Attendance & Cancellation Policy
Regular attendance to speech therapy is necessary for making efficient progress. In-person and online therapy may be combined, if appropriate for your needs, in order to meet attendance requirements as scheduled with Carousel Speech Therapy, LLC. Please carefully review the Attendance & Cancellation policies:
-You are responsible for attending speech therapy sessions as scheduled. If you arrive late for a scheduled appointment, the session will still end at the scheduled time. You must maintain at least an 80% attendance rate as measured within a given 3 month period, or risk losing your appointment slot.
-In the event that you need to cancel, provide as much notice as possible with the knowledge that rescheduling may not be possible.
-“Non-emergency” cancellations require 24 hours notice and include vacations, persistent illness, pre-planned medical appointments, family events, parties, sports events, lack of babysitter or anything that is not designated as “emergency”. If the session is not cancelled with 24 hours notice you will be responsible to pay a “late cancellation” fee, the full cost of your session.
-“Emergency” cancellations are accepted for client illness (fever within the last 24 hours, strep, unidentified rash, diarrhea, vomiting, or any highly contagious illness or an injury requiring immediate medical attention), illness/an injury requiring immediate medical attention of a family member, death in the family, vehicle accidents. After 3 emergency cancellations, a $35 charge will be incurred for all subsequent emergency cancellations within a calendar year: an “excessive emergency cancellations” fee.
-In the event of an emergency cancellation, you still must notify Carousel Speech Therapy, LLC on the day of the appointment to avoid a “no-show” fee for the full cost of your session rate.
-Carousel Speech Therapy, LLC may send you a reminder email or text, as mutually agreed upon, the day before your scheduled appointment, as a courtesy. Your attendance is not dependent upon the receipt of a reminder.
Billing Information
Payment is due at the time of service. Carousel Speech Therapy accepts personal checks, debit/credit cards, HSA (health savings account) and FSA (flexible spending account) cards.
Although speech therapy is generally considered a covered expense, it is advisable to contact the administrator of your HSA or FSA to confirm that your specific services are covered under the terms of your account.
Carousel Speech Therapy is considered an out-of-network provider and does not bill insurance at this time. A monthly Superbill is provided to clients when requested. Superbills are detailed receipts that contain all of the necessary information for clients to submit to their insurance company in order to seek reimbursement for services rendered by an out-of-network provider. Please contact your insurance provider to determine eligibility for reimbursement.
When you contact your insurance provider please ask the following questions:
Does my plan have out-of-network reimbursement for speech therapy services?
If pre-authorization or physician referral is needed, where do I find the form?
How and where do I submit claims?
Carousel Speech Therapy uses the following healthcare designations for diagnosis and services:
ICD-10 Diagnosis Codes:
F 80.0 Phonological disorder (includes articulation based speech disorder)
F 80.81 Childhood onset fluency disorder
R 47.1 Dysarthria
R 48.2 Apraxia (Childhood Apraxia of Speech)
CPT Procedure Codes (evaluation):
92521 Evaluation of speech fluency (eg. stuttering, cluttering)
92522 Evaluation of speech sound production (eg, articulation, phonological patterns, apraxia, dysarthria)
CPT Procedure Code (treatment):
92507 Treatment of speech, language, voice, communication, and/or auditory processing; individual
Benefits of Private Pay
No doctor referral or prescription needed—therapy can start right away
No eligibility requirements need to be met, you decide whether you need or want support
You get to decide on the therapist that is best suited for your needs rather than an insurance company telling you who to see
You can stay with your therapist even if your insurance plan coverage changes
There is no cap on the number or duration of therapy sessions
There is more flexibility in possible therapy session locations (in office, your home, teletherapy, in the community, etc.)
There is often a shorter waiting list or no waiting list at all
Financial Policy
Carousel Speech Therapy, LLC is a private pay (self-pay) only practice at this time and does not directly bill insurance.
Please carefully review the financial policy:
-All payment for services is due at the time services are rendered.
-The following payment methods accepted at this time are: personal check, credit/debit card, Health Savings Account card and Flexible Spending Account card.
Checks should be made payable to: Carousel Speech Therapy, LLC. There is a service charge of $25.00 for any returned check.
-Prompt payment is required for late cancellation, excessive emergency cancellation or no-show fees incurred as outlined in the Attendance and Cancellation Policy. HSA and FSA cards cannot be used to pay these fees.
-If fees are not paid in full, treatment sessions may be postponed or cancelled until payment is received.
No Surprises Act
You have the right to receive a “Good Faith Estimate” 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. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.