Question 1

What is counseling?

Accepted Answer

Therapists have specialized training in diagnosing and treating mental health disorders as well as teaching skills for effective communication and healthy relationships. They assist you in processing and healing from past and present emotional pain or traumas. Therapists help you become more self-aware and understand your thoughts, feelings, and behaviors in order to create desired changes in your life. They will work with you to implement coping skills and strategies individualized to your unique situation and preferences. Therapists can help you figure out how to reach your goals for yourself and break through any barriers to reaching them.

Question 2

Why go to counseling?

Accepted Answer

Not everyone “needs” counseling but we believe everyone can benefit from it. Going to therapy gives you the opportunity to work through challenges with a trained, unbiased and nonjudgmental professional in a confidential environment. Doing the work in therapy can significantly improve quality of life and help you realize your full potential.

Question 3

How often will I go to counseling?

Accepted Answer

Every person and situation is different, which means treatment should be tailored to fit you and your needs. Some people engage in counseling weekly, biweekly, once a month, etc. Frequency of visits may be higher at the beginning of treatment and then lessen as time goes on and severity/frequency of symptoms lessen.

Question 4

How long will I be in counseling?

Accepted Answer

Length of time in counseling varies from person to person dependent on the severity/complexity of the situation and progress made. When significant progress has been made, your therapist will discuss discontinuing therapy with you. It is also normal to stop therapy when feeling better and resume as other issues arise if desired.

Question 5

Are my sessions completely private?

Accepted Answer

Everything talked about in session stays between you and your therapist. However, there are some situations in which confidentiality legally must be broken. If you have a plan to hurt yourself or someone else, if there is report or suspicion of children or vulnerable populations being abused/neglected, or if subpoenaed by a court. If you happen to see your therapist outside of the therapy office, they will not acknowledge you first to protect your confidentiality but can speak to you if you do so first.

Question 6

Do you take Medicaid or Medicare?

Accepted Answer

Unfortunately, we are unable to accept any Medicaid or Medicare plans at this time.

Question 7

How does scheduling work?

Accepted Answer

You can schedule appointments anytime through your online client portal. Appointments can be scheduled out up to two months in advance.

Question 8

How does payment work?

Accepted Answer

All clients are asked to store a credit, debit, or HSA card on our secure portal. The card you put on file will be used to cover all services and fees incurred. Payment is due at the time of service. You can utilize the portal to view and print your invoices. If you have any questions regarding billing related matters, you can contact our billing provider at ajames@affordablebillingservices.org or (765)-561-9861.

Question 9

What is a good faith estimate?

Accepted Answer

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical and mental health services. You have the right to receive a Good Faith Estimate for the total expected cost of non-emergency medical and mental health care services. This includes costs related to mental health counseling and therapy services (evaluation and psychotherapy). Your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical or mental health service. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. A Good Faith Estimate will be available to you prior to you being seen for services and prior to any billing. In most cases, it is impossible to estimate how many sessions you will need as that will not be determined until your concerns are evaluated and will also vary based on the progress that you make, which depends in part on your efforts with the process. You will be free to discontinue services at any time or the services may otherwise be terminated in accordance with circumstances spelled out in your informed consent forms. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. The Informed Consent process that occurs during intake includes our Financial Policies and Service Fees, and you can reference fees when you read and sign the informed consent before treatment begins. Visit www.cms.gov/nosurprises for more information about your right to a Good Faith Estimate.

Question 10

What are the privacy practices?

Accepted Answer

I. OUR PLEDGE REGARDING HEALTH INFORMATION:

We understand that health information about you and your health care is personal. We are committed to protecting health information about you. We create a record of the care and services you receive from us. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this mental health care practice. This notice will tell you about the ways in which we may use and disclose health information about you. We also describe your rights to the health information we keep about you, and describe certain obligations we have regarding the use and disclosure of your health information. We are required by law to:

Make sure that protected health information (“PHI”) that identifies you is kept private.

Give you this notice of our legal duties and privacy practices with respect to health information.

Follow the terms of the notice that is currently in effect.

We can change the terms of this Notice, and such changes will apply to all information we have about you. The new Notice will be available upon request.

II. HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU:

The following categories describe different ways that we use and disclose health information. For each category of uses or disclosures we will explain what we mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.

For Treatment Payment, or Health Care Operations: Federal privacy rules (regulations) allow health care providers who have direct treatment relationship with the patient/client to use or disclose the patient/clientʼs personal health information without the patientʼs written authorization, to carry out the health care providerʼs own treatment, payment or health care operations. We may also disclose your protected health information for the treatment activities of any health care provider. This too can be done without your written authorization. For example, if a clinician were to consult with another licensed health care provider about your condition, we would be permitted to use and disclose your personal health information, which is otherwise confidential, in order to assist the clinician in diagnosis and treatment of your mental health condition.

Disclosures for treatment purposes are not limited to the minimum necessary standard. Because therapists and other health care providers need access to the full record and/or full and complete information in order to provide quality care. The word “treatment” includes, among other things, the coordination and management of health care providers with a third party, consultations between health care providers and referrals of a patient for health care from one health care provider to another.

