Did you know that every
time a mental health claim is sent in to an insurance company for reimbursement, there must be a diagnosis on the claim in
order for the provider to be paid? This diagnosis is often kept, in records,
for years, if not forever. This diagnosis could affect many areas of a patient/client's
life such as: the possible loss, or denial of future health, life, or disability
insurance. Or higher premiums. It
could mean the possible loss of military, and political careers, security clearance denial, and other hiring, promotion and
future employment decisions.
In addition to this, insurance
companies have made it increasingly difficult for providers to receive payment thru insurance companies.
Child's Play Counseling
Service is now going to solely self pay fees.
What this means to you
is that we will no longer bill services directly to your insurance company. The
benefit to our clients is reduced fees for services and continued assurance that your treatment is kept as confidential
as possible. This makes it more affordable for most clients and gives you
more control over your treatment
Self Pay means
that you agree to pay for services at time of service and Child’s Play does not submit any forms to insurance or third
party payees. If you request, then insurance forms can be given to
you to allow you to submit services if you so choose.
Fees are as follows: Initial intake session (1 - 1 ½ hr)……………. $110.00
1 hour individual/family
session (40-55 min.)……………….. $75.00
½ hour individual/family
session (20-25 min)……………..…. $40.00
Group Treatment per session
(1 - 1 ½ hour)……….. . . . . . . . . $45.00
Phone consultations per
15 minutes .. . . . . . . . . . . . . . . . . . . . . $30.00
Late charge on overdue
accounts, over 30 days, per month.....5.00
Missed appointment (not
called or canceled within 24 hrs)……$40.00
Parenting classes, individual
a session. . . . . . . . . . . . . . . . . . . $75.00
(4
sessions total is $300)
After normal working hours
(normal hours are 9 - 5) , an hour …………………$100.00
All other services are
billed at $100 an hour
This includes attorney
consults, court reports, and court testimony, Court costs will include travel, reports & preparation time.
Cases involving court testimony: I am often asked to testify in court. As
this takes me away from my office, and other clients may need to be rescheduled, I now charge for my time involved in
the proceeding. This time includes not only the actual testimony, but often preparing reports, consults with attorneys, judges,
reviewing records, traveling, waiting, and preparation. In order for me to attend
any court/trial, your signed release must be on file and a $650.00 retainer for services must be paid for at least two weeks
before the scheduled day of court. Any fees paid, but not billed, will be returned
to you or credited towards you or your child’s account. Please
note that in any court case, I may be asked questions that you may not want revealed.
For this reason, it is very important that you understand any risks or benefits that my testimony may cause. In a court of law, I will be required to answer any and all questions that are asked of me by all attorneys involved in the case, as well as the judge.
Cancellation Policy
Scheduling and canceling
appointments can be made over the phone or in person. The parent is primarily
responsible for scheduling appointments and keeping blocked out times up-to-date. It
is policy to try to have the same date and time reserved for your child. This
is important as many parents ask for appointments after school and these time slots fill quickly.
I reserve the right to
bill for missed appointments or cancellations within 24 hours. Missed or cancelled
appointment without 24 hours notice, for any reason other than an emergency, will be billed $40.00. Those not canceled and are missed will be billed at the normal hourly rate.
This means that if you or your child does not show for a scheduled appointment, and do not call to cancel or reschedule,
you will be billed the normal rate for the time.
Client Responsibilities
Clients are expected to follow all
office procedures for scheduling and keeping appointments, payment of services, and notification or termination of primary
mental health professional prior to the initial assessment. Clients are also
expected to be motivated for treatment and show improvement in overall functioning over time.
If for some reason the client does not show improvement over a determined amount of time and/or in your opinion treatment
is ineffective, you will be referred to another qualified professional. Parent(s)
&/or guardian(s) are responsible for paying for services at time services are rendered.
Emergency Situations
The phone number to the
office is 334-222-7094. If an emergency occurs and you need to reach the therapist
after hours, the above number will offer an alternative phone number. If I am
unavailable and the situation is desperate, please go to the nearest hospital, ER, or family physician.
Medical Records Policy
You or your child’s
medical record will only be released with the signature of a natural parent(s)
or legal guardian if under the age of 14. Legal forms stating guardianship must
be on file in child’s chart in this office before information or records will be released. If your child is age 14 or older, Laws and ethics require that I obtain the child’s signature before
information can be released.
Legal Responsibility
I am required to adhere to the Code
of Conduct as established by the Alabama & Florida Board of Examiners and copies of these codes are available upon request
or can be found online.
The confidentiality of ALL communication
is governed by both Federal and State statues. There are exceptions to confidentiality
which include 1) Danger to Self 2) Danger to Others 3) Evidence of Child or Elder abuse, and 4) If court ordered. I am required BY LAW to notify the authorities immediately if any of these situations arise.
Potential Counseling Risks
In working with children, family issues
often arise which become the primary focus of treatment. For this reason, many
families become avoidant or quit therapy all together. These issues can be resolved
but it takes commitment from all family members. The primary rule in my office
is “nobody gets hurt” but that does not mean that you will not experience hurt or painful feelings as a result
of the things that you attempt to resolve. However, you will be in a safe and secure environment as I can possibly provide
and you will be able to resolve these issues if you have courage, persistence and faith.