Common use of Professional Fees and Payments Clause in Contracts

Professional Fees and Payments. Payment is due at the time that services are provided unless special circumstances re- quire an alternate payment schedule. My Intake fee is $220 (one to two sessions) and my fee for subsequent sessions (code 90837) is $190.00. I typically raise my rate by $5.00 each year on January 1st. Sessions typically last 53 minutes but 30 minute ses- sions (code 90832) are available for $100.00. I do not bill insurance companies for couples therapy. The CPT session code (98047) is covered but the diagnostic code is not i.e., Z63.0 Relationship Distress with Spouse or Intimate Partner. In addition to weekly appointments, I charge $190.00 per hour for other professional services you may need, though I will break down the hourly cost in 15 minute incre- ments of $47.50 each. Other services include report writing, attendance at meetings with other professionals you have authorized, preparation of records or treatment sum- maries, documentation for disability or FMLA claims, and the time spent performing any other service you may request of me. These additional services are out-of-pocket ex- penses and cannot be billed to insurance. I will coordinate care with other health care providers as a courtesy to you, although phone conversations lasting more than 15 minutes (for example, in a time of crisis), will also be billed. In unusual circumstances, you may become involved in court actions such as litigation which may require my participation. You will be expected to pay for the professional time required even if I am compelled to testify by another party. Due to the complexity involved and difficulty of legal involvement, I charge $300.00 an hour for preparation and attendance at legal proceedings. Once an appointment hour is scheduled, you will be expected to pay for it unless you provide 24 hours advance notice of cancellation (one business day, Monday to Friday - not including Saturday or Sunday), or unless we both agree that you were unable to attend due to circumstances beyond your control, such as illness or emergency. My late cancellation fee or fee for missing an appointment is $160.00 This cannot be billed to your insurance company. Please consult my website for more information: xxx.xxxxxxxxxxxxx.xxx All accounts must be paid in full within 30 days. If your payment is not received within 30 days of billing, you will be charged a 10% fee on the remaining balance. In circum- stances of financial hardship, please talk to me about this as it may be possible to work out an installment payment plan.

Professional Fees and Payments. Payment is due at the time that services are provided unless special circumstances re- quire require an alternate payment schedule. My Intake fee is $220 260.00 (one to two sessions) and my fee for subsequent sessions (code 90837) is $190.00190. I typically raise my rate by $5.00 each year on January 1st. Sessions typically last 53 minutes but 30 minute ses- sions (code 90832) are available for $100.00. I do not bill insurance companies for couples therapy. The CPT session code (98047) is covered but the diagnostic code is not i.e., Z63.0 Relationship Distress with Spouse or Intimate Partner. In addition to weekly appointments, I charge $190.00 per hour for other professional services you may need, though I will break down the hourly cost in 15 minute incre- ments increments of $47.50 46.00 each. Other services include report writing, attendance at meetings with other professionals you have authorized, preparation of records or treatment sum- mariessummaries, documentation for disability or FMLA claims, and the time spent performing any other service you may request of me. These additional services are out-out- of-pocket ex- penses expenses and cannot be billed to insurance. I will coordinate care with other health care providers as a courtesy to you, although phone conversations lasting more than 15 minutes (for example, in a time of crisis), will also be billed. In unusual circumstances, you may become involved in court actions such as litigation which may require my participation. You will be expected to pay for the professional time required even if I am compelled to testify by another party. Due to the complexity involved and difficulty of legal involvement, I charge $300.00 an hour for preparation and attendance at legal proceedings. Once an appointment hour is scheduled, you will be expected to pay for it unless you provide 24 hours advance notice of cancellation (one two business day, days: Monday to Friday Friday’s - not including Saturday or Sunday)) advance notice of cancellation, or unless we both agree that you were unable to attend due to circumstances beyond your control, such as illness or emergency. My late cancellation fee or fee for missing an appointment is $160.00 190.00. This cannot be billed to your insurance company. Please consult my website for more information: xxx.xxxxxxxxxxxxx.xxx All accounts must be paid in full within 30 days. If your payment is not received within 30 days of billing, you will be charged a 10% fee on the remaining balance. In circum- stances circumstances of financial hardship, please talk to me about this as it may be possible to work out an installment payment plan. Insurance - I submit bills to most insurance companies as a courtesy to you. When I am in-network for an insurance company, clients are responsible for any deductible amount that has not been met, and co-pay or co-insurance costs. I am currently in-network for the following insurance companies: Premera Blue Cross LifeWise of WA Cigna First Choice Medicare When I am not in-network for an insurance company, clients are responsible for my full fee at each session. I will give you a super-bill to submit to your insurance company so that they can reimburse your for the portion of my fee that they cover. You may receive about 50-60% from them once your deductible is met. Be sure to ask if you have an out- of-network deductible. I recommend that you call your insurance company before beginning therapy to be sure they know what your out-of-pocket expenses are. Due to concerns about insurance billing and privacy issues, some clients elect to pay for services themselves. It this is the case, we will decide together on a treatment plan and estimate the length of treatment and cost. Client Rights Clients have the right to change therapists or receive a referral to another therapist. Clients have a right to ask questions concerning the findings of their evaluation and treatment, and the right to raise questions about the therapist, the treatment approach, and progress made at any time.

