Understanding the Process
Full fee is due at the time of service. We accept cash, check, credit cards, or PayPal.
TDS Center for Communication & Social Learning is an out-of-network provider with insurance companies because we believe we are able to provide better care for our patients if we are not contracted with them. We no longer accept insurance and here’s why:
We are able to focus solely on the needs of the patient and family. Once we are under contract with an insurance company, their guidelines for therapy must be followed, even if we do not agree with them or they’re not right for the child. This includes frequency of therapy, when the patient must be discharged from therapy, and even which patient deficits may be addressed and what goals are set.
Insurance companies typically have low reimbursement rates and frequently require extra office personnel hired specifically for filing and tracking claims. In order to cover the costs, many therapy offices need to increase the number of patients seen per day.
Extensive reporting requirements require a great deal of time that doesn’t improve the quality of therapy. We prefer to use our time to provide high-quality therapy to a limited number of patients in a way that works best for the therapist, child, and family. This allows us to spend meaningful time with each patient and family members, and time to further our overall knowledge and skills.
We can provide you with a Superbill containing all the information that insurance companies require so that you can submit claims on your own, either to go towards your deductible or for reimbursement after you have met your deductible.
What is a Superbill?
A Superbill is an itemized list of all services that is provided to a client. The Superbill will also contain additional information about the patient visit including practice information, services provided, diagnostic codes, charges, and referring doctor.
What is a Superbill used for?
A Superbill is used by healthcare providers as a primary source of data for creating claims. These claims will eventually be submitted to payers for reimbursement. Superbills take the information from a patient visit needed to successfully submit an insurance claim. Superbills are different from receipts/invoices because they provide additional information regarding the visit (diagnosis and procedure codes) that are needed to get a claim approved.
TDS Policies for use of a Superbill:
It is the responsibility of the client to request a Superbill.
Balance for services must be paid in full prior to receiving a Superbill.
Clients are responsible for submitting the Superbill to their insurance companies. TDS is not responsible for submitting a claim, or the outcome of a claim.
Clients should check with their insurance company to see if they cover speech services for your child’s diagnosis. Many insurance companies will cover speech therapy only for specific diagnoses that are considered related to a medical condition.
Superbills will be provided monthly, unless a different schedule is requested.
We are here to help you! Please contact us directly if you have any specific questions about billing.