1. WHAT IF MY HEALTH INSURANCE IS NOT CONTRACTED WITH REVIVAL PSYCHIATRY
We can provide superbills where insurance might reimburse up to 50% but you will have to pay the cash pay price up front. We also take Care credit.
2. WHAT ARE THE SELF PAY PRICES IF I DON’T HAVE INSURANCE COVERAGE:
Initial psych eval for medication management with the psych NP (60 minutes): $300
Follow up psych eval for medication management with the psych NP (30 minutes) $150
ADHD testing: $179
Therapy visit with therapist (50 minutes); $150
3. WHY SHOULD I CHOOSE A PSYCHIATRIC NURSE PRACTITIONER INSTEAD OF MY PRIMARY CARE PROVIDER TO MANAGE MY MENTAL HEALTH:
Psychiatric nurse practitioners might be your best choice if you think you may need medication's, or if you want an opinion about medication's. Psychiatric nurse practitioners have a broad understanding of your medical history and a compassionate touch and this is useful if you have coexisting medical conditions in addition to mental health issues.
4. WHAT IS THE DIFFERENCE BETWEEN A PSYCHIATRIC NURSE PRACTITIONER AND A THERAPIST:
Psychiatric nurse practitioners can prescribe medication's and provide medication management for all psychiatric and mental health disorders. Psychiatric nurse practitioners understand the often complex interaction of psychiatric conditions with other medical conditions. Psychiatric nurse practitioners and therapists often work together to complement diagnose and treatment. Therapists provide psychotherapy, and have extensive training and therapeutic techniques. They are often more skilled in the psychotherapy area than the psychiatric nurse practitioner. It is for this reason that the psych nurse practitioner will often refer patients to a therapist for therapy.
5. DO YOU DO FMLA/DISABILITY PAPERWORK:
As a small practice with limited staff, we have put the following policy in place for the filling out of disability forms. This can include short, or long-term disability, SSI, attorney forms, and FMLA forms. The patient must have been a patient of this office for at least 12 months for long-term disability or SSI forms to be completed. We are happy to provide your medical records, but we will not make the determination if you qualify for long-term disability.
A client must have completed 3 visits for short-term or FMLA forms to be completed. Paperwork can take up to 14 days for completion. It may be completed earlier, but it is done on a first come first served basis. Please understand it is difficult to rush this process due to the limited staff available to complete these forms. Patients must be compliant with ongoing treatment including medications and keeping appointments to have the office to continue filling out FMLA forms. Clients must have seen the provider within the last 30 days to submit FMLA paperwork.
If you feel you may qualify for STD, you must initiate a claim through your employer. The STD firm will contact your provider and request copies of your medical records. Your provider is only able to present (to the STD company) the relevant facts regarding your treatment. The STD company will make the final determination of benefits, not the provider.
Patients who are actively participating in their care and being compliant with all provider recommendations are more likely to be approved. The provider’s job is to get you stable and back to work. Our goal is to enable you to work, not to prove you need disability benefits. Sometimes STD companies will deny the claim despite all efforts. They may say that you can appeal if your provider gives additional information, which usually means they are looking for information that was not reported to them. We will always provide the most complete information we have, so unless additional information is available, we are not able to participate in the appeals process.
Blank forms will not be accepted: At a minimum, the client’s name and date of birth should be filled out on the form prior to submission.There is a charge to fill out these forms: $50-$150 per form is due before the form is returned to the client. Please email forms to info@revivalpsych.com
You should know that while we will always make our best efforts to support patients who are in need of these benefits, we are not the ones making the final determination and do not have control over whether claims are approved or denied. For any questions regarding our policies and procedures related to FMLA and disability, please contact your our office.
6. CAN I TALK TO MY PROVIDER OUTSIDE OF MY APPOINTMENT:
For the quickest response, please text the office or use the patient portal.
Office hours are Monday - Friday 9-5. During this time, we have office staff available to answer the phone and you can speak to staff. If you need to contact the office for any reason, please call (480) 613-8162 during office hours for routine matters, We aim to make all call backs on the same day but ask that you allow us 24 hours to return calls. You will communicate with one of the support staff and they will relay to the provider the issue and then call you or text you back in the patient portal. We delegate these tasks to maintain a streamlined process for requests and to allow our providers to focus on providing the best care possible. You will likely never speak to the provider except during scheduled appointments. If it is something that cannot be answered simply or easily, you will be assisted to make an appointment so you can discuss with your provider and the provider can take the time necessary to give you the attention and care you deserve.
