Office & Financial Policies

     It is important to know that the purpose of psychotherapy is to improve mental, emotional, and behavioral well-being. There are few risks associated with treatment. However, a potential barrier to treatment being successful is the added stress that may come when office and financial policies are not well understood. Therefore, to work most effectively together we have found it is important to define office and financial policies in advance. 

How to prepare for your appointment:

  •  Be familiar with your health plan coverage. You can look at the back of your insurance card to find a number for customer service. Sometimes a specific phone number is listed for Mental Health or Behavioral Health services. Contact your insurance company to understand covered and non-covered costs associated with psychotherapy services at this office. Be prepared to give the name of your therapist and the CPT code associated with your treatment**(listed below).

  • Once you have contacted your health plan provider, you can contact our office with any additional questions if needed.

  • Complete the intake paperwork via the Client Portal. Once your appointment has been scheduled, you will receive an email with a link to register and complete the paperwork. Doing this is important, as filling out the forms in person will take time away that could be spent speaking with your therapist.

  • Bring your photo identification and health insurance card with you to appointments.

Payment for services:

  • Payment is required in full at the beginning of each session unless otherwise arranged. The fee may be met with cash, personal check, debit or credit card. (Please note that there is an additional $35 fee for any stopped or “bounced” checks or denied credit card charges.)

  • This office does not accept Medicaid or Medicare. Some third-party insurances and EAP plans are accepted:

    • Amerihealth

    • Blue Cross Blue Shield

    • Ceridian (authorization required)

    • ComPsych (authorization required)

    • Horizon Health Care

    • Magellan Behavioral Health

    • Qualcare

    •  Value Options/Beacon Health Options

  • In-Network Plans: If your therapist participates with your insurance plan, we will submit our bill to your insurance provider as a courtesy. It is the client responsibility to pay all deductibles, co-insurance, co-pays, or other out of pocket expenses in full. We cannot offer a discount for balances applied to your deductible. These requirements represent the contract between you and your insurance carrier and cannot be altered by our office.

  • Out of Network Plans & Self Pay clients: If we do not participate with your insurance plan, or you choose not to use insurance, you must remit full payment for the scheduled services at the beginning of each session. The office will supply an invoice for all out of network billing on a monthly basis via the Simple Practice Client Portal system. You may decide to use this information for tax purposes or to seek out of network reimbursement.

  • Cancellations: The appointments you make at this office are at times reserved exclusively for you. If for any reason you need to cancel, please call no later than 24 hours prior to your appointment. In the event that you cannot cancel 24 hours in advance, you will be charged $60 for the missed appointment. If you neither cancel nor appear for your appointment, you are responsible to pay the full fee for the missed appointment. These charges are not billable to insurance. If you fail to attend, without proper notification, two scheduled appointments in a row, Psychodrama New Jersey, LLC reserves the right to collect the fee for the missed sessions and discontinue service.

  • Tardiness: Scheduled sessions begin at your previously arranged appointment time. Your fee is based on that time period. Session fees cannot be prorated and session timeframes cannot be extended, therefore prompt arrival is in the best interest of our clients. 

Other Important Information:

  • If your insurance company has denied coverage or payment for services already rendered, Psychodrama New Jersey will work with you toward a financial solution, e.g. installment payments.

  • If you decide that you would like to terminate this financial agreement, you may do so at any time. Any financial obligations incurred before terminating this agreement will remain your responsibility.

  • Services may be terminated due to unpaid balances or insurance balances that must be written off due to client's error or delays.

  • You are welcome to review office and financial policies at any time, online or in the office. Psychodrama New Jersey will review these policies with you annually.

  • Insurance payments are only accepted as payment in full when Psychodrama New Jersey is considered an “in network” provider. Any gap between insurance payments from an insurance provider Psychodrama New Jersey does not participate ("Out of Network") and the session fee is the client's responsibility.

  • Psychodrama New Jersey, LLC will use Simple Practice software and available office staff to submit claims and facilitate proper payment from your insurance company. Please keep in mind that this is done as a courtesy. You are responsible for verifying your insurance benefits and obtaining any pre-authorization for treatment prior to the first session. Please be aware that financial responsibility for any and all services that are denied or not covered by your insurance company rests with you.

  • All services will be discussed with you before they are provided, and you will have full opportunity to refuse services and consider alternatives. However, insurance companies may determine that some of the services you receive may not be covered under your mental health benefit after benefits have been verified and services have begun. Ultimately, it is up to you to know what your insurance benefits cover and what are reimbursable and non-reimbursable charges. If your insurance decides the services are not covered, you are responsible for the balance.

  • You must provide correct and current information (ex. Address, insurance card information, phone number, etc.) to ensure billing is done correctly. This will help avoid any potential denials for services.

Client Rights & Privacy Policy

Treatment at Psychodrama New Jersey centers on a holistic approach to psychotherapy. We are committed to the delivery of competent services and recognize the importance of your role in treatment. Working with a skilled clinician in an office that is guided by sound ethical practice and state regulations help our clients to have confidence in the treatment they are provided. Anyone engaging in treatment should read Psychodrama New Jersey’s Privacy Practices in full and ask any questions necessary to fully understand this information.

Confidentiality

        Confidentiality is one of the most important components between a client and therapist. Successful therapy requires a high degree of trust with highly sensitive subject matter that is usually not discussed anywhere but during the session. You can expect that what you discuss in session will not be shared with anyone except when state law, HIPAA, and professional ethics require exceptions.

Some examples of exceptions to confidentiality include:

  • Suspected past or present abuse or neglect.