Professional Fees and Payments. Payment is due at the time that services are provided unless special circumstances re- quire an alternate payment schedule. My Intake fee is $220 (one to two sessions; code 90791) and my fee for subsequent sessions (code 90837) is $190.00. I typically raise my rate by $5.00 each year on January 1st. Sessions typically last 53 54 minutes but 30 minute ses- sions sessions (code 90832) are available for $100.00. I do not bill insurance companies for couples therapy. The CPT session code (98047) is covered but the diagnostic code is not i.e., Z63.0 Relationship Distress with Spouse or Intimate Partner. In addition to weekly appointments, I charge $190.00 per hour for other professional services you may need, though I will break down the hourly cost in 15 minute incre- ments of $47.50 each. Other services include report writing, attendance at meetings with other professionals you have authorized, preparation of records or treatment sum- maries, documentation for disability or FMLA claims, and the time spent performing any other service you may request of me. These additional services are out-of-pocket ex- penses and cannot be billed to insurance. I will coordinate care with other health care providers as a courtesy to you, although phone conversations lasting more than 15 minutes (for example, in a time of crisis), will also be billed. In unusual circumstances, you may become involved in court actions such as litigation which may require my participation. You will be expected to pay for the professional time required even if I am compelled to testify by another party. Due to the complexity involved and difficulty of legal involvement, I charge $300.00 an hour for preparation and attendance at legal proceedings. Once an appointment hour is scheduled, you will be expected to pay for it unless you provide 24 hours advance notice of cancellation (one business day, Monday to Friday - not including Saturday or Sunday), or unless we both agree that you were unable to attend due to circumstances beyond your control, such as illness or emergency. My late cancellation fee or fee for missing an appointment is $160.00 This cannot be billed to your insurance company. Please consult my website for more information: xxx.xxxxxxxxxxxxx.xxx All accounts must be paid in full within 30 days. If your payment is not received within 30 days of billing, you will be charged a 10% fee on the remaining balance. In circum- stances of financial hardship, please talk to me about this as it may be possible to work out an installment payment plan.

Professional Fees and Payments. Payment is due at the time that services are provided unless special circumstances re- quire an alternate payment schedule. My Intake fee is $220 (one to two sessions) and my fee for subsequent sessions (code 90837) is $190.00. I typically raise my rate by $5.00 each year on January 1st. Sessions typically last 53 minutes but 30 minute ses- sions (code 90832) are available for $100.00. I do not bill insurance companies for couples therapy. The CPT session code (98047) is covered but the diagnostic code is not i.e., Z63.0 Relationship Distress with Spouse or Intimate Partner. In addition to weekly appointments, I charge $190.00 per hour for other professional services you may need, though I will break down the hourly cost in 15 minute incre- ments of $47.50 each. Other services include report writing, attendance at meetings with other professionals you have authorized, preparation of records or treatment sum- maries, documentation for disability or FMLA claims, and the time spent performing any other service you may request of me. These additional services are out-of-pocket ex- penses and cannot be billed to insurance. I will coordinate care with other health care providers as a courtesy to you, although phone conversations lasting more than 15 minutes (for example, in a time of crisis), will also be billed. In unusual circumstances, you may become involved in court actions such as litigation which may require my participation. You will be expected to pay for the professional time required even if I am compelled to testify by another party. Due to the complexity involved and difficulty of legal involvement, I charge $300.00 an hour for preparation and attendance at legal proceedings. Once an appointment hour is scheduled, you will be expected to pay for it unless you provide 24 hours advance notice of cancellation (one business day, Monday to Friday - not including Saturday or Sunday), or unless we both agree that you were unable to attend due to circumstances beyond your control, such as illness or emergency. My late cancellation fee or fee for missing an appointment is $160.00 150.00 This cannot be billed to your insurance company. Please consult my website for more information: xxx.xxxxxxxxxxxxx.xxx All accounts must be paid in full within 30 days. If your payment is not received within 30 days of billing, you will be charged a 10% fee on the remaining balance. In circum- stances of financial hardship, please talk to me about this as it may be possible to work out an installment payment plan.