This is an outpatient clinic, not a crisis center. Same day and emergency appointments are not available.
In case of an emergency, you can access emergency assistance by calling the new Mental Health Emergency Line at 988 or the National Suicide Prevention Lifeline at 1-800-273-8255. Text HOME to 741741 from anywhere in the United States, anytime, about any type of crisis. Crisis Text Line serves anyone, in any type of crisis, providing access to free, 24/7 support and information via a medium people already use and trust: text.
If either you or someone else is in danger of being harmed, dial 911 or go to your nearest emergency room. You can also present to Mind 24- 7, which are psychiatric urgent care centers. There are many throughout the valley.
7. WHY DO I NEED A CREDIT CARD ON FILE TO MAKE AN APPOINTMENT:
We process all fees/copays/etc 24 hours before your appointment. With the volume of appointments and in honor of keeping our prices reasonable (and being able to continue to take insurance), we cannot be calling each person trying to obtain individual payments, so we have an automated system to help us collect payments. By collecting payment 24 hours ahead of time, this allows our staff adequate time to contact you and make other arrangements if the payment does not go through so we don’t have to cancel the appointment.
24 hours before your visit, the co-pay is collected from the credit card on file. If your payment does not go through prior to the appointment and you have not made other arrangements with our support staff (to update card, payment plan etc), your appointment will be cancelled.
We also require a credit card for our no-show late cancellation policy. When you cancel or reschedule less than 48 hrs prior to your appointment, or do not show up for your appointment, you prevent someone else from seeking treatment. You also place a financial burden on the practice. As a small practice, we can’t stay in business and provide care, if patients repetitively miss, reschedule at the last minute, or continuously cancel appointments.
We hope that you understand why we have to put this policy in place. Multiple reminders, in different modalities, are sent to you to remind you of your upcoming appointment. If you must cancel or reschedule an appointment, we require at least 48-hour notice (weekends not included). If your appointment is on a Monday, the cancellation must be made by the same hour on the preceding Friday. We do offer video/online appointments.
8. I HAVE A BILING, SCHEDULING, INSURANCE, PRIOR AUTHORIZATION QUESTION. WHO DO I CALL?
We separate the administrative and clinical parts of the practice in order to maintain a therapeutic relationship between patients and providers. You may ask your provider questions about insurance, your bill, invoices, rescheduling, missed appointments, policies, etc…… but they will always direct you to the office manager and front office staff. Providers do not know the status of your payment history. Please call our office at 480-613-8162. Or use the patient portal to see your invoices and payment history.
9. WHERE IS THE LINK TO MY TELEHEALTH APPOINTMENT:
The providers will send the link a few minutes before you are supposed to get on with them. Also check your emails, links are sent usually 24 hours ahead of the appointment. You can also get to it through the patient portal.
10. I NEED A MEDICATION REFILL:
Revival Psychiatry participates with electronic prescribing directly to your preferred pharmacy. Our goal is to assist our patients with prescription refill requests in a timely and efficient manner. Due to the volume of prescription refill requests we have developed the following guidelines to meet these goals.
Please contact your pharmacy 5 days before you are due for a refill. If your provider put refills on your prescription, there is no need to contact the office.
Please use the patient portal for refill requests. Refill requests made through email might not be seen for days or sent to junk mail. Refill request will only be honored when made through the patient portal.
If the provider is titrating your medication doses up or down, there might not be refills available and a follow-up visit will be required to assess your response to the medication. If you do not have a follow-up scheduled, please call the office to schedule an appointment and the office will provide enough medications to get you to your next appointment.
Please allow up to 72 hours for a refill requests. The decision is made by your prescriber only, as to whether or not they choose to refill your prescription without seeing you for your appointment first. The Admin team will relay your request, but have no control of whether or not your provider responds to your request for a refill. Your provider must do a chart review and check with the Arizona Prescription Drug Monitoring Program before approving refill requests. Do not wait until the day you run out of your prescription. If you miss or delay your appointment for when your refill will be replenished, there is no guarantee your provider will be willing to refill that prescription until your return for your next appointment.
There are never refills authorized for controlled substances. A "refill" is actually a new prescription and will require an office visit at least every 2 months and is an entirely new prescription each time. This system is put in place to keep you safe and is a requirement of the DEA and standard of care. There are no early "refills" and dose changes allowed for controlled substances when you have an active prescription. Dose changes will require an office visit.
