Information for clients who do not have insurance or who are not using insurance
Notice: You have the right to receive a “Good Faith Estimate” explaining how much your medical 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 bill for medical items and services.
• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or 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.
Talk Remedy Therapy Good Faith Estimate
Beginning January 1, 2022, federal laws regulating client care have been updated to include the “No Surprises” Act. Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services called a “Good Faith Estimate” (GFE) explaining how much your medical care will cost.
This new regulation is designed to provide transparency to patients regarding their expected medical expenses and to protect them from surprises when they receive their medical bills. It allows patients to understand how much their health care will cost before they receive services.
There are a number of factors that make It challenging to provide an estimate on how long it will take for a client to complete therapeutic treatment, and much depends on the individual client and their goals in seeking therapy. Some clients are satisfied with a reduction in symptoms while others continue longer because it feels beneficial to do so. Others begin to schedule less frequently, and may continue to come in for “tune ups” or when issues arise. Ultimately, as the client, it is your decision when to stop therapy, you are never compelled to continue.
At Talk Remedy Therapy, I must provide a diagnosis for all clients as well as required by the “No Surprises Act”. A formal diagnosis occurs after an assessment has been completed. For services rendered by Talk Remedy Therapy that will take place 2 sessions after beginning couple’s therapy. If you choose to decline a formal diagnosis, we will not update the GFE. It is within your rights to decline a diagnosis per state and federal guidelines.
Primary Diagnosis Code at Talk Remedy Therapy The specialized services provided by Talk Remedy Therapy are solely intended to treat relationship distress all clients are given the base code
Z63.0 Relationship Distress with Spouse or Intimate Partner
Talk Remedy Therapy recognizes every client’s therapy journey is unique. How long you need to engage in therapy and how often you attend sessions will be influenced by many factors including
- Your schedule and life circumstances
- Therapist availability
- Ongoing life challenges
- The nature of your specific challenges and how you address them
- Personal finances
Together we will continually assess the appropriate frequency of therapy and will work together to determine when you have met your goals and are ready for discharge and/or a new “Good Faith Estimate” will be issued should your frequency or needs change.
Gottman Method Counseling typically lasts between 13-26 sessions according to the Gottman Research Institute. However, according to the American Psychological Association, “on average 15 to 20 sessions are required for 50 percent of patients to recover as indicated by self-reported symptom measures”. Additionally, they state that through the working relationship between the client and counselor sometimes the preference is for “longer periods (e.g., 20 to 30 sessions over six months), to achieve more complete symptom remission and to feel confident in the skills needed to maintain treatment gains”. So, length of treatment depends on several factors because everyone has unique counseling goals.
Service codes at Talk Remedy Therapy
The hourly rate for services with Dr. Nicole Parker, LMFT, are $150/hour
- 90791: Intake session 90 minutes ($225)
- 90847: Family/Couples psychotherapy session 60 minutes ($150)
- 90847: Family/Couples psychotherapy session 90 minutes ($225)
Where services will be delivered.
- Talk Remedy Therapy provides services in the office at 900 W. University Drive, Suite B2, Rochester MI 48307 and via teletherapy using the Doxy Telehealth platform.
- Provider Name: Dr. Nicole Parker (maiden name Monta).
- NPI: 1003296294
- TAX ID: 82-3107341
- Email: [email protected]
- Phone #: 248-710-0511
- Fax #: 248-294-1106
Good Faith Estimate
For a good faith estimate: the amount you would owe if you were to attend therapy for 52 sessions in a year (weekly, without skipping any weeks for holidays, break, vacation, unplanned events/sickness, etc.). The “Good Faith Estimate” requires practitioners to provide an exact estimate and not a range. Out of an abundance of caution and transparency, only weekly appointments are quoted here.
- 90791: 90 minute intake session ($225), plus 90847: 90 minute Individual Interview session ($225): $450
- 50 weekly sessions of code 90847: Family/Couples psychotherapy session 90 minutes ($225): $11,250
- 50 weekly sessions of code 90847: Family/Couples psychotherapy session 60 minutes ($150): $7,500
The above examples are provided to give an idea of the financial expectations for a calendar year. The frequency and duration are dependent on your needs and goals as a couple.
Typical Course of Treatment at Talk Remedy Therapy
- 90791: 90-minute intake session ($225), plus 90847: 90-minute Individual Interview session ($225): $450
- Online relationship assessment: $39 cost per couple
- 12 weekly sessions of code 90847: Family/Couples psychotherapy session 90 minutes ($225): $2,700
- 12 weekly sessions of code 90847: Family/Couples psychotherapy session 60 minutes ($150): $1,800
The research on couples therapy using the Gottman Method recommends follow up sessions to support accountability and relapse prevention.
- 3 month and 6 month follow up session at 90 minutes each ($225): $450
- 3 month and 6 month follow up sessions at 60 minutes ($150): $300
I look forward to talking with you and answering any questions you may have about the “No Surprises” Act and Good Faith Estimates.
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