Financial Policy & Billing Company
Penny K. Stone, MS, LMFT & Healing Stone Counseling, PLLC
INSURANCE VERIFICATIONS - Before the initial office visit, my billing company will contact the client’s insurance company to determine specific benefits. We will inquire if there is a deductible, co-pay, co-insurance, what services are covered, and whether a referral or prior authorization is necessary. We do our billing through a company called Cascade Therapy Billing starting 2/1/2025. They can be reached at (206) 339-1855. The old billing company is Prestige Medical Billing. If you have questions prior to 2/1/25 please feel free to call PMB at (360) 805-0323
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The information we receive is not a guarantee of the client’s actual benefits and is subject to final processing by the client’s insurance company. The client is responsible for all fees not covered by the insurance company.
PAYMENT ARRANGEMENTS – Should clients need to make special payment arrangements, please speak with my billing company by calling (206) 339-1855. Payment arrangements are based on the total balance due. Alternative payment arrangements may also be available.
PRIVATE BILLINGS - For clients without insurance coverage, full payment is due at the time of service. All clients are quoted a fee for the office visit and are expected to pay at the time of the appointment. My financial policy does offer a fee at time-of-service discount if you do not have insurance or do not wish to
utilize your insurance.
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INTERN BILLING - If you see an intern under direct supervision and billing your Medicaid insurance under the supervisor's credentials, please notify your therapist immediately if you have commercial insurance. We can not bill under the supervisor's credential for interns for commercial insurance; however, other arrangements can be discussed.
CREDIT CARD POLICY - Every client is required to be set up with an autopay policy, this will require you to keep a credit card on file within the Simple Practice Website of which you receive your telehealth services. My billing company Cascade Therapy Billing or myself will run your card on file for copays and coinsurance after each visit. Deductibles and unpaid services will be run upon notification from the insurance company. If you need to set up payment arrangements, please contact my billing company. If you dispute your credit card charge, you will be assessed a credit card charge back fee of $30. Cascade Therapy Billing or therapist will reach out to you to obtain your credit card information, you may also call them directly to put a card on file. If you are unable to put a card on file and require other payment arrangements, please speak with me at your first session. Failure to put a credit card on file within 3 sessions will result in sessions being put on hold.
FORMS OF PAYMENT – In addition to cash, we kindly accept multiple forms of payment via Inbox Health including Visa, MasterCard, Discovery, HSA/FSAs, ACH bank accounts. For credit card charge-backs, a fee of $30 will be assessed to your account.
I certify that I am eligible for benefits under my prepaid health benefit plan. In the event that I am later found to be ineligible or in consideration of being treated without proof of eligibility, I agree to pay for any and all services provided by my individual practitioner based upon regular fees then in effect.
I understand that all Co-pays, co-insurances, deductibles, and non-covered services will be due at the time of service unless other payment arrangements are made with the provider or billing company directly.
I grant permission to Cascade Medical Billing., Inc. to submit claims on my behalf to my insurance carrier for services provided by Healing Stone Counseling, PLLC
I authorize the release of any medical or other information necessary to process my claims.
I authorize payment of medical benefits to “Penny K. Stone, LMFT and Healing Stone Counseling, PLLC” directly from my insurance carrier.
CLIENT FEE SCHEDULE
Psychiatric diagnostic interview (90791) $ 275
Individual Session 30 min. (90832) $90– 16-37 minutes
Individual Session 45 min. (90834) $175 – 38-52 minutes
Individual Session 60 min. (90837) $225– 53-60 minutes
Family Session w/ Patient Present (90847) $130– 26-50 minutes
Family Session w/out Patient Present (90846) $130– 26-50 minutes
Interactive Complexity Add On (90785) $ 16
Crisis Therapy (90839) $250 - 30-75 minutes
Crisis Therapy additional 30 min each $75
Brief Emotional/Behavioral Assessment (96127) $15.00 – per unit (test)
SERVICES NOT COVERED BY INSURANCE
Forms and letters outside of appointment $25/hour, billed in increments of 15 min.
Letters for attorneys billed at separate rate $125/hour
Electronic Records Fee (email, CD) $6.50/flat rate
Editing of confidential information, per WAC $125/hour
No show or late cancel fee for follow-up clinic visits $100
Only if Electronic Records are not available:
Clerical fee for searching/handling records, per WAC $28.00
Pages 1-30 (copying fee), per WAC $1.24 per page
Pages 31+ (copying fee), per WAC $0.94 per page