11. MY PHARMACY IS OUT OF MY ADHD MEDICATION, NOW WHAT?
We want to bring to your attention the ongoing nationwide shortage of ALL stimulants used in the treatment of ADHD. This shortage has significantly impacted the availability of these medications across pharmacies, leading to potential challenges in accessing your prescribed treatment.
In light of this situation, we kindly request your proactive involvement in ensuring continuity of care. We encourage you to reach out to pharmacies within a reasonable commuting distance to inquire about the availability of the specific stimulant we have determined to be most suitable for your ADHD management. To facilitate this process, our team will be sending you an email containing a paper prescription. This prescription will provide pharmacies with accurate information when you contact them regarding medication availability.
Your cooperation in promptly providing us with the name and phone number of the pharmacy through your patient portal will greatly assist us in expediting this process. Please keep in mind that due to regulatory constraints, changes to controlled substance prescriptions can only be made once every 30 days. Therefore, it's crucial that the information you provide is accurate to minimize disruptions in your treatment plan. It's important to note that some pharmacies may not readily share information regarding medication availability. In such cases, we encourage you to persist and explore alternative pharmacy options until your needs are met.
In the unfortunate event that you are unable to procure the chosen medication due to the ongoing nationwide shortage, we want to assure you that we are committed to finding a suitable alternative to manage your ADHD effectively.
Should you encounter difficulty in obtaining the prescribed medication, please do not hesitate to reach out to our office to schedule a follow-up appointment. During this appointment, we will work together to identify an appropriate alternative medication that aligns with your treatment needs.
It's important to acknowledge that the shortage of stimulants poses a significant challenge, and finding an alternative may also encounter similar hurdles. While there is no perfect solution to this problem, please know that we are dedicated to supporting you through this process and exploring all available options to ensure your health and well-being.
Thank you sincerely for your cooperation and proactive approach to your health. By working together, we can navigate this challenging situation and ensure that you receive the best possible care for your ADHD.
12. I DID NOT SHOW UP TO MY APPOINTMENT, WHY WAS I CHARGED?
In our consent to treatment and no show agreement forms, you have agreed to compensate your provider for their time if you do not cancel your appointment within 48 hours prior or do not attend your appointment. Fees are $150/initial evaluation and $100/follow up visit.
Our missed appointment policy (which is included in our Consent to Treat document signed by all new patients) indicates that a missed appointment will result in a $100 fee. Missing three appointments consecutively will likely result in the patient being discharged from the care of Revival Psychiatry. If you have concerns about this policy, please contact your provider’s office for more information.
13. I NEED COURT ORDERED TREATMENT AND DECLARATION OF COMPETENCY
At Revival Psychiatry we do not provide court-ordered treatment or declare competency for legal matters. Our focus is on providing medical care and support for mental health conditions within the scope of our practice. We endorse that individuals requiring court-ordered treatment or competency evaluations should seek the expertise of a forensic psychiatrist who specializes in these matters.
Reasons for Policy
1. **Scope of Practice:**
Our office specializes in providing medical care and treatment for mental health conditions. Court-ordered treatment and competency evaluations fall outside the scope of our practice, which is why we do not offer these services.
2. **Specialized Expertise:**
Court-ordered treatment and competency evaluations require specialized knowledge and training in forensic psychiatry. Forensic psychiatrists are uniquely qualified to assess legal matters related to mental health and provide expert testimony when needed.
3. **Ethical Considerations:**
Providing court-ordered treatment or competency evaluations without proper expertise and training may raise ethical concerns and compromise the integrity of the evaluation process. We uphold ethical standards and prioritize the well-being and rights of our patients.
14. I have AHCCCS, can I pay cash for my appointments?
Revival is not contracted by AHCCCS to provide any services to AHCCCS patients. You are required to let us know if you have AHCCCS as a benefit. If you have AHCCCS AS A SECONDARY, you are financially responsible for any portion not covered by your primary commercial insurance. If you have AHCCCS AS A SECONDARY PHARMACY BENEFIT to cover your medication prescriptions, we will not approve any preauthorization request from your pharmacy. You would be financially responsible for any accrued pharmacy fees from filling your medications. If you choose to recoup payment from AHCCCS yourself, you will be discharged from all services at this facility. If you decide to withhold or not use your AHCCCS benefits, you run the risk of completely losing your benefits from AHCCCS.
We will have to discharge you because your AHCCCS status:
1) Prevents us from being reimbursed for services rendered to you.
2) Jeopardize our contracting with other insurance companies.
3) Prevents you from accepting full financial responsibility for all accrued fees not reimbursed by an insurance company.
