Thank you for choosing Krupnick Counseling Associates for your counseling needs. We appreciate that you have entrusted us with your counseling needs and are committed to providing you with the best care possible.
Care delivered by Krupnick Counseling Associates will be administered regardless of race, color, creed, social status, national origin, handicap or sex.
The mission of Krupnick Counseling Associates (KCA) is to foster a supportive therapeutic environment for children, adolescents and adults to feel empowered and encouraged to succeed in life.
PAYMENT IS DUE AT THE TIME OF SERVICE
You are responsible for paying at the time of your session unless prior arrangements have been made. It is best to pay when you arrive for your session as we may discuss challenging material and you may be more comfortable leaving directly after the session is over. However, payment at the end of the session is completely fine as well.
FORMS OF PAYMENT ACCEPTED
Payments can be made by cash, check or major credit card. Clients can also set up automatic credit card payments to be processed after each visit. There will be a $35 service charge for all returned checks.
Krupnick Counseling Associates provides quality counseling at a standard fee up to $150 per hour. Our fees are a reflection of the specialized education, training and experience of our talented staff and we encourage you to view this as a caring way of investing in you and/or your loved ones’ health and well being. Krupnick Counseling Associates works to keep the fee reasonable and is well below the average fee within the Denver/Boulder area.
Initial assessment or extended session – $150.00 an hour
Psychotherapy – $140.00 per session
Reduced private pay rate (no insurance billing) – $125.00 per session
Missed appointment/late cancellation – $85.00 per occurrence
Other services that require more than 15 minutes are billed directly to you (not covered by insurance) at the rate of $150.00 per hour. These services include:
- Telephone/Email consultations
- Review of records such as prior treatment reports, custody evaluations and the like.
- Reports, testing, and letters to others (which are only provided at your written request)
- Expert testimony for depositions and/or court appearances, including travel and preparation time if necessary. 50% of anticipated fee for these services must be paid one week in advance.
COURTESY BENEFIT CHECK
As a courtesy, our billing office will contact your insurance company to obtain a good-faith estimate of the outpatient mental health benefits under your policy. Our goal is to help you use your benefits to the fullest and inform you of any out-of-pocket expenses you should anticipate.
Please bring your insurance card with you at the time of your first appointment. We strive to contact each new client’s insurance company prior to your initial session. As a courtesy our billing office will contact your insurance provider and conduct a courtesy benefit check. We will provide you with this information at the first or second visit depending upon how quickly your appointment is scheduled. However, this is not always possible. We therefore ask that you know your benefits and take the time to check your coverage, including your deductible, number of visits, whether we are in or out of network.
You are responsible for understanding the provisions of your health insurance plan and coverage. Please bear in mind that, ultimately, carrier adjudications after the visits determine financial responsibilities. Health insurance is a contract between you and your insurance company and you are responsible for any services that are rendered on your behalf if your insurance company does not compensate for those services.
Our office will gladly bill all in-network eligible insurance(s) for any date of service that you are being seen in our office and only charge you for the patient portion of your date of service based on your insurance(s) determination. You are responsible for paying your co-payment or co-insurance at the time of service.
You will receive a statement from our office indicating what your insurance has paid. Any remaining balance is due upon receipt of that statement.
If you have a secondary insurance you must present it at your initial visit. The same policies and responsibilities apply to the use of secondary insurance. You are responsible for the accuracy of the insurance information we use to submit the claim, and you are ultimately responsible for full payment of your bill.
EAP & MANAGED CARE
KCA participates in many Employee Assistance Programs(EAP) and Managed Care Programs. We will gladly provide services according to your plan when proper authorization is granted prior to your visit and we will accept payment according to our negotiated agreement with the insurance company. You will be responsible for applicable copayments or deductibles at the time of your visit. However, since authorization is not a guarantee of payment, you will be responsible for services that are not covered by your EAP or Managed Care Plan.
Krupnick Counseling Associates would like you to provide us with a credit or debit card that we will keep on file. This information will facilitate the settlement of any balances that may be your responsibility after we have settled with your insurance carrier. Under HIPAA, we are under strict rules and guidelines in terms of protecting client privacy and credit card is considered protected health information. We treat your financial information with the same respect and privacy guidelines as your medical records. We assure you that we will only bill your credit card in the following situations; you instruct us to bill your credit card for any outstanding balance or your balance is 60 days past due.
A parent or legal guardian must accompany the minor patient at the time of the initial visit. The parent or legal guardian is responsible for full payment as outlined in the financial policy. The parent or legal guardian that accompanies the minor patient to the clinic will have full responsibility for the payment should any dispute arise.
FINANCIAL RESPONSIBILITY FOR MINORS
We realize that many families are in a state of change. Divorced, separated, single parent and blended families are common. In many of these families the question of who is responsible for the children’s medical bill is uncertain. The policy of our office is that the parent who request treatment for the child is responsible for all fees incurred. However, our office is happy to work with families who would like to put two forms of payment on file when sharing the financial responsibility for co-payment and session fees.
The power and helpfulness of therapy is directly tied to the therapist-client therapeutic relationship. The relationship is fostered through consistent, regular contact that better allows for your therapist to assist you. If you need to cancel an appointment, kindly give us a minimum of a 24 hour notice. Exceptions will be made when circumstances exist such as illness or when weather conditions make it impossible to get to your appointment. It is important to note that insurance companies do not provide reimbursement for cancelled sessions. You will be billed directly and copayment amounts do not apply. The missed appointment/late cancellation is billed at the reduced rate of $85 per session. If you are late, your appointment will still need to end on time.
Clients carrying a balance will be sent a statement at the beginning of each month. As a courtesy, Krupnick Counseling Associates will submit claims to your in-network health insurance company after each visit, and we will apply payments received to your account. If needed, we will re-submit these claims to ensure payment of your benefit for covered services. In the event that repeated submission of a claim does not satisfy your bill for services rendered within 120 days you will be responsible for the full payment of your bill. In addition, any remaining balance after your health insurance has paid is your responsibility. If you have any questions regarding your statement please call our billing office at 303-487-4943.
It is important that we have your correct information on file. Please advise us anytime there is any change to your address, telephone, email or other contact information. If you are issued a new insurance card please allow us to take a copy of it for your file. If your insurance changes or discontinues mid-treatment, please notify us immediately so there is no delay in billing.
Collection procedures will be initiated when payments are 90 days past due. This may involve using a collection agency or filing a claim in small claims court. Before we engage a collection agency, we will provide you with written notice of our intent to do so, sent to your last address we have on record, and give you an opportunity to make payment arrangements. The responsible individual agrees to pay all collection fees, including attorney fees, court costs and other expenses incurred in the collection of delinquent accounts.
Your insurance policy is a contract between you and your insurance company. We will not become involved in disputes between you and your insurance company regarding your policy.
A refund is issued when an overpayment has been identified. If you feel a refund is due, please contact our billing office at 303-487-4943.
Krupnick Counseling Associates does not permit clients to carry a balance of more than three sessions and if you are unable to pay this balance, we will discuss whether it makes sense to pause your care or develop another strategy so that you can avoid incurring additional debt. Please let us know if any problem arises during the course of therapy regarding your ability to make timely payments.