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1. What does the therapy process look like?

Frequently 
Asked
Questions

At this this time I accept Security Health Plan insurance. I also accept private payment. This allows me to dedicate 100% of my time to service my clients, both in direct treatment and planning/researching quality therapy. In it addition, it keeps all decision making solely between myself and the family.- no waiting period for prior authorization, no providing medical necessity, no planning breaks due to meeting number of allowed visits, etc. I strive to provide the highest quality services!  

 

CWST is considered an out-of-network service for other insurances except SHP. In that case I can provide you with a detailed invoice to submit to your carrier if desired. Many commercial insurance plans will still provide reimbursement for out-of-network speech therapy services. If you choose to do this, we will provide a receipt, called a Super Bill.   You can be provided with a Super Bill that can be submitted to your insurance provider or your healthcare flexible spending account for reimbursement. 

  • no hassle in meeting a deductible

  • no cap on the total number of sessions per year or session duration

  • no limits on which types of therapy services are covered

  • fully transparent pricing with no surprise fees 

In Wisconsin, speech  language pathologists are not able to charge Medicaid clients privately. If your child is eligible for Medicaid, we are unfortunately not able to provide services for them at this time although we are in the process of signing up to accept Medicaid clients. I do accept SHP Medicaid. 

I can provide you with a Good Faith Estimate of the cost of therapy for your child after we discuss your child’s needs.

2.  Where do my therapy sessions take place?

Sessions take place in my office at 1500 Merrill Ave Suite 5 Wausau, WI 54401 ; schools; daycares;  and via teletherapy. Teletherapy is where services can be provided through a HIPAA compliant connection on your computer, tablet, or phone from the convenience of your home.

Yes; if at all possible it is best for the parent or caregiver to be present. However if treatment is provided at a daycare center a home program can be communicated via HIPAA compliant service.

4. Do you accept insurance?

3. Do I need to attend the therapy sessions with my child?

Before We Meet: I will send you an online intake form for you to complete prior to your first visit. This information helps me understand you or your child’s medical, speech and language, and feeding history which I will review prior to the evaluation

The Evaluation:

Next in the therapy process is an evaluation that typically lasts 1 hour. At this time we will discuss your goals and challenges and I will watch you or your child eat, drink, speak, play, etc. At the end of the evaluation, we will develop and agree on individualized goals for you and/or your child’s therapy and schedule your first therapy session.

For feeding evaluations:

·       Infant or Child: please have bottle(s) with nipples that your baby likes the most along with formula and/or expressed breast milk or breastfeeding session can be observed. If your child is old enough to eat baby or table foods, please have your child’s two favorite and two least favorite foods and the utensils that you typically use.

·       Adult: please have two-four different food textures prepared and liquids to drink.

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Feeding and/or Speech Therapy:

Therapy sessions are typically scheduled every 1-2 weeks for 45-60 minutes. The actual frequency of visits and overall duration of the therapy plan varies from patient to patient depending on needs and progression made at home.

To get the most out of the therapy process it is important that trust is established between the child, parent and therapist. I will work to build trust with you and your child. Trust is the foundation to individuals being willing to engage in any activity, especially activities that are difficult for them but necessary to progress. It can take a few sessions to build that trust and I may ask you to help with certain steps during that process.

5. What is a Good Faith Estimate?

Under the No Surprises Act that went into effect January 1, 2022, health care providers are required 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.  For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

6. What payment methods do you accept?

I accept credit, debit, FSA or HSA card – you can enter this information securely online during the intake process so you don’t have to worry about remembering to bring your card to each visit.

7. What is your cancellation policy?

No shows or cancellations prior to the 24 hours of your scheduled visit will be charged at the full hourly rate unless your child is sick or there are other extenuating circumstances.

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