Patient Information
Scheduling:
Initial Evaluation and Individual Sessions are scheduled on a first come, first served basis. We attempt to schedule your session(s) at a time/day that is consistently good for you, followed by reserving a regular time/day for the duration of your treatment, with exceptions as necessary.
Progressive/Focused Therapy Programs are scheduled 2-4 weeks in advance (see treatments page)
Priority Scheduling is given to clients who drive >2-3 hours, clients who schedule back-to-back sessions, and clients who schedule weekly or per Pre-Paid Savings Packages/Therapeutic Programs. All others are scheduled first come, first served as session times become available.
Fee-Schedule:
Individual Sessions
$150.00/hr. * Occupational Therapy: $150 per hour
* Expert Level Myofascial Release Therapy: $150 per hour
(complex health issues requiring a physician prescription)
* Initial Evaluation/Treatment Session: 2 hrs @ $150 per hour
$120.00/hr. * Advanced Myofascial Release Therapy: $120 per hour
(no physician prescription required for treatment)
* Pre-Paid Savings Packages offer more great savings!
$85.00/hr. * Senior Citizen Discount: 65+ must present ID at time of
Initial Evaluation.
* Student Discount: 18-22 self-pay only must present current
student ID at time of Initial Evaluation.
Gift Certificates: ($120-$130 per gift hour: See Treatments page)
Self-Treatment Series: ($300 per 12 week series: see Treatments page)
Purchase the complete Series and receive the new December Series for free!
$100 savings
**sale ends Monday, January 9th**
**Prepaid Savings Packages** ($120-$105 per hour: See Treatments page)
Therapeutic Programs (Choice of 6 value-priced Programs: see Treatments page)
Payment:
Payment: cash or check ~NEW for 2012~ accepting Visa & Mastercard
Receipt: end of year receipt provided unless otherwise requested
Returned check fee: per current banking standard.
Initial (2 hour) Evaluation/Treatment Session:
Pre-pay to reserve. Fee is non- refundable, as this is a two-hour scheduled block
of time reserved for you.
Individual Sessions:
Payment is due at time of service. 24 hour notice of cancellation required.
Gift Certificates/Savings Packages/Group Self-Treatment Series:
Pre-payment due in full prior to scheduling sessions. Non-refundable.
Progressive Therapy Programs:
* Payment in full must be received 2 weeks prior to beginning the
Program.
* Each Progressive Therapy Program is carefully scheduled and
individually designed to address your specific needs, therefore, no
refunds are given once the Program has begun.
* In case of true emergency, the remainder of any portion of the Program
may be re-scheduled as Individual Sessions.
* In order for the Program to be documented as a Progressive Therapy
Program, all Sessions must be completed as scheduled.
Reimbursement/Insurance Policy Disclosure:
Neither The Intuitive Body nor Drucilla J. Likens Pape, OTR/L are a Medicaid/Medicare/Tri-Health/Worker's Compensation provider. This may adversely impact any potential reimbursement for services provided. We are non-participating in any insurnce program.
We do not bill any third party insurer. We do not accept any insurance assignment. We do not make or return telephone calls to/from insurance companies.
Should you choose to submit for reimbursement, documentation will be provided to you, for your submission to your insurance company. The documentation contains all of the information that will be provided. Reimbursement is not guaranteed. Copy fee will apply.
When submitting for insurance reimbursement, a physician's prescription is required at the time of initial evaluation. The prescription should read: Occupational Therapy/Myofascial Release Therapy, Evaluate and Treat, and include ICD-9 diagnostic numeric code(s) and corresponding diagnosis(es).
Physician prescription is required by insurance companies, and reimbursement is
not guaranteed. Should you choose to submit for reimbursement,
documentation will be provided to you upon request (copy fee will apply).
Physician prescription is required for treatment of complex health issues requiring
specialized treatment.
Physician prescription is not accepted for "Mini Me" and "Mini Me To Go"
Programs and the "Focused Group Self-Treatment" Series.
Physician prescription must be presented at time of pre-payment for all
Progressive Therapy Programs. Documentation required for submission to
insurance is specific, and is based upon physician-ordered diagnostic code(s)
therefore post-dated prescriptions are not accepted.
Physician Prescription should read:
Occupational Therapy/Myofascial Release Therapy: Evaluate and Treat
Prescription must include each applicable ICD-9 numeric code(s) and corresponding
diagnosis(es) Example: 724.5 Back Pain
Digital Photographs:
Digital photographs are taken as part of the Initial and Final Evaluation process for pre-post comparison of postural changes. Photographs will be released only to you upon request for your submission to referring physician or insurance company. Photographic attire for men will include boxers, briefs or shorts. Attire for women will include bra and underwear or two-piece bathing suit.
Missed Appointments/Cancellation:
* Please give 24 hr. notice of cancellation to avoid being charged.
We understand that less than 24 hour notice of cancellation is
occasionally necessary due to true emergency, illness and inclement
weather.
* Missed appointments without cancellation (no show/no call) cannot be
accommodated, and you will be charged for the missed session.
* Repeated cancellations cannot be accommodated, and will result in
transfer to scheduling as appointments become available.
* Illness: In order to promote a healthy environment for all,
please call to cancel your appointment if you are ill or are symptomatic
of becoming ill (sneezing, runny nose, cough, fever) or have anything
that is/may be contageous (pink eye, poisonous rash, etc).
HIPAA Policy: (Health Insurance Portability and Accountability Act)
Personally identifiable information is released only to you, except as required by Federal and State Law.
