Beginning January 1, 2022, federal laws regulating client care have been updated to include the “No Surprises” Act. Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services called a “Good Faith Estimate” (GFE) explaining how much your medical care will cost.
This new regulation is designed to provide transparency to patients regarding their expected medical expenses and to protect them from surprises when they receive their medical bills. It allows patients to understand how much their health care will cost before they receive services.
There are a number of factors that make It challenging to provide an estimate on how long it will take for a client to complete therapeutic treatment, and much depends on the individual client and their goals in seeking therapy. Some clients are satisfied with a reduction in symptoms while others continue longer because it feels beneficial to do so. Others begin to schedule less frequently, and may continue to come in when issues arise. Ultimately, as the client, it is your decision when to stop therapy.
At Waterford Counseling and Psychological Services, we must provide a diagnosis for all clients for both ethical, legal, and insurance reasons — as well as required by the “No Surprises Act”. A formal diagnosis occurs after an assessment has been completed. That will take place 1-5 sessions after beginning psychotherapy. If you choose to decline a formal diagnosis, we will not update the GFE. It is within your rights to decline a diagnosis per state and federal guidelines.
Common Diagnosis Codes at Waterford Counseling and Psychological Services
Below are common diagnosis codes at Waterford Counseling and Psychological Services; however, the list is not exhaustive. With that said, diagnosis codes can change based on many factors. Please speak to your therapist with any questions or concerns.
- Adjustment Disorder (F43.23)
- Mental Disorder, Not Otherwise Specified (F99)
- Depression (F32.9)
- Anxiety (F41.1)
- Bipolar (F31.9)
- PTSD/Post Traumatic Stress Disorder (F43.10)
Waterford Counseling and Psychological Services recognizes the uniqueness of every client’s treatment needs.
How long you need to engage in therapy and how often you attend sessions will be influenced by many factors including
- Your schedule and life circumstances
- Therapist availability
- Ongoing life challenges
- The nature of your specific challenges and how you address them
- Personal finances
You and your therapist will continually assess the appropriate frequency of therapy and will work together to determine when you have met your goals and are ready for discharge and/or a new “Good Faith Estimate” will be issued should your frequency or needs change.
Common Services at Waterford Counseling and Psychological Services
- 90791: Intake session ($180)
- 90834: 38-45 minute psychotherapy session ($150)
- 90847/46: Family/Couples psychotherapy session ($150)
- 90837: 53+ minute psychotherapy session ($175)
- 90853: Group therapy session ($50)
Where services will be delivered.
- Waterford Counseling and Psychological Services provides services in the office and via teletherapy
Waterford Counseling and Psychological Services has two office locations:
- 1256 Waterford Drive, Suite 140, Aurora IL, 60504
- 1022 Douglas Road, Oswego, Illinois 60543
- Provider Name: Waterford Counseling and Psychological Services, PC.
- NPI: 1104250067
- TAX ID: 46-2854625
- Phone #: 630-898-5322
Good Faith Estimate
The “Good Faith Estimate” requires practitioners to provide an exact estimate and not a range. Out of an abundance of caution and transparency, we will only quote weekly appointments.
90791: Intake session ($180)
90834: Individual session 45-50 minutes ($150)
90837: Individual session 53+minutes ($175)
90847/46: Family/Couples psychotherapy session ($150)
90853: Group therapy session ($50)
An exact estimate for the entire course of your treatment will vary depending on the frequency and duration of your treatment. After the initial assessment, your therapist will better be able to give you a more comprehensive estimate. We look forward to talking with you and answering any questions you may have about the “No Surprises” Act and Good Faith Estimates.