Services and Professional Fees

Typical Hourly Charges: $300.00/hour

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Psychiatric Evaluation - Single Session

99205           $600.00       Single session evaluation – up to 2 Hours

99205+         $840.00       Single session evaluations of 2 ½ hours or more

99354

Note: the 99344 billing code will be substituted for 99205 when the entire evaluation takes place in the patient's place of residence.

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Psychiatric Evaluation - Two Sessions (typically 2 ½ - 3 ½ hours after combining time spent in meetings with parent(s), child)

90791              $380.00          Parent interview (first of two session eval)

90792             $460.00          Child interview (second of two session eval) 

Note: 99350 will be used if the second evaluation session is home-based.

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Psychiatric Follow-Up Visits

99212             Typical appointment < 15 minutes                          $120.00                      

99213             Typical appointment: 15-24 minutes                     $190.00                      

99214             Typical appointment: 25-50 minutes                    $235.00          

99215             Typical appointment: 51-75 minutes                      $300.00

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Home-Based Services

99347             $190.00          In-home services < 25 minutes

99348             $235.00          In-home services, 25-50 minutes

99349             $300.00          In-home services, > 50 minutes

99350             $460.00          In-home services, second visit of two-visit evaluation

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Note: Time for telemedicine sessions also includes time spent on documentation and processing prescriptions after the online component of the session has ended.

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Family therapy with or without the identified patient is billed at the rates for psychiatric follow-up visits. The family therapy without patient code may be used for appointments during which medication is discussed, but the identified patient is absent.

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90846             Family therapy without patient       

90847             Family therapy with patient

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-95                  Telemedicine modifier                             

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99354             $240.00          Prolonged Service Time (30-74 minutes)

99355             $140.00          Prolonged Service- (added to 99354, 75-104 minutes)

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Other Psychiatric Services

90882             Environmental Intervention (school visits) - billed at 50% of hourly rate                      

90885             Record Review ($75.00 + $75.00/15 minutes)

90889             Report Writing ($75.00 + $75.00/15 minutes)

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Telephone Calls, E-mail, Texting:

It is Denny's intent NOT to charge for routine communication. Families come to a practice such as ours because they're seeking a child psychiatrist who is generally available and responsive. It is likely Denny will ask you to come in for a follow-up visit or take part in a video visit if your clinical concern can’t be resolved in ten minutes or less by phone or e-mail. Please note that you will not be billed for any contacts that are part of a previously discussed clinical plan such as a brief, planned follow up.  We will continue to make every effort to inform you when a contact will be charged.  

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99441              FREE               Telephone calls < 10 minutes

99442             $40.00           Telephone calls: 11-20 minutes

99443             $80.00         Telephone calls > 21 minutes

99444                                     E-mail (similar to telephone calls)

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Travel time for home-based appointments, school meetings:

In-home appointments or school-based meetings within 30 minutes of business mailing address  will not incur an additional charge. In-home appointments more than 30 minutes from the office that can’t be scheduled immediately before or after another appointment in the area will result in a surcharge for travel time billed at 50% of the Denny’s hourly rate on a pro-rated basis. 

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Charges for Prescription Refills:

Patients obtaining medical services from Denny will receive prescriptions sufficient to last until the next scheduled follow-up visit, unless specifically discussed in the follow-up plan for very stable, long-term patients. If you run out of medication, the usual reasons are that you missed an appointment, canceled an appointment or rescheduled for a later date. Exceptions may occur when Denny is initiating a new medication, adjusting the dose of medication, or discontinuing medication. If you cancel or reschedule an appointment and need a new prescription or refills prior to your next appointment, please e-mail Denny at least five working days in advance of your child's prescription running out. We don’t accept prescription requests from pharmacies by phone or fax.

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There will be a minimum $50.00 charge for prescriptions provided outside of scheduled appointments unless a medication change is initiated by Denny. If more than one prescription is requested outside of a scheduled appointment, there will be a $10.00 charge for each additional prescription. The credit card you keep on file with us will be charged.

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The requirement by the Ohio State Pharmacy Board that all prescriptions for controlled substances (stimulant medications for ADHD, benzodiazepines used in rare instances for treatment of acute anxiety) has greatly added to the practice's administrative burden and significantly increased the length of initial evaluations and follow-up appointments. It also means that prescriptions need to be rewritten if families choose to use a different pharmacy between the time the original prescription was issued and the time they desire to have a prescription filled if their child's medication is considered a controlled substance. This sometimes happens in situations when a family/patient desires to fill their prescription at a different location within the same pharmacy chain. The pharmacy chains have been legally permitted to forward electronic prescriptions to other pharmacies within their chains since August, 2023, but some chains refuse to do so. Because of the time burden involved in responding to prescription requests, the $50 minimum charge will apply when Denny is asked to respond to these requests. The same charge applies when due to no fault of Denny, pharmacies insist upon prescriptions being reissued.

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Charges for Prior Authorization Requests from Insurers or Pharmacy Benefit Managers:

Denny does not complete prior authorization requests for prescription medication.  

It is your responsibility to pay for any medication prescribed to you or your child. If you are unable to do so, please contact Denny. He is happy to work with families to identify affordable treatment alternatives.

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Denny encourages families to become knowledgeable about their prescription drug coverage and use tools such as GoodRx to comparison shop the cost of their child's prescriptions through the different pharmacy chains.

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Legal Issues:

Denny does not provide legal advice or forensic services as part of his practice. Please notify him immediately if you or your child become involved in a legal or criminal matter that may require his participation. If you become involved in legal proceedings and require Denny’s participation, you will be charged for professional time at the rate of $600.00/hour, including any travel or preparation time. Be aware that potential conflicts of interest may arise from involving Denny in legal proceedings that preclude him from providing ongoing mental health care to your child.

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GOOD FAITH ESTIMATE:

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers are required to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

• Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1 (800) 633-4227.