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90832-Psychotherapy-Psychotherapy is a variety of treatment techniques that help a client identify, manage or alleviate any emotional or behavioral disturbances, encourage emotional growth through coping techniques and problem-solving skills. Family and other persons may attend and participate in a psychotherapy session but the client must be present for some or all of the session and treatment remains focused on the client. Time: 30 minutes
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Include steps for telehealth and in-person
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Behavioral Health Professional Services
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Targeted Case Management Services
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Community Support Services
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Medical Monitoring and Medication Evaluation
Your provider is recommending this service, but Transformations does not provide this service and did not include this in the good faith estimate.
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Good Faith Estimate
- Transformations seeks to provide self-pay clients with a good faith estimate for the cost of services.
There may be additional services recommended as part of the treatment process that will be scheduled or requested separately and are not reflected in the good faith estimate.
Transformations' providers may provide emergency crisis services that are not present in this good faith estimate.
This good faith estimate does not include the cost of services provided to the client by providers not affiliated with Transformations.
The information provided in the good faith estimate is only an estimate regarding services reasonably expected to be furnished at the time the estimate and actual services or charges may differ from the good faith estimate.
The client has the right to dispute the charges if they are substantially in excess of the expected charges. To dispute charges, send an email to office@transformationsllc.net or by mail to 4010 Dupont Circle, Suite 582, Louisville KY 40207. If you are not satisfied with the resolution, contact Teri Lloyd, CEO at tlloyd@transformationsllc.net.
The good faith estimate is not a contract and does not require the uninsured individual to obtain any of the services identified in the good faith estimate.
Price:
$150.00
Quantity
90791-Diagnostic Evaluation-The assessment of client’s psychosocial history, current mental status, diagnosis and recommendations for treatment. Time: Event
Price:
$120.00
Quantity
90837-Psychotherapy-Psychotherapy is a variety of treatment techniques that help a client identify, manage or alleviate any emotional or behavioral disturbances, encourage emotional growth through coping techniques and problem-solving skills. Family and other persons may attend and participate in a psychotherapy session but the client must be present for some or all of the session and treatment remains focused on the client. Time: 53 to 60 minutes
Price:
$90.00
Quantity
90834-Psychotherpy- Psychotherapy is a variety of treatment techniques that help a client identify, manage or alleviate any emotional or behavioral disturbances, encourage emotional growth through coping techniques and problem-solving skills. Family and other persons may attend and participate in a psychotherapy session, but the client must be present for some, or all of the session and treatment remains focused on the client. Time:38 to 52 minutes
Price:
$60.00
Quantity
90832-Psychotherapy-Psychotherapy is a variety of treatment techniques that help a client identify, manage or alleviate any emotional or behavioral disturbances, encourage emotional growth through coping techniques and problem-solving skills. Family and other persons may attend and participate in a psychotherapy session, but the client must be present for some, or all of the session and treatment remains focused on the client. Time: 30 minutes
Price:
$120.00
Quantity
99354-Psychotherapy that extends beyond the first 60 minutes. Time: An additional 30 to 60 minutes
Price:
$70.00
Quantity
Psychotherapy that extends beyond the first two hours. This code maybe billed twice to cover the third hour of psychotherapy. Time: 15 to 30 minutes each
Price:
$20.00
Quantity
The Interactive Complexity code is reported in addition to a primary psychiatric service when the client has certain factors that increase the complexity of the service such as a disruptive communication that complicates the delivery of treatment, caregiver behavioral or emotional interference, evidence of a sentinel event with disclosure to a third party or use of play equipment or translator to enable communication. Time: event/ once time per psychotherapy session
Price:
$150.00
Quantity
