New Client Paperwork
We offer several choices for payment of services. We accept cash and checks in the office at the time of the appointment. Or, for your convenience, you can pre-pay your balance by credit card using our online PayPal services.
Our fees are determined based upon the licensure status of the therapist as well as the income level of the client or client’s parent(s). For sessions with a licensed therapist, the cost is $150.00 per therapeutic hour (50 minutes).
Session fees are applied per session and must be paid for at the time of service. Fees also accumulate if sessions are not properly canceled. We require a 24-hour notice for cancellations.
Your therapy hour has been reserved for you. Appointment cancellations must be made at least 24 hours before the agreed-upon appointment time. Should you cancel before this time there will be no fee added to your account. However, cancellations received with less than 24 hours notice or “no-shows” will be charged a full session fee.
About Insurance Reimbursement
If you have a health insurance policy, it will usually provide some coverage for mental health treatment. Many insurance companies reimburse between 50-80% of the session fees for an “out-of-network” provider, which Erin Falvey is. It will be your responsibility to fill out and file your health insurance claim forms, so that you can be reimbursed for the fees you pay for therapy services. We will provide you with whatever information we can (diagnostic and procedure codes, National Provider Identifier (NPI) number, etc.) to facilitate your receiving the benefits to which your insurance entitles you. However, you (not your insurance company) are responsible for full payment of the fee that we have agreed upon. Therefore, it is important that you find out exactly what mental health services your insurance policy covers. You should carefully read the section in your insurance coverage booklet that describes mental health services. If you have questions, you should call your plan administrator and inquire. Questions you may want to ask them include:
1) What percentage of my therapist’s fees are covered by my out-of-network mental health benefits?
3) Does my policy cover the procedures described under CPT Code 90837 (Individual therapy) and CPT Code 90847 (Couples/Family Therapy)?
4) Is pre-authorization required in order for me to be reimbursed for fees for therapy? If so, what is my authorization number?
5) How many sessions are authorized?
“Managed Health Care Plans” such as HMOs and PPOs often require advance authorization before they will provide reimbursement for mental health services. These plans are often oriented towards a short-term treatment approach designed to resolve specific problems that are interfering with one’s usual level of functioning. They may require you to seek additional approval for more therapy after a certain number of sessions. In our experience, while quite a lot can be accomplished in short-term therapy, many clients feel that more services are necessary after insurance benefits expire. We are not members of any managed care programs (Erin Falvey is now a participating provider in the Anthem Blue Cross network), so we will not be listed on the “Panel of Providers” for any such program.
You should also be aware that most insurance agreements require you to authorize us to provide a clinical diagnosis, and sometimes additional clinical information such as a treatment plan or summary, or in some cases, a copy of the entire record. This information will become part of the insurance company files.
*If the client discontinues therapy services prior to completing pre-purchased sessions full session fees will be applied to completed sessions and the remainder will be refunded to the client.