Insurance and Rates
Effective June 1st, 2020
For the last 2 years we have been able to keep our prices the same. Please note as of June 1st there will be fee increases due to increased costs.
We appreciate your continued support and loyalty. During these last few months we have completed research on billing practices for speech and occupational therapy. You may see changes in the way we bill your insurance including billing for office visits in conjunction with speech therapy and continuing to bill for services as delivered. Sessions will no longer be a flat rate per session. When appropriate, we will continue to bill multiple CPT codes during the visit to more accurately represent the services we are performing, much like how your pediatrician and other medical specialists bill for their services.
A $50 deposit required to schedule your evaluation.
Feeding and Speech/Language codes will be $125.
Co-pay will be collected at the time of service and billing will be sent monthly. Bills not paid by the 5th of the month will result in sessions being put on hold until balance is paid or payment plan is established.
DeNell Gallagher, MS, CCC-SLP
Owner
Payment is due at the time of service for out-of-network and private pay clients
As a courtesy to our clients we bill insurance for in-network insurance plans.
Health insurance is a contract between you and your insurance company. You are responsible for any payments not covered by your insurance company. A benefits quote will be given prior to services starting; however, this is only a quote and may not account for multiple codes used for various therapies determined by the clinician. You may wish to contact your insurance provider directly to ask questions regarding your benefits and covered services.
Speech Therapy:
We bill for in-network plans, and out-of-network plans that are paired with Medicaid ONLY (including Jackson Care Connect, Allcare, and OMAP).
We are currently in network with:
Blue Cross Blue Shield,
Providence (speech only)
Moda
OHP Plans (Jackson Care Connect, Allcare, Primary Health of Josephine Co, OMAP)
Occupational Therapy:
In network with Jackson Care Connect and OMAP
Currently out of network with everyone else. We are currently in progress of contracting with:
Blue Cross Blue Shield,
Moda
Allcare
Out of network/Private Pay:
We do not bill insurance for out-of-network plans. We will require payment at the time of service, and will provide you with a superbill for services which you can use to submit your claims.
We are able to provide a prompt pay discount of 10% for regular sessions which are paid in full at time of the appointment for cash pay clients. Evaluations are not discounted.
Please note, prices are quoted with one CPT code, if additional codes are used, or more time is spent, the cost may increase. You are responsible for knowing your benefits and submitting for prior authorization if required.
Your insurance company will be your contact for questions about your specific plan.
Please contact Katie, at katie@rptkids.com, if you have any questions or concerns.
We bill for in-network plans, and out-of-network plans that are paired with Medicaid ONLY (including Jackson Care Connect, Allcare, and OMAP).
We are currently in network with:
Blue Cross Blue Shield,
Providence (speech only)
Moda
OHP Plans (Jackson Care Connect, Allcare, Primary Health of Josephine Co, OMAP)
Occupational Therapy:
In network with Jackson Care Connect and OMAP
Currently out of network with everyone else. We are currently in progress of contracting with:
Blue Cross Blue Shield,
Moda
Allcare
Out of network/Private Pay:
We do not bill insurance for out-of-network plans. We will require payment at the time of service, and will provide you with a superbill for services which you can use to submit your claims.
We are able to provide a prompt pay discount of 10% for regular sessions which are paid in full at time of the appointment for cash pay clients. Evaluations are not discounted.
Please note, prices are quoted with one CPT code, if additional codes are used, or more time is spent, the cost may increase. You are responsible for knowing your benefits and submitting for prior authorization if required.
Your insurance company will be your contact for questions about your specific plan.
Please contact Katie, at katie@rptkids.com, if you have any questions or concerns.
**Therapy sessions include 5 minutes for parent consultation and therapist documentation. Actual time with child will be less than the scheduled session duration
Speech Session Length: 22-25 minutes per 30 minute scheduled session (session length may vary for some clients working on a combination of Speech/Language/Feeding)
Therapy fees include periodic telephone consults with associated therapists and/or teachers to discuss the child’s therapy goals and progress. One progress report is provided per six-month period without charge. Additional progress reports are billed at $60/hour, in 30 minute increments.
Additional Services Billed at $150/hour, in 30 minute increments:
If the additional services falls outside of the clinician's normal work hours a $20 fee will be assessed.
-IEP meetings (Will attend IEP meetings upon request. A $30 travel fee will be added for meetings outside of Medford within 30 miles of the office)
-Consultation (Available for families who want to develop appropriate home programs, use of Augmentative Communication Systems, discuss child's speech/language development. Consultation is also available at a child's preschool or daycare)
*Copies of superbills and treatment notes are provided for your records as well as to provide to your insurance company as needed.
Additional copies of these items are billed at $1.00 per page if printed and a flat $10 fee if provided electronically.
Rogue Pediatric Therapies, LLC
Our New Address Starting March 18th
828 N 2nd Ave Gold Hill, OR 97525
In the Ray's Parking Lot
541-816-4747
info@rptkids.com
WE SPECIALIZE IN PEDIATRIC SPEECH THERAPY AND FEEDING THERAPY, LACTATION SERVICES (IBCLC)
ARTICULATION, STUTTERING, LANGUAGE, GRAMMAR, SOCIAL SKILLS, AUTISM
Our New Address Starting March 18th
828 N 2nd Ave Gold Hill, OR 97525
In the Ray's Parking Lot
541-816-4747
info@rptkids.com
WE SPECIALIZE IN PEDIATRIC SPEECH THERAPY AND FEEDING THERAPY, LACTATION SERVICES (IBCLC)
ARTICULATION, STUTTERING, LANGUAGE, GRAMMAR, SOCIAL SKILLS, AUTISM