bbitherapy@hushmail.com | (717) 220-8660
  • Behance
  • Facebook
  • Instagram
  • Pinterest
Make an Appointment: bbitherapy@hushmail.com | (717) 220-8660
  • Home
  • About
  • Telehealth
  • Conditions Treated
    • Generalized Anxiety
    • Social Anxiety
    • Obsessive Compulsive Disorder (OCD)
    • Phobias
    • Adult ADHD
    • Pain Management
    • Panic Disorder
    • Body Dysmorphia
    • (BFRB) Body Focused Repetitive Behaviors
  • Treatment Modalities
    • Cognitive Behavioral Therapy
    • ACT Acceptance and Commitment Therapy
    • Exposure and Response Prevention Therapy (ExRP)
    • Therapy for Insomnia
    • Mindfulness-Based Cognitive Therapy
    • Virtual Reality Relaxation Training
    • Virtual Reality Immersion/Exposure Therapy
  • Anxiety & OCD in Kids
  • FAQs
    • Frequently Asked Questions
    • Rates and Insurance
  • Good Faith Estimate
  • Clinical Supervision
  • Blog
logo
  • Facebook
  • Instagram
  • LinkedIn
  • Twitter
Book an Appointment

(717) 220-8660 | bbitherapy@hushmail.com

Close menu
  • Home
  • About
  • Telehealth
  • Conditions Treated
    • Generalized Anxiety
    • Social Anxiety
    • Obsessive Compulsive Disorder (OCD)
    • Phobias
    • Adult ADHD
    • Pain Management
    • Panic Disorder
    • Body Dysmorphia
    • (BFRB) Body Focused Repetitive Behaviors
  • Treatment Modalities
    • Cognitive Behavioral Therapy
    • ACT Acceptance and Commitment Therapy
    • Exposure and Response Prevention Therapy (ExRP)
    • Therapy for Insomnia
    • Mindfulness-Based Cognitive Therapy
    • Virtual Reality Relaxation Training
    • Virtual Reality Immersion/Exposure Therapy
  • Anxiety & OCD in Kids
  • FAQs
    • Frequently Asked Questions
    • Rates and Insurance
  • Good Faith Estimate
  • Clinical Supervision
  • Blog
  • Facebook
  • Instagram
  • LinkedIn
  • Twitter
(717) 220-8660

bbitherapy@hushmail.com

Integrating Cognitive and Somatic Therapies with Technology

Start Here

Good Faith Estimate

No Surprise Act of 2021

Under a new federal law to protect clients and patients from surprise health care bills, Licensed Clinical Social Workers (LCSW) and other health care provider types must, effective January 1, 2022, provide a Good Faith Estimate (GFE) of expected charges that may be billed for items and services to individuals who are uninsured (e.g., not enrolled in any health plan or coverage) or who are self-pay (e.g., not seeking to file a claim with their plan or coverage). The GFE must be provided both orally and in writing, upon request or at the time of scheduling health care items and services, and within specific timeframes. A Good Faith Estimate is an estimation of the expected charges provided in advance of scheduled services.
The rule applies to both current and future clients who are uninsured or self-pay. Providing a GFE to clients is not new to LCSWs who, as part of best clinical practice, routinely discuss services and fees before or during the initial interview with new clients.

In the event that a client has an insurance plan that offers out of network benefits, a Superbill (insurance reimbursement statement) may be requested so claims for reimbursement can be submitted by the client to their insurer. It is the client’s responsibility to know and understand their insurance plan and benefits. Anxiety and OCD Pathways, LLC does not verify any insurance plans or benefits, nor submit claims on behalf of clients. Therefore, Anxiety and OCD Pathways, LLC does not guarantee that clients will receive any reimbursement in any amount from their insurance carriers.

