School Observation and Consultation

Current Group Offerings​




NO GROUP OFFERINGS AT THIS TIME.


Rates

Individual & Family Psychotherapy

Below are the CPT codes associated for services.  Please contact us for a full list of services and fees.  It can be helpful to call your insurance in advance of getting started to ask about your out of network benefits and determine coverage.  Fees are subject to change and based on the working with Rebecca or Anna.  Reduced rates are provided on a case by case basis.


Service Type
CPT Code
Fee*
Individual Psychotherapy (45 minutes - standard appointment)
90834 
$190-$220
Family Psychotherapy (45 minutes, 60 minutes)
90847
$190-$290
Psychotherapy without Patient Present (Parent Meetings, 45 minutes)
90846
$190-$275
Group Psychotherapy (50-60 minutes)
90853
$100-$150

Phone Consultation

(Please note, these services may not be reimbursable by insurance.)

98966 (5-10), 98967 (11-20), 98968 (21-30+)
$190-220 per 45 minutes/prorated based on time

School Observation/Conferences, Meetings; may include travel time to and from office if in-person

(Please note, these services may not be reimbursable by insurance.)



90814




$220 per 45 minutes/prorated based on time

*Fees subject to change based on practice and policy standards.


Teletherapy Services:

HIPAA-Compliant Video Platforms or Telephone
[CPT code stated above]-95 

This is called a modifier.  Please note, these services may not be reimbursable by insurance due to not occurring in the office setting.
Rates above apply per CPT code.

Types of therapy offered:

Individual and family psychotherapy sessions are typically  45 to 60 minutes in length, weekly or alternative scheduled based on need.  Parenting work is a component to child therapy and parents are expected to participate in parenting sessions; frequency varies depending on need however I often meet with parents every 6-8 weeks.  For younger clients, parents may participate in weekly sessions, based on need.






​​Comprehensive Psychotherapy Services 

Rebecca Goldberg $ Associates

Type your paragraph here.

NO SURPRISES ACT & GOOD FAITH ESTIMATE (GFE)

Group psychotherapy is 50 to 60 minute group sessions weekly.  Commitment to year long is preferred, although half year semester options are also available.    

Insurance

How to get started

Consultation and observation regarding school setting and support services for academic planning are available.  

Get started today by emailing or calling for more information.  Often times, I speak with a client by phone before scheduling a session to determine if we are a good fit.  This is a free phone consultation and lasts 10-20 minutes.    After determining it is a good fit, we schedule an intake session (45-60 minutes) with the parents of the child or the adult client.  For a child therapy client, I would conduct a 3 session assessment with the child and meet back with the parents to determine the best plan to move forward.  For an adult therapy client, we would establish goals and areas of work within our first 3 sessions.  Throughout my work with clients, we are continue to assess for progress and ensure the client's needs are being met.  If not, we would discuss a plan to end treatment and I would provide the client with additional resources for continued support after ending.

Group Psychotherapy


I am an “out of network” provider and my services are covered by most insurance plans.  I recommend  calling your insurance company and asking about your out of network benefits and coverage.  See the rates section below for more specific information to ask your insurance provider.


You will receive a billing statement monthly with all the information needed to submit for insurance reimbursement.  Insurance companies ask for CPT or procedure codes, dates of service, cost of service, diagnostic code, and, and at times, a therapist signature or verification that the client has paid.  Clients are expected to pay for services at the time of receipt for services.  Often times insurance companies will provide reimbursement 30-90 days after claim submission.

​​YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE
 MEDICAL BILLS

(OMB Control Number: 0938-1401)

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs,     such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.

“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.

“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care - like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treatedby an out-of-network provider.

You are protected from balance billing for:
Emergency services: If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable  condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.

Certain services at an in-network hospital or ambulatory surgical center: When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections  not tobe balance billed.

If you get other services at these in-network facilities, out-of-network providers can’t balance  bill you unless yougive written consent and give up your protections.

You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.

When balance billing isn’t allowed, you also have the following protections:

  • You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
  • Your health plan generally must:
  1. Cover emergency services without requiring you to get approval for services in advance (prior authorization). 
  2. Cover emergency services by out-of-network providers.
  3. Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
  4. Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.


 If you believe you’ve been wrongly billed, you may contact: 1- 800-985-3059.


Visit www.cms.gov/nosurprises/ for more information about your rights under federal law.


You have the right to receive a “Good Faith Estimate” (GFE) explaining how much your medical care will cost 

Under the law, health care providers need 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.

 

How is this office handling the No Surprises Act?


All clients were given clear fee structures for rate increase effective January 1, 2022.   Since this was provided, and this new law is being rolled out now with anticipated changes to come in implementation, individualized GFE will not be given to individual clients unless directly requested.  


If you need another copy of your therapist's fee structure (similar to the grid above under 'Rates') and/or would like to request a GFE, please contact your therapist directly.  


Here is an example of a GFE for weekly and bi-weekly (every other week therapy) psychotherapy sessions:

  • Participating in weekly psychotherapy sessions: $200 per session for a total of 50 weeks, accounting for vacations and holidays for an estimated total of $10,000.00 per calendar year.*
  • Participating in bi-weekly psychotherapy sessions: $200 per session for a total of 25 weeks, accounting for vacations and holidays for an estimated total of $5,000.00 per calendar year.*

*These basic estimates do not include nor account for any additional services that may be required for your care.


It is difficult to determine the true length of treatment for mental health care, and each client has a right to decide how long they would like to participate in mental health care. Your therapist will collaborate with you throughout your treatment to determine how many sessions and/or services you may need to receive the greatest benefit based on your diagnosis(es)/presenting clinical concerns. Therefore, any  amount furnished in a GFE is only an estimate; it isn’t an offer or contract for services. This estimate shows the full estimated costs of the items or services listed. It doesn’t include any information about what your health plan may cover. This means that the final cost of services may be different than this estimate.


Contact your health plan to find out how much, if any, your plan will pay and how much you may have to pay.