  • If the therapist has reason to suspect the client is seriously in danger of harming themselves or has threatened to harm another person.

Client Rights

1. Right to Voluntary Treatment

If you are a legal adult (18 or older in NJ), you have the right to request voluntary mental health services.

You have a right to:

  • Receive a comprehensive, individualized assessment of your needs and problem areas.

  • A customized treatment plan, to be reviewed at regular intervals, developed with your input, and implemented with your full consent.

  • Consistent and ethical treatment, terminating our treatment when it is no longer needed or at your request.

  • Referrals to other competent professionals and resources as adjunctive treatment options, reflective of your treatment plan.

  • Return to treatment following termination.

  • Be considered for treatment despite inability to pay the full fee (not unwilling) and be considered for a reduced fee based on specific standardized criteria.

2. Right to Refuse Treatment

You have a right to:

  • Refuse treatment and receive a referral to another qualified mental health professional.

  • Be informed about risks associated with refusing treatment.

3. Right to Confidentiality/Privacy

You have a right to:

  • Confidentiality and to understand how your privacy is protected (Please read Notice of Privacy Policy & Technology & Social Media Policy).

  • You have the right to be informed if any of your PHI has been breached or compromised.

  • Determine the amount of information to be released, whether to or from anyone, by signing an Authorization to Release Mental Health Information.

4. Right to Comfortable Mental & Physical Environment

You have a right to:

  • Be treated with courtesy, respect, and professionally.

  • Feel comfortable, safe and be afforded a sense of privacy in my office.

5.  Right to Information

You have a right to:

  • Understand what you can expect during treatment with Psychodrama New Jersey including appointments, fees, and all relevant office practices, policies, and procedures.

  • Know therapist credentials, educational experience, treatment philosophy, professional Code of Ethics, NJ State Social Work Licensure requirements, Federal HIPAA regulations.

6. Right to a Grievance Procedure

You have a right to:

  • File a formal complaint against Psychodrama New Jersey, LLC/ L. Scott Urmey LCSW, TEP if you feel that you have been wronged or mistreated in any manner. If you wish to file a complaint, you have the right to file a complaint verbally or in writing to L. Scott Urmey B.S., M.S.W., L.C.S.W., T.E.P. at P.O. Box 3063, Long Branch, NJ, 07740 or with the Secretary of Health and Human Services at 200 Independence Avenue, S.W.  Washington, D.C. 20201 or by calling (202) 619-0257. All complaints will be handled respectfully, with the intention of a resolution, and you will not be retaliated against.

Technology & Social Media Policy

It is important to understand how Psychodrama New Jersey and staff conduct themselves on the Internet as a mental health care professionals. If interactions occur on the Internet, it’s important to understand the response you can expect. You are encouraged to bring up any issues for discussion with your therapist and staff for clarification. As new technology develops and the Internet changes, there may be times when this policy needs to be updated. If an update occurs, you will be notified. If you have concerns, questions, or information that may be helpful please discuss it with us.

Social Media

We do not accept friend or contact requests from current or former clients on any social networking sites (Facebook, LinkedIn, etc.). Adding clients as friends or contacts can compromise confidentiality and privacy. It also blurs the boundaries of the therapeutic relationship. Professional practice at Psychodrama New Jersey also includes non-clinical aspects such as education, training, and supervision, which Facebook, Twitter, LinkedIn, and websites may be used to share blog posts, practice updates, and connect with colleagues and students. There is no expectation that you, as a client, will want to follow any of this information, but if you choose to do so please know that it has not been recommended and it can possibly be a risk to your confidentiality. Please be aware that we will not be able to follow any of your social media or personal information on the Internet. If there is material from your online life you wish to share, please bring them into your sessions where it can be viewed and explored with your therapist during the therapy hour. If you use location-based services on your mobile device/phone/watch, you may wish to investigate the potential privacy issues related to using these services. Social media linked to mobile devices sometimes have a “check-in” feature. You should be aware that intentionally or unintentionally “checking-in” from an office location where clinical services are provided may make it possible for others to surmise that you are a therapy client which can be a risk to your confidentiality and privacy.​

Communication

If you need to communicate between sessions, the best way is by phone, 732-820-4897 or 732-221-7306. If we are unable to answer you can leave a voice message. If your therapist is away or unavailable for an extended amount of time, the outgoing voicemail message will have detailed information about their ability to return messages. Email and text messaging is a risk to your privacy and unreliable as we cannot be sure we will receive these messages in a timely manner. We prefer using email and text messaging through our secure client portal system only to arrange or modify appointments, if necessary. Please do not email or text content related to therapy sessions.

Once an appointment is scheduled, you will be sent a secured email through this system to establish your Client Portal, where you will be able to access confidential information. If you choose to communicate with us by email and/or text message, be aware that these are retained in the logs of your Internet Service Provider (ISP). While it is unlikely that someone will look at these logs, they are, in theory, available to be read by the system administrators of the ISP. You should also know that any emails and text messages received become a part of your clinical record. It is also important to know that if you choose to provide your email/phone number as a requested form of communication and/or appointment reminder, the information will be sent via Simple Practice Client portal system which will help protect your information as best as possible, but it is not encrypted. Email and text messaging are very popular and convenient ways to communicate for a lot of people, so in their latest modifications to the HIPAA act, the federal government provided guidance. This information is available in PDF (page 5634) on the U.S. Department of Health and Human Services website, www.gpo.gov/fdsys/pkg/FR-2013-01-25/pdf/2013-01073.pdf. The guidelines state that if a client is made aware of the risks of unencrypted email, and that the client consents to receive personal health information via email, then a health entity may send that client medical information via unencrypted email.