General Office Policies
Therapy Appointments
CTI works very hard to
respect your time by scheduling appointments well in advance. We also
ask that you respect our time by honoring your appointment. Please
provide a minimum of 24 hours notice if you are unable to make your
appointment.
Understanding that emergencies do occur, if
less than 24 hours notice is provided, you will be charged a nominal
$35 fee for the missed appointment. Please be aware that these charges
are not billable to your insurance company.
Please be aware
that we reserve your time for you. If there is no notice given, you
will be charged the full amount of the treatment session. Please be
aware that these charges are not billable to your insurance company.
Finally,
unless other arrangements are made via a Financial Agreement, if there
are two successive appointments missed (regardless of whether or not 24
hours notice is given), we reserve the right to cancel the remainder of
your scheduled appointments. You may then be asked to call the week
prior to reserve your next appointment.
Comprehensive Occupational Therapy Assessment
& Psycho-Educational Assessments Scheduling Policies
CTI
works very hard to ensure that you receive the highest quality
assessment. In order to do this, we reserve your assessment time in
advance. Please be aware of our assessment policies:
We
require a deposit to reserve your assessment appointment. If this
appointment is kept, the full deposit is applied to your assessment.
We
require 48 hours notice if you are unable to keep your assessment
appointment.
If
you cancel within 48 hours and wish to reschedule your appointment,
the deposit will be applied to your newly scheduled assessment
appointment.
If
you cancel within 48 hours and do not wish to reschedule your
appointment, one-half of the deposit will be kept as an
administrative fee.
If
you cancel within less than 48 hours and wish to reschedule your
appointment, one-half of the deposit will be applied to
your assessment appointment; one-half will be kept as an administrative
fee.
If
you cancel within less than 48 hours and do not wish to reschedule your
appointment, the full deposit will be kept as an
administrative fee.
CTI Insurance and Financial Policies
San Diego Regional Center (SDRC) Clients:
CTI
is an occupational therapy and speech and language therapy vendor for
SDRC. Please contact your SDRC case manager and let them know that you
would like therapy services provided at CTI. CTI bills SDRC directly
for services provided. For the SDRC website, click:
www.sdrc.org
TriCare/TriWest:
CTI
is
considered an In-Network provider
TriCare/Triwest.
TriCare/TriWest
prime
patients must contact their
physician’s to receive a prescription and pre-authorization prior to
receiving
therapy services. It typically takes 3-5 business days after
TriCare/TriWest
has been notified by the physician’s office for our office to receive
the
authorization.
TriCare/TriWest
standard
patients may self-refer; however, in order to ensure coverage, it is
recommended that you also receive a prescription and pre-authorization
prior to
receiving therapy services. It typically takes 3-5 business days after
TriCare/TriWest has been notified by the physician’s office for our
office to
receive the authorization. You
will be responsible for you deductible
and co-pay at the time services are rendered.
You
may self-pay to receive additional, non-billable services at CTI (e.g.,
parent
training). In addition, if TriCare/TriWest does not allow additional
services
for medical necessity, you may receive additional services at CTI.
However, in
order to receive any of these services, you must sign the appropriate
waiver
that we will provide for you at the time services are rendered.
All Other Patients:
CTI
is considered an Out of Network PPO provider
for all other insurance companies.
Out of Network patients may pay by a
variety of payment options. CTI will discuss these options with you
prior to or
upon commencement of treatment.
|
Please
be aware that payment is due at the
time services are rendered unless other financial arrangements are made
prior
to the service being rendered. |
In
order to seek reimbursement from your Out of
Network PPO
insurance company, upon request, CTI will provide you with a once a
month invoice
to send to your insurance company.
Upon
request and as able, we may be able to bill your
out-of-network PPO insurance company. However, please be aware that you are
ultimately responsible for all charges incurred at CTI.
Commonly Asked Questions:
1.
Do we need a referral from
our physician to come to CTI for occupational therapy services?
CTI does not require that you have a medical doctor refer you for
services.
However, if you would like to bill your insurance company, it may be
necessary
that you obtain one. Patients will often obtain a medical referral so
that they
have one on file if it is needed.
Insurance companies differ regarding the need to obtain
preauthorization for
services, the number of visits they will cover in a given time period,
and
whether they require periodic re-evaluations. The patient/parent is
responsible
for keeping track of these requirements. While CTI can help you make
insurance
inquiries, we are not responsible for keeping track of this information.
2. Will you bill my insurance company automatically?
CTI will bill TriCare/TriWest.
For
all other insurance providers, upon
request, CTI will provide you with an invoice.
Upon
request, and as able, CTI may bill your private pay insurance (PPO).
Please
be aware that you are responsible for all deductibles, co-pays, and
unpaid
claims.