Appendix A:

Common billing codes and full rates for counseling and psychotherapy services at Anxiety and OCD Pathways, LLC:
CPT billing Code 90791: Psychotherapy intake/diagnostic intake $150
CPT billing Code 90832: 30 minute therapy session $75
CPT billing Code 90834: 50 minute therapy session $150
CPT billing Code 90837: 90 minute therapy session $200
CPT billing Code 90847: 50 minute family therapy session with client present $150
CPT billing Code 90846: 50 minute family therapy session without client present $150
Anxiety and OCD Pathways, LLC gives clients the option for clients to choose a rate range that fits their financial needs between $90-$150 per hour for services. This is contracted prior to intake on the Rate Contract form.   

[Limited slots for further reduced rate offered on a significant needs basis]

Common DSM-5/ICD-10 Diagnostic Codes used at Anxiety and OCD Pathways, LLC:
Separation Anxiety Disorder (309.21/F93.0)                          
Specific Phobia Animals (300.29/F40.218)      
Specific Phobia Natural Environment (300.29/F40.228)     
Specific Phobia Blood-Injection-Injury (300.29/F40.23)       
Situational Phobia (300.29/F40.248)   
Other Phobias (300.29/F40.249)          
Social Anxiety Disorder (Social Phobia)  (300.23/F40.10) 
Panic Disorder (300.01/F41.0)  
Agoraphobia (300.22/F40.00)
Generalized Anxiety Disorder (300.02/F41.1) 
Obsessive Compulsive Disorder (300.3/F42) 
Trichotillomania (Hair Pulling Disorder)  (312.39/F63.2) 
Excoriation Disorder (698.4/L98.1)      
Attention Deficit Hyperactivity Disorder (314.01/ F90.8)
Post Traumatic Stress Disorder (309.81/F43.1)       
Major Depressive Disorder (296.2x)     
Adjustment Disorder with Anxiety (309.24/F43.22)
Adjustment Disorder with Depressed Mood (309.21 /F43.21) 
Mixed Anxiety/Depression (309.28/F43.23)      
Parent-Child Relational Problem (Z62.820)                     
Relationship Distress Partner (Z63.0) 
Phase of Life Problem (Z62.89)                         
Hx of Personal Psychological Trauma (Z91.49)
 

Length and frequency of treatment:

Every client’s therapy journey is unique. How long a client need to be engaged in therapy and how often they attend sessions will be influenced by many factors including:
• Client schedule and life circumstances
• Therapist availability
• Ongoing life challenges
• Client’s active engagement in change processes in-between sessions.
 
Once the contracted rate, diagnosis, and frequency of sessions are determined, an individualized Good Faith Estimate will be discussed with the client. If the client requests, then one will be provided in writing. Treatment Plan and Good Faith Estimates will be reviewed (and revised if necessary) every 120 days.

Appendix B: Good Faith Estimate Disclaimers

This Good Faith Estimate shows general estimated the cost of items and services that are reasonably expected for health care needs for an item or service at this practice. The estimate is based on information known at the time the estimate as created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to appeal and dispute the bill. If you are billed more than your individualized Good Faith Estimate, you have the right to dispute the bill.
You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available. You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the original bill. There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on your individualized Good Faith Estimate. If the reviewing agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount. To learn more and get a form to start the process, visit www.cms.gov/nosurprises or call 1-800-985-3059
For questions or more information about your rights to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call 1-800-985-3059

Appendix C: State Disclaimer Pennsylvania

Patients who receive a surprise medical bill for services provided on or after January 1, 2022, may contact the Insurance Department at www.insurance.pa.gov/NoSurprises, 877-881-6388, or TTY/TDD: 717-783-3898 with any questions or to file a complaint. Patients may also seek assistance from their health plan.



3214 East Market St.
Suite #1
York, PA 17402

(717) 220-8660
bbitherapy@hushmail.com

About

Anxiety and OCD Pathways, LCC is a solo niche practice specializing in anxiety and OCD related conditions.

 

Office Hours

Monday and Wednesday: 4pm-9pm

Saturday and Sunday: 9am-4pm

Tuesday, Thursday, Friday, and Sunday;  CLOSED

 

  • Facebook
  • Instagram
  • LinkedIn
  • Twitter

Contact Information

3214 East Market St.
Suite #1
York, PA 17402

(717) 220-8660
bbitherapy@hushmail.com

Privacy Policy

A Therapist Website by Brighter Vision