| |
| FINANCIAL
POLICY |
| The following is
a statement of our financial policy which
we require you to read and sign prior to any
treatment. |
| Medicaid
as the primary insurer. |
 |
Medicaid
continues to be the primary insurer.
Medicaid card should be shown monthly
to the therapist. |
|
Carolina
Center for Medical Excellence (CCME),
who provides approval for the treatments,
continues to approve the therapy. |
|
Dynamic Therapy
for Kids has sufficient staff to provide
the treatments needed by the patients. |
|
| Private Insurance
is the primary, Medicaid is the secondary. |
| If Medicaid is
the patient’s secondary insurance, we
will bill the primary insurance and one of
two things will take place: |
|
Within 60
days of treatment, the primary insurance
company pays at least what Medicaid
would have paid. In this case, there
is no additional patient responsibility
for the treatments; |
|
Within 60
days of treatment, the primary insurance
company pays some but less than what
Medicaid would have had it been the
primary insurer. In this case, Dynamic
Therapy for Kids bills Medicaid for
the balance due. The patient pays nothing. |
|
Within 60
days of treatment, the primary insurance
company provides no denial of payment.
Since we cannot bill Medicaid without
a denial or proof of partial payment,
we may have to discontinue therapy. |
|
Dynamic Therapy
for Kids must be informed of ANY changes
of private insurance due to Medicaid
billing laws. Dynamic Therapy for Kids
must be an approved provider by your
insurance company. |
|
| Private insurance
only. |
| We file all claims
whose payments can be assigned to Dynamic
Therapy for Kids. If, within 60 days of treatment,
the primary insurance company pays some portion
of the bill to Dynamic Therapy for Kids, the
responsible party will be billed the balance
due. If the insurance company has not provided
any payment, the entire bill becomes the responsibility
of the responsible party. If the patient pays
and the insurance company pays Dynamic Therapy
for Kids, later, a credit or refund is issued
to the responsible party. Dynamic
Therapy for Kids must be informed of ANY insurance
changes. Insurance will be verified
at time of first visit and your co-payment/coinsurance
amounts will be determined at the first visit
for all in-network therapies. All co-payments/coinsurance
amounts are due at the time treatment is rendered.
If your child is seen at the home/daycare,
your invoice will be mailed to you. Please
make payments promptly upon receipt of claim. |
| Wake County
Early Intervention Contract |
| Dynamic Therapy
for Kids is a contracted provider with Wake
County Early Intervention who will pay a portion
of the therapy based on their sliding scale. |
| Usual and
Customary Rates |
| Our practice is
committed to providing the best treatment
for our patients and we charge what is usual
and customary for our area. You are responsible
for payment regardless of any insurance company’s
arbitrary determination of usual and customary
rates. |
