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Love, Tranquility, Hope and Healing

Office Talk

Office Talk

The documentation will be sent to you via secure email or through a portal. Please read and sign all documentation prior to arriving to you first session. It is important that you understand and are comfortable with the content so please do not hesitate to contact me with any questions.

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Fees

FEES
Session Fees-Out of pocket rates

Individual 60-minute session: $185.00

Individual 45 min session: $165.00

Late cancel or no-show fees and policies apply.

I have a strict 24 hr cancellation policy.

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Pre-Paid package rates; (*no refunds-good for one year from date of purchase*)

Four Individual 60-minute sessions: $680  ($60 Savings)

Four Individual 45 min sessions: $600  ($60 Saving)

Late cancel or no-show fees and policies apply. I have a strict 24 hr cancellation policy.

Fee is due at time of service.

The fee for service per group therapy (when available) will be discussed and disclosed prior to specific groups and may vary.

 

About Insurance

I consider confidentiality a critical component of the therapeutic process. When accepting insurance contractual agreements may allow for insurance audits.

Additionally, time saved by insurance related administrative matters frees me up to improve my clinical skills.

I am more than happy to provide you with a Super Bill* that you can present to your insurance for reimbursement depending on which insurance you have. However, there are no guarantees that your insurance will reimburse, and you sacrifice some confidentiality if you choose this option.

You are strongly encouraged to verify with your insurance prior to beginning therapy as you are solely responsible for getting reimbursed.

*A superbill is a specialized invoice, which includes the procedure coding, diagnosis coding and session dates that your insurance carrier will need in order to reimburse you. All fees are due at the end of each session.

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Documentation

3-18-20 MY INFORMED CONSENT

3:18:20 NOTICE OF PRIVACY PRACTICES-HIPAA

3-19-20 INFORMED CONSENT FOR TELEPSYCHOLOGY

Good Faith Estimate Notice

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

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You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.

You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call (800) 985-3059.

Documentation
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