Lawsuits and Disputes: If you are involved in a lawsuit, we may disclose health information in response to a court or administrative order. We may also disclose health information about your child(ren) in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.

III. CERTAIN USES AND DISCLOSURES REQUIRE YOUR AUTHORIZATION:

Psychotherapy Notes. We do keep “psychotherapy notes” as that term is defined in 45 CFR § 164.501, and any use or disclosure of such notes requires your Authorization unless the use or disclosure is:

a. For our use in treating you.

b. For our use in training or supervising mental health practitioners to help them improve their skills in group, joint, family, or individual counseling or therapy.

c. For our use in defending ourselves in legal proceedings instituted by you.

d. For use by the Secretary of Health and Human Services to investigate my compliance with HIPAA.

e. Required by law and the use or disclosure is limited to the requirements of such law.

f. Required by law for certain health oversight activities pertaining to the originator of the psychotherapy notes.

g. Required by a coroner who is performing duties authorized by law.

h. Required to help avert a serious threat to the health and safety of others.

Marketing Purposes. We will not use or disclose your PHI for marketing purposes.

Sale of PHI. We will not sell your PHI in the regular course of business.

IV. CERTAIN USES AND DISCLOSURES DO NOT REQUIRE YOUR AUTHORIZATION. Subject to certain limitations in the law, we can use and disclose your PHI without your Authorization for the following reasons:

When disclosure is required by state or federal law, and the use or disclosure complies with and is limited to the relevant requirements of such law.

For public health activities, including reporting suspected child, elder, or dependent adult abuse, or preventing or reducing a serious threat to anyoneʼs health or safety.

For health oversight activities, including audits and investigations.

For judicial and administrative proceedings, including responding to a court or administrative order, although my preference is to obtain an Authorization from you before doing so.

For law enforcement purposes, including reporting crimes occurring on my premises.

To coroners or medical examiners, when such individuals are performing duties authorized by law.

For research purposes, including studying and comparing the mental health of patients who received one form of therapy versus those who received another form of therapy for the same condition.

Specialized government functions, including, ensuring the proper execution of military missions; protecting the President of the United States; conducting intelligence or counterintelligence operations; or, helping to ensure the safety of those working within or housed in correctional institutions.

For workers' compensation purposes. Although my preference is to obtain an Authorization from you, we may provide your PHI in order to comply with workers' compensation laws.

Appointment reminders and health related benefits or services. we may use and disclose your PHI to contact you to remind you that you have an appointment. We may also use and disclose your PHI to tell you about treatment alternatives, or other health care services or benefits that we offer.

V. CERTAIN USES AND DISCLOSURES REQUIRE YOU TO HAVE THE OPPORTUNITY TO OBJECT.

Disclosures to family, friends, or others. We may provide your PHI to a family member, friend, or other person that you indicate is involved in your care or the payment for your health care, unless you object in whole or in part. The opportunity to consent may be obtained retroactively in emergency situations.
VI. YOU HAVE THE FOLLOWING RIGHTS WITH RESPECT TO YOUR PHI:

The Right to Request Limits on Uses and Disclosures of Your PHI. You have the right to ask us not to use or disclose certain PHI for treatment, payment, or health care operations purposes. We are not required to agree to your request, and we may say “no” if we believe it would affect your health care.

The Right to Request Restrictions for Out-of-Pocket Expenses Paid for In Full. You have the right to request restrictions on disclosures of your PHI to health plans for payment or health care operations purposes if the PHI pertains solely to a health care item or a health care service that you have paid for out-of-pocket in full.

The Right to Choose How We Send PHI to You. You have the right to ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address, and we will agree to all reasonable requests.

The Right to See and Get Copies of Your PHI. Other than “psychotherapy notes,” you have the right to get an electronic or paper copy of your medical record and other information that we have about you. We will provide you with a copy of your record, or a summary of it, if you agree to receive a summary, within 30 days of receiving your written request, and we may charge a reasonable, cost based fee for doing so.

The Right to Get a List of the Disclosures We Have Made. You have the right to request a list of instances in which we have disclosed your PHI for purposes other than treatment, payment, or health care operations, or for which you provided us with an Authorization. We will respond to your request for an accounting of disclosures within 60 days of receiving your request. The list we will give you will include disclosures made in the last six years unless you request a shorter time. We will provide the list to you at no charge, but if you make more than one request in the same year, We will charge you a reasonable cost based fee for each additional request.

The Right to Correct or Update Your PHI. If you believe that there is a mistake in your PHI, or that a piece of important information is missing from your PHI, you have the right to request that we correct the existing information or add the missing information. We may say “no” to your request, but we will tell you why in writing within 60 days of receiving your request.
The Right to Get a Paper or Electronic Copy of this Notice. You have the right to get a paper copy of this Notice, and you have the right to get a copy of this notice by email. And, even if you have agreed to receive this Notice via email, you also have the right to request a paper copy of it.

Acknowledgement of Receipt of Privacy Notice

Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), you have certain rights regarding the use and disclosure of your protected health information. By checking the box below, you are acknowledging that you have received a copy of HIPAA Notice of Privacy Practices.

Mindful Connections Counseling

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