Professional Fees and Payments. Payment is due at the time that services are provided unless special circumstances re- quire require an alternate payment schedule. My Intake fee is $220 255.00 (one to two sessions) and my fee for subsequent sessions (code 90837) is $190.00185.00. I typically raise my rate by $5.00 each year on January 1st. Sessions typically last 53 minutes but 30 minute ses- sions (• Couples Therapy: The correct ICD-10 code 90832) are available for $100.00. I do not bill insurance companies for couples therapy. The CPT session code (98047) therapy is covered but the diagnostic Z63.0 for “Problems in relationship with spouse or partner.” This code is not i.e., Z63.0 Relationship Distress with Spouse or Intimate Partnerrarely covered by insurance. You may call your insurance company to clarify this. In addition to weekly appointments, I charge $190.00 185.00 per hour for other professional services you may need, though I will break down the hourly cost in 15 minute incre- ments increments of $47.50 46.00 each. Other services include report writing, attendance at meetings with other professionals you have authorized, preparation of records or treatment sum- mariessummaries, documentation for disability or FMLA claims, and the time spent performing any other service you may request of me. These additional services are out-out- of-pocket ex- penses expenses and cannot be billed to insurance. I will coordinate care with other health care providers as a courtesy to you, although phone conversations lasting more than 15 minutes (for example, in a time of crisis), will also be billed. In unusual circumstances, you may become involved in court actions such as litigation which may require my participation. You will be expected to pay for the professional time required even if I am compelled to testify by another party. Due to the complexity involved and difficulty of legal involvement, I charge $300.00 an hour for preparation and attendance at legal proceedings. Once an appointment hour is scheduled, you will be expected to pay for it unless you provide 24 48 hours advance notice of cancellation (one two business day, days: Monday to Friday Friday’s - not including Saturday or Sunday)) advance notice of cancellation, or unless we both agree that you were unable to attend due to circumstances beyond your control, such as illness or emergency. My late cancellation fee or fee for missing an appointment is $160.00 185.00. This cannot be billed to your insurance company. Please consult my website for more information: xxx.xxxxxxxxxxxxx.xxx Payment is due at time of service unless other financial arrangements are made. All accounts must be paid in full within 30 days. If your payment is not received within 30 days of billing, you will be charged a 10% fee on the remaining balance. In circum- stances circumstances of financial hardship, please talk to me about this as it may be possible to work out an installment payment plan. Insurance - I submit bills to most insurance companies as a courtesy to you. When I am in-network for an insurance company, clients are responsible for any deductible amount that has not been met, and co-pay or co-insurance costs. I am currently in-network for the following insurance companies: Premera Blue Cross LifeWise Health Plan of WA Cigna First Choice Kaiser PPO Medicare When I am not in-network for an insurance company, clients are responsible for my full fee at each sessions. I will give you a super-bill to summit to your insurance company so that they can reimburse your for the portion of my fee that they cover. You may receive about 50-60% from them. I recommend that you call your insurance company before beginning therapy to be sure they know what your out-of-pocket expenses are. Due to concerns about insurance billing and privacy issues, some clients elect to pay for services themselves. It this is the case, we will decide together on a treatment plan and estimate the length of treatment and cost. Client Rights Clients have the right to change therapists or receive a referral to another therapist. Clients have a right to ask questions concerning the findings of their evaluation and treatment, and the right to raise questions about the therapist, the treatment approach, and progress made at any time.