for full payment and will receive the billing statements. A signed release to treat may be required for unaccompanied minors.

Outstanding Balance Policy
It is our office policy that all past due accounts be sent two statements. If payment is not made on the account, a single phone call will be made to try to make payment arrangements. If no resolution can be made, the account will be sent to the collection agency, or attorney, and possible discharge from the practice.

In the event an account is turned over for collections, the person financially responsible for the account will be responsible for all collections costs including attorney fees and court costs.

Regardless of any personal arrangements that a patient might have outside of our office, if you are over 18 years of age and receiving treatment, you are ultimately responsible for payment of the service. Our office will not bill any other personal party.

This financial policy helps the office provide quality care to our valued patients. If you have any questions or need clarification of any of the above policies, please feel free to contact us.

CENTRAL TEXAS ORTHOPAEDIC FOOT & ANKLE CENTER RESERVES THE RIGHT TO CHANGE AND/OR MODIFY THE INFORMATION ON THIS SITE AT ANY TIME.

Patient Handouts

Surgical Techniques

Patient Presentations

Frequently Asked Questions

Answer the question here. Make sure you answer all frequently asked questions to clear some common doubts. People love when they find a solution without having to wait for your reply. This also shows that you have enough knowledge that you can share and help them out.

Answer the question here. Make sure you answer all frequently asked questions to clear some common doubts. People love when they find a solution without having to wait for your reply. This also shows that you have enough knowledge that you can share and help them out.

Answer the question here. Make sure you answer all frequently asked questions to clear some common doubts. People love when they find a solution without having to wait for your reply. This also shows that you have enough knowledge that you can share and help them out.

Answer the question here. Make sure you answer all frequently asked questions to clear some common doubts. People love when they find a solution without having to wait for your reply. This also shows that you have enough knowledge that you can share and help them out.