Office Policies & Billing
For psychotherapy to be helpful, it is very important that you keep all appointments.
Consistently attending sessions will provide the maximum treatment benefit and assist you in meeting therapy goals. A missed appointment delays our work and progress.
You can cancel or reschedule an appointment anytime, but if you do not provide a 24-hour notice or fail to show up, you will be charged for the appointment.
Therapists at Upstate Psychiatry want to meet the needs of our many patients. This “No Show/Late Cancellation Policy” is necessary because of the limited number of appointments that can be scheduled in a day. A 45-minute session is reserved for you. If you are unable to keep the appointment there are patients who are often waiting for a cancellation to schedule a session.
Psychotherapists at Upstate Psychiatry are independent contractors. As professional licensed therapists, we are compensated through revenue generated by seeing patients. The fee for a missed appointment is $120. It is important to remember that insurance will not pay for any missed appointment. You will be responsible for the full fee. This policy is not a penalty or punishment.
The office staff cannot take any charges off your balance. At the discretion of the psychotherapist and only in the event of a serious or contagious illness or emergency will the fee be waived. No one wants to pay these fees, but this policy will be strongly enforced.
When making an initial appointment, please have your insurance information available.
Upstate Psychiatry is a participating provider with most major insurance companies, including Medicare.
• Payment is expected at time of service.
• CO-PAYS AND/OR DEDUCTIBLES
WILL BE COLLECTED AS YOU CHECK OUT.
• As a courtesy to our patients we will file any remaining portion covered by your insurance.
We accept Visa, Mastercard, American Express, checks and/or cash.
Service Code | Description | Estimated Amount to be Billed |
---|---|---|
90792 | Psychiatric Diag. Evaluation by M.D. | $250.00 |
99214 | Office visit (moderate) M.D. | $150.00 |
99215 | Office Visit (high) M.D | $185.00 |
90791 | Psychiatric Diagnosis Eval, by LISW | $175.00 |
90832 | Psychotherapy 16-37 min LISW | $100.00 |
90834 | Psychotherapy 38-52 min by LISW | $120.00 |
90836 | Psychotherapy 45 min by M.D. w/OV | $120.00 |
90833 | Psychotherapy 30 min by M.D. w/OV | $100.00 |
