Financial Policy

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Fee Schedule, method of billing, and terms of payment

Providers of services reimbursed on a quarter-hour basis under this Section will be reimbursed for any substantive contact at a minimum of fifteen (15) minutes. Providers are subject to the rounding requirements in Chapter I of the MaineCare Benefits Manual (Provider Participation).

Fee modification

The standard fee is $140 per session of 50-60 minutes for the individual; $150 for a couple; and $150 for a family. However, we accommodate clients who are not able to pay the standard fees. Discuss with your counselor if you have a challenge with paying standard fees.

Insurance

Whereas the counselor seeks to enroll with insurance panels and other third-party payment plans, the client is financially responsible for the payment / co-payment for each psychotherapy /counseling session, and it is due at the time of the session. The client is responsible for any unpaid balance due to not having met his or her deductible, and for any unpaid balance in the event his/her insurer denies the claim for a session or sessions.

Cancelation Policy

A minimum of twenty (24) hours for cancelation of your appointment is required or you will be charged the full fees for your session. If you fail to pay any outstanding amount you agree to pay the cost incurred for collection. In the case of an emergency, please let us know as soon as possible.

ICD-10 Code, Service,    Fee Schedule

ICD-10 Code: 90837       Psychotherapy, 50-60 minutes at $140

ICD-10 Code: 00000      Initial Consultation – 15 minutes at $0

ICD-10 Code: Z71.81     Spiritual Counseling, 50-60 minutes at $140

ICD-10 Code: 90839      Psychotherapy for Crisis, 50-60 minutes at $140

ICD-10 Code: 90847     Family psychotherapy, conjoint psychotherapy with the patient present, 60 minutes at $150

ICD-10 Code: 90853     Group Therapy, 60 minutes at $60