Frequently Asked Questions

My base hourly rate is $210/hour. Please see my Rates and Packages page for more details.

To provide an elevated experience and ensure privacy, my practice is a private-pay practice. Private-pay is also known as self-pay, direct-pay, or out-of-pocket payment. I am an out-of-network provider and can supply superbills if you wish. Please see the next FAQ for more details on the pros and cons of superbills.

I do not. I am not in-network with any insurance companies.

There are several reasons why:

If we submit claims to insurance companies, they require me to provide a diagnosis.

If we submit a claim to them, insurance companies have the right to read and obtain copies of anything in your chart. This puts your privacy at risk.

Insurance companies put a cap on how much time I can spend with you. I believe that should be your decision.

Insurance companies do not reimburse for text-based services, service packages, or certain add-on options and I believe those services are helpful, relevant, and important.

Insurance companies have rules about which diagnoses deserve reimbursement and which do not. As a private pay provider, I do not have to pathologize your symptoms to get paid.

Superbills and Receipts

My standard practice is to provide receipts and  superbills.  A superbill is a special type of receipt with additional information required by insurance companies. When you request a superbill, it will be necessary to give you a diagnosis and to adhere to health plan rules regarding session length. Please note that some services may not be covered even with a superbill.

If your insurance company requires pre-authorization for testing or your records in order to approve a claim, you will need to request the records from me and send them yourself. As a non-contracted provider, I do not participate in chart audits or claims justification, and I will not communicate with the insurance company on your behalf. This may make it harder for you to obtain reimbursement, and it may result in denial of a claim.

To help minimize the insurance hassle, I use a service called Thrizer that can verify OON benefits, submit your superbill, and manage your claims, often getting you your reimbursement weeks earlier, once your OON deductible has been met.

If you need a referral to a clinician who accepts insurance, please contact your insurance company for a list of contracted providers.

A superbill is a detailed document used by healthcare providers to itemize and summarize the services provided to a client. It contains important information necessary for insurance claims processing and client billing. 

Superbills typically contain my provider information, your client information, the date and type of service, diagnosis and procedural codes, and charges.

You can receive a superbill upon request for you to submit claims to your insurance company for possible reimbursement. Please see the previous FAQ for more details on the pros and cons of superbills.

To conveniently submit superbills, you can sign up for Thrizer.

"Out-of-network" (OON) means I don't have a contractual agreement with insurance companies. If you receive care from an OON provider, your insurance may reimburse a portion of the cost if you file a superbill.

To check if you have out-of-network benefits, you can review your insurance policy, contact the insurance company, or sign up for Thrizer for an instant breakdown of your OON benefits.

Specific questions to ask about out-of-network coverage:

• What percentage of out-of-network costs are covered?
• What is the out-of-network deductible?
• What is the out-of-pocket maximum for out-of-network services?
• Are there any services that are not covered out of network?
• How does the reimbursement process work?

I understand the financial challenges that accessing therapy can sometimes pose. However, I do not offer sliding scale appointments due to the need to maintain a suitable practice and ensure the quality of care I provide.

Running a private practice involves significant costs, including office upkeep, utilities, professional development, and administrative support. By maintaining a consistent fee structure, I can continue to offer the best possible services to all my clients.

While I don't offer a sliding scale, I do offer discounted rates when sessions are bundled into the ADHD Therapy Package or the ADHD Testing and Therapy Package. These packages are designed to provide comprehensive support at a more affordable rate overall. Visit the Rates & Packages page for more information on what's included in each of the packages.

I understand the importance of making therapy accessible, so I am happy to provide referrals to low-cost community resources or other therapists who may accept your insurance or offer sliding scale options. 

Payment is charged to the card on file on the morning of your scheduled session. If payment cannot be charged prior to the appointment for any reason, the appointment will be automatically cancelled. If the appointment is made less than 24 hours in advance, the fee will be charged immediately to hold the slot.

I use an established payment processor called Stripe. Payment options include credit and debit cards and HAS cards.

Stripe is HIPAA-compliant and practices payment industry security standards of encryption.

Stripe sends automatic receipts to your email address. 

Please be reminded that I do not accept insurance. If you need a referral to a clinician who accepts insurance, please contact your insurance company for a list of contracted providers.

All current clients must have a valid payment card on file through the Simple Practice portal or services will not be scheduled. After I accept you as a client, I will send you the link to fill out a credit card authorization form through Simple Practice’s secure portal.

If your payment is declined either because your card expired or there is no payment method on file, your appointment will be canceled. It is your responsibility to keep a current card on file.

The first late cancellation or missed appointment will be waived as a one-time courtesy for active clients.

Any late cancellations or no-shows thereafter will be charged 100% of your scheduled session fee.

A cancellation is considered late if you cancel less than 24 hours prior to the scheduled appointment time. If you do not show up for an appointment, that’s considered a missed appointment, otherwise known as a “no-show”.

I reserve the right to terminate therapy with clients who show a pattern of late cancellations or missed appointments. If you’re on my caseload, I have a responsibility to meet with you regularly. If meeting at the scheduled time isn’t working out for you, please talk to me about finding a different time or switching how we meet.

For the purposes of cancellations and no-shows, an emergency is defined as one or more of the following:

You are in the emergency room for yourself or an immediate family member.

Someone you take care of has fallen ill suddenly.

You are in a serious automobile accident.

You are in a situation that involves law enforcement or incarceration.

Death

I will send a first appointment reminder 48 hours prior to your appointment time. This gives you time to make payment arrangements or update your card if it has expired prior to the cancellation window so you do not get charged or lose the slot. I will send a second reminder 24 hours prior to your appointment time. These reminders are courtesies, and the technology may occasionally fail. Showing up for appointments is your responsibility. Failure to receive a reminder does not waive the late cancellation fee.

I do not allow clients to carry a balance. If there are any additional services you’ve requested outside of your scheduled appointments (e.g., additional session time, add-on services, or supplemental documentation), you will be charged the fee for that service immediately following your session.

You will need to fill out an authorization for disclosure and release of information that is specific to third-party payors. The person or entity paying for your services will need to complete a third-party payor agreement and provide a valid photo ID. The financially responsible party will need to keep a card on file, no exceptions. You can find those forms in the client portal tab in the dropdown menu at the top of this website.

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 healthcare 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 healthcare 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. Save it in a secure location.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call the No Surprises Help Desk at 1-800-985-3059.