90839- Psychotherapy for Crisis-In person psychotherapy for a client with a life-threatening or highly complex psychiatric crisis. Crisis services include history, mental status examination, mobilization of resources and implementation of treatment. Time: first 30 to 74 minutes
Price:
$70.00
Quantity
90840-Each additional 30 minutes for a Psychotherapy Crisis - In person psychotherapy for a client with a life-threatening or highly complex psychiatric crisis. Crisis services include history, mental status examination, mobilization of resources and implementation of treatment. Up to three units maybe billed per crisis session. Time: for each additional 30 minutes
Price:
$145.00
Quantity
90846-Family Psychotherapy without the client present - Family dynamics as they relate to the client are the main focus of a family therapy session. Therapy focuses on improving the interaction in the family for the improvement of the client’s condition and the impact on the family members. Time: 27 minutes and up to 50 minutes
Price:
$145.00
Quantity
90847-Family Psychotherapy with the client present- Family dynamics as they relate to the client are the main focus of a family therapy session. Therapy focuses on improving the interaction in the family for the improvement of the client’s condition and the impact on the family members. Time: 27 minutes and up to 50 minutes
Price:
$75.00
Quantity
90849-Multi-family Group Psychotherapy. - Family psychotherapy provided to a client and their family, as well as other clients and families in a group setting. Time: event
Price:
$50.00
Quantity
90853- Group Therapy- Psychotherapy for a group of clients in one session. Group dynamics are explored to help each participant move toward emotional healing and modification of thought and behavior for improved social interaction. Time: event
Price:
$120.00
Quantity
90887-Collateral- Interpretation or explanation of results of psychiatric examinations and procedures to family or other responsible persons or advising them on how to assist the client. This service is often used with school or daycare personnel to guide in how to assist the client. It can also be used with other persons who have a responsible caregiver role with the clients. Time: event
Price:
$100.00
Quantity
H0031- Mental Health Assessment-An assessment performed to determine level of care or to identify and rule out a diagnosis. Time: event
Price:
$120.00
Quantity
H0032-Mental Health Service Plan- Develop a treatment plan with client and any collaborating professionals. Time: event
Price:
$100.00
Quantity
H0002-Behavioral Health Screening-Screening is performed to determine if there were a mental health issue that would benefit from referral for treatment. Coverage varies by plan. Time: event
Price:
$18.75
Quantity
H2015 Community Support Services- Assist with emotional regulation, coping with crisis, and enhancing interpersonal skills for maximum independence in the home, school and community. Time: 15 minutes
Price:
$350.00
Quantity
H2023- Targeted Case Management Services- Organize mental health services and community resources to create a team approach to therapeutic care. Four contacts per month minimum. Time: monthly charge
Price:
$600.00
Quantity
60003- Collateral Services with the Legal System- Consultation, deposition, court attendance, testimony for a court of law. (Phone conversations with a representing attorney may be eligible to be charged as a 90887 Collateral Service.). Private pay only. Time: daily charge- Court attendance generally requires the provider to clear their schedule for court attendance. Time: event
Price:
$0.00
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60002- Letter and Form Completion- Providers may provide letters or complete forms at the client’s request. Private pay only. Time: event-per document
Price:
$0.00
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60001- Copies of Client Records- Client Progress Notes, Assessments, and Treatment Plans are part of the client’s Protected Healthcare Information and require a signed Authorization to Release Information indicating the client or guardian’s permission to share information with a designated third party. Time: There is no charge for the request for client records when the information is provided in an electronic format and sent by secure mail. Paper copies will be charged per page and the hourly wage for making the copies. Fees will apply for postage, delivery and thumb drives. Notarized records may incur a fee.
Price:
$45.00
Quantity
60000- No Show Fee- 24 hours’ notice is required to cancel a scheduled appointment. The first missed appointment will be documented but not charged. The second or subsequent times a client fails to show for a scheduled appointment they will be charged the No Show fee. Insurance plans do not provide coverage. This is the client’s responsibility.
Enter 10 for 10%, 20 for 20%, 30 for 30%. Leave blank for no discount.
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Client Agreement
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