Carolina Complete Psychiatry, PLLC is proud to serve the needs of children, adolescents and adults for outpatient psychiatric care. Services are provided by certified physician assistants. Physician assistants are able to provide evaluation and medical treatment for psychiatric conditions such as depression, bipolar disorder, anxiety and ADHD. They work with a local psychiatrist and are able to prescribe medications and order any types of test that may be needed.
Appointments and Rates/Fees
It is our goal to schedule appointments that fit your needs. We strive to offer appointments with as little wait time as possible for both new and established patients. Carolina Complete Psychiatry provides new patient evaluation appointments that are 60 minutes in length. At times, a follow-up appointment may need to be scheduled to complete your treatment plan as there can be a lot of information to cover in a short period of time. After you have established as a patient, follow-up appointments are 20-30 minutes in length. These appointments are typically every 4 weeks while medications are being adjusted, but then will decrease in frequency. All of our patients are seen at least once every six months to remain active patients within the practice.
Please be aware that payment for services are due at the time of appointment. Our new patient evaluation costs $350 and follow-ups are $175, effective March 1st, 2022. When you are seen at our practice, your appointment time slot has been reserved specifically for you. If you need to cancel, we will happily reschedule your appointment to a different date or time, but we do require a 24 hour notice for changes to avoid a $100 rescheduling fee. We do our very best to be mindful of staying on schedule and never double-book appointments. For this reason, we recommend you arrive 10-15 minutes prior to your scheduled appointment time so that you can be seen promptly at your appointment time. We will ask you to reschedule if you arrive more than 10 minutes passed your appointment time and you will be assessed a $100 fee. If you do not come to your appointment, whether for a new evaluation or follow-up, you will be assessed the full rate of your appointment. For this reason, we ask that you keep a credit or debt card on file with our office. We understand these policies may be confusing and we welcome your questions. At Carolina Complete Psychiatry, we believe in honesty and transparency, so if there are any concerns, please communicate this with us. We are willing to provide any clarification you may need. We look forward to serving your needs.
Telepsychiatry
Carolina Complete Psychiatry offers telepsychiatry services so that you do not need to come into the office for an appointment. Telepsychiatry is a form of telemedicine that allows patients to access psychiatric care using audio-video interface using your computer or smart phone. Our practice has chosen to use Doxy.Me. This is similar to Skype or FaceTime, however is done through a medical platform so that all information stays private and confidential. All new patient appointments must be completed in the office, however if you would like for your follow-up appointments to be conducted by telepsychiatry, your provider will be happy to discuss this option with you. There is an additional consent form that you will need to complete in the office that explains telepsychiatry appointments in greater depth. We do ask that new patients are first evaluated in the office prior to switching to virtual visits.
Genesight Testing
GeneSight is a laboratory developed genetic test that looks at many of the genes involved when your body processes certain types of medicines. It is the only genetic test that provides this combined view to help your healthcare provider know which medicines may be a match for your genes. GeneSight gives your healthcare provider important information to help you get on the right medicine. Multiple clinical studies have shown that when clinicians used GeneSight to help guide treatment decisions, patients were twice as likely to respond to the selected medication. Plus, with treatment guided by GeneSight, patients saw a 70% greater improvement in their symptoms versus usual treatment.
At Carolina Complete Psychiatry, we are able to complete this testing quickly using a cheek swab. Results typically return in 3-4 days and your provider will review the results with you. Our office charges $100 to complete this testing, in addition to your regularly scheduled office appointment. GeneSight testing will then be billed to your insurance, however it will likely be a denied service. You will ultimately have an additional financial responsibility for no more than $330 to Assurex Health, the company that owns GeneSight. If you have questions regarding this, please contact our office.
Carolina Complete Psychiatry believes in the benefit of therapy. For this reason, our providers are committed to working with your current therapist to help create a unified treatment approach. If you do not have a therapist, we can refer you to a therapist who is best able to meet your needs.
YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS
(OMB Control Number: 0938-1401)
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan to provide services. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your plan’s deductible or annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care – like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider. Surprise medical bills could cost thousands of dollars depending on the procedure or service.
You are protected from balance billing for:
Emergency services
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments, coinsurance, and deductibles). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.
If you get other types of services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections.
You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
When balance billing isn’t allowed, you also have the following protections:
- You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay any additional costs to out-of-network providers and facilities directly.
- Your health plan generally must:
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- Cover emergency services without requiring you to get approval for services in advance (also known as “prior authorization”).
- Cover emergency services by out-of-network providers.
- Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
- Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
If you think you’ve been wrongly billed, contact the federal phone number for information and complaints at 1-800-985-3059.
Visit www.cms.gov/nosurprises/consumers for more information about your rights under Federal law.