Financial Policy / Fee Schedule
The following schedule is
effective January 1st 2006, and may be changed without notice.
Cost of evaluation: The
fees charged at the Tridas Center for Child Development are based on
time scheduled for each of our professional staff members on your
child’s behalf including the interpretation and review of tests and
preparation of report. The charge for an initial visit by our doctors is
$515.00. The average time spent during the first visit is between
1½ to 2 hours (contact time with you and your child)
Afterwards, the physician will score and interpret all tests
administered, may consult with other professionals and will prepare an
extensive report. The second visit or feedback session lasts
approximately 1 to 1½ hours. The charge for this appointment is
$275.00. There is a $50.00 non-refundable processing fee that must
be paid when you register your child on our confidential website.
This fee will cover the cost of processing the parent, teacher and
student (if appropriate) questionnaires and the data analysis that is
done prior to your first visit to our center.
Method of payment: Full
payment is expected at the conclusion of each visit except for the
$50.00 non-refundable processing fee which is paid online when you
register prior to accessing the questionnaires on our secure
website. We will make every effort to provide you with the basic
documentation necessary for you to submit a claim to your insurance. We
do not accept or process insurance payment but we accept VISA,
MasterCard and American Express as an alternative.
Forms to be completed: You
will be provided with a financial responsibility agreement and a
patient information form in your patient information packet that must be
signed (electronically or on paper) and returned to our center prior to
your first visit. We also provide on-line questionnaires with the
necessary passwords and Personal Identification Numbers (PIN) for you,
your child and the teachers that will need to be completed through our
secure website prior to the first visit. These
questionnaires will enable us to gather information about your
child that is essential for our doctors to formulate a proper diagnosis
and management plan. Because this data is critical to the
evaluation, the appointment cannot be completed without it. If the
information cannot be submitted electronically, there will be an
additional $50.00 surcharge to enter the data manually.
Cancellation policy: You
will be charged $250 if you cancel a New Patient Evaluation without
adequate notice. New patient evaluations and parent
feedback visits must be cancelled no later than 1 business day (24
hours, or Friday morning if your child’s appointment is on a Monday)
prior to the visit. We do not “double book” at The Tridas
Center for Child Development. Understand that we will schedule two
and a half to three hours of our professionals’ time to be spent with
you and your child for a New Patient Evaluation that cannot be
rescheduled without adequate notice.
If you have questions regarding our fee
schedule, feel free to contact the Center's office manager.
Below please find the procedure codes
for the charges at our center. You can use this information to
check with your insurance carrier for reimbursement rates.
| |
Time |
Procedure Code |
Our Charges |
| NEW PATIENTS |
|
|
|
| INITIAL VISIT |
|
|
|
| Physician
Consultation |
1.5 – 2 hrs |
99245 |
$295.00 |
| Developmental
testing, preparation of report |
1 – 1.5 hrs |
96110 |
$110.00 |
| |
|
96111 |
$110.00 |
| First visit total |
2.5 – 3.5 hrs |
|
$515.00 |
| Questionnaires
and data analysis - online processing fee |
|
|
$50.00 |
| Questionnaires
and data analysis - paper (manual) |
1 hr |
|
$100.00 |
| SECOND VISIT (Feedback
Session) |
|
|
|
| Patient
conference with physician |
|
99215 |
$275.00 |
| ESTIMATED EVALUATION TOTAL |
|
|
$840.00 |
|
| RETURNING
PATIENTS |
|
|
|
| FOLLOW UP VISIT (includes
medication monitoring between visits) |
0.5 hr |
99214 |
$155.00 |
| MEDICAL CONSULT (including
preparation of report) |
1.5 – 2.5 hrs |
99245 |
$365.00 |
Please note that other tests may be
advised after the initial visit such as speech or psychoeducational
testing (IQ, processing, and achievement) are not included in the rates
quoted. These tests will be performed by other licensed professionals.
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