WELCOME TO TITAN HEALTHCARE
a person or thing of very great strength, intellect, or importance.
At Titan Healthcare we want all of our patients to feel like Titans. We provide our patients the most experienced and dedicated healthcare professionals in Olympia. Our mission is to provide quality care in a safe environment for people of all genders, backgrounds and sexual orientations.
NEWS AND UPDATES
last updated 11/20/23
FLU SHOTS AVAILABLE
Flu shots are here! We have high dose and regular shots available. You can get one at your appointment or swing by during business hours.
CODING UPDATE FOR GENDER AFFIRMING CARE
We are working really hard at Titan to improve our coding to improve the accuracy with which we document your care. Unfortunately sometimes this means using language that we know might be triggering for some people.
Our office, and all medical offices in the United States, are required to use a coding system known as ICD-10 (International Classification of Diseases, 10th Revision) for diagnosing our patients. These codes are developed by the World Health Organization (WHO). We do not have any authority over the descriptions and unfortunately these descriptions do not always align with how we define things. For example, when we code a diagnosis to support the use of hormones for gender affirming care we use the code F64.0 which has a description of “gender dysphoria in an adult”, but also carries a descriptor of “transexualism”. We want to ensure that our patients understand that we know there is a difference between transexualism and transgender, but unfortunately this doesn’t translate in the coding language. Unfortunately at this time a code for “transgender” doesn’t exist, but please know that WHO has already addressed this in the next revision of ICD. When ICD-11 comes to the United States, the codes are supposed to be more accurate in their representation of transgender persons. We do not know how soon the US will adopt ICD-11 as this will require major changes across our entire healthcare system.
For our non-binary patients, you may see diagnosis code F64.9 which indicates Gender Identity Disorder, Unspecified. This is because the current ICD does not provide any code for non-binary. It is our hope that ICD-11 will provide a better code and description that supports you as well.
If you ever see a code that you question on your insurance remits or in your chart, you are welcome to reach out to your provider or our coder, Tami, for a complete description of the code. Tami is happy to assist you in understanding the requirements of coding that we must follow. She can be reached directly at 360-507-8316. You can also contact us if you want a definition of the code that was used.
Thank you for your understanding and thank you for trusting us with your care.
The Providers and Staff of Titan Healthcare
ANNUALS AND BILLING
We are aware that many of you received a message regarding annual exams, medical problems and billing in your Elation passport account from another office. We want to reassure you that your care will not change at Titan Healthcare. It has ALWAYS been the case that annual exams are about prevention and not a time to review chronic medical problems or new complaints. This is why annual exams are usually not subject to co-pays. If we discuss chronic disease management or new complaints during an annual exam you will be subject to a co-pay and/or deductible for your visit just like you would for a regular office visit. While we as a clinic get reimbursed less if you “add on” to an annual exam we will continue to provide services when warranted in order to serve the needs of our patients.
That being said, it is good to keep in mind that if you bring in a list of concerns or problems to your annual exam you run the risk of not getting all of your needs met. As providers we can only juggle so many issues at a time. It might be in your best interest (and the best interest of your provider) if you schedule a separate visit for your chronic disease management or new concerns so that they can be addressed adequately and thoroughly.
If you have any questions please don’t hesitate to reach out.
** If you do not want to receive Passport messages for offices other than Titan Healthcare please call the other office and ask to have your Passport account disabled**
CONTROLLED SUBSTANCES AND VISIT REQUIREMENTS
Starting in May there are new guidelines regarding controlled substance prescribing. We are now required to have an in person appointment for initial prescribing of any controlled substances and at least once a year in person appointment for prescribing moving forward. Refills can be authorized via telehealth as long as there is a documented in person visit within the last 12 months.
If you have not been seen in office and need refills of controlled substances please call soon as our schedules are filling up fast.
Controlled substances include:
Narcotics : Vicodin, percocet, tramadol, hydrocodone
Stimulants: Most ADD meds (Phentermine, Adderall, Ritalin, Concerta)
Sleep medications: Ambien, lunesta
Anti-anxiety: any benzodiazepine (lorazepam, alprazolam). Including short term prescriptions for travel or procedures.
HOURS OF OPERATION
Monday, Tuesday, Thursday, Friday
8:30am* - 5:00pm
closed daily from 12-1 for lunch
Wednesday, Saturday and Sunday
2023 Holiday Office Closures
November 23-26 - Thanksgiving
December 21-27 - Christmas
2024 Holiday Office Closures
January 1-2- New years
January 15- MLK day
February 19- President's Day
Spring break (to be determined)
May 24-27- Memorial Day
July 4-5- Independence day
September 2- Labor Day
November 28-29- Thanksgiving
December 23- 31 (Return January 2, 2025)- Christmas and New Year
*Earlier appointments may be available on request