Frequently Asked Questions - For Members: Therapy
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You will simply start with an online digital survey. You remotely take the evaluation or assessment from the convenience of your home from your phone or computer. You are then scheduled to meet with a counselor for 30 minutes via a Zoom session and then you’re done. You can also skip the survey assessment and make an appointment first. You can come back later to finish your appointment.
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Our private pay rate for individual evaluations and counseling session is $99 per session (30 minutes) and $135 per session (1 hour). This can be paid by the clinic or the member.
For private pay, we will charge your credit card $75 USD when you make an appointment in order to hold your appointment. The final remaining charge ($29 USD for 30 minutes appointment or $65 USD for 1 hour appointment) will be charged to your card after your session when a session report has been successfully delivered.
Cancellation Policy: You can cancel anytime for no charge if your appointment is over 8 hours away and get a full refund. You will not get a refund of your initial payment of $70 USD if you cancel within 8 hours of your original appointment time.
Skyler Health will send an email receipt to your email when we charge your credit card. You will also see the charge in the Billing section of the Member Portal. Upon your request, we can provide you with a bill that you can submit to your health insurance company to get paid for your out-of-network benefits for this appointment.
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You can cancel as long as the scheduled appointment time is over 8 hours with no cost to you and you will receive a full refund. If you cancel within 8 hours then we will not refund the original payment as our counselors are holding that appointment time for you and it is very difficult to fill those time slots within 8 hours of the time. If you are a health insurance member, then we will charge your personal credit card for the no show session or if you are canceling within 8 hours of your appointment time.
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You are given available times to schedule a 30 minute or a 1 hour session with a counselor in the member portal. You can then select and confirm an appointment time with a counselor. A Join Session button will appear in the member portal that you can click to join the appointment at the designated time. You will also be sent an appointment invite with a Zoom link.
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Our counselors only speak English today. We also offer Spanish speaking counselors in some key states.
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All of our counselors conduct tele-health visits. A Join Session link appears in the member portal that you can use to join the appointment at the designated time. You will also receive an email with a link to your session. Please have Zoom downloaded to your phone or device before your meeting.
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All our appointments with a counselor are done via tele-health. We do not offer in-person appointments today.
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You can go to the Member Portal to cancel or reschedule your appointments.
Cancellation Policy: You can cancel anytime for no charge if your appointment is over 8 hours away for a full refund of the first payment. If you are canceling within 8 hours then we will not refund the original payment as we have to pay the counselor for the scheduled time. Please send us an email at care@skylerhealth.com to cancel or reschedule if cannot access the member portal.
Reschedule Policy: You can reschedule your appointments at no charge if the appointment time is over 8 hours. You can also reschedule your appointment within 8 hours of your original appointment time but you will not receive a refund for the payment that you had already made as we have to pay our counselors for the time you had scheduled. When you reschedule for a new time within 8 hours of tehe original time then we will charge your credit card a $70 fee again to hold the new appointment time.
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Appointments are typically available daily across our counselors. A member can typically find a time within 4 days.
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The reports are sent to the member or clinic within 24 hours after the appointment with the counselor.
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The final evaluation or assessment report will be available via the clinical portal and the member portal. The clinic and the member will be notified once the report is available.
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Skyler Health accepts major health insurances in key states. In case we do not cover a health insurance, we also offer sending you a bill for our-of-network reimbursement for sessions that you pay for directly.
Here's how it works:
Payment Upfront: You'll pay for your sessions directly to Skyler Health at the time of service via the member portal. We accept credit card payment methods for your convenience.
Superbill Provided: Upon request after a session, you'll receive a detailed superbill that outlines the services provided, along with the associated fees. This document is essential for seeking reimbursement from your insurance company. Please send your request for a superbill to care@skylerhealth.com.
Submit for Reimbursement: You can then submit this superbill to your insurance company for reimbursement. Many insurance plans offer out-of-network coverage for mental health services, which means you may be eligible for partial reimbursement of your session fees.
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No, Skyler Health will not sell personal information. Please see our privacy policy for full details.
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The member will need access to a mobile phone or computer to use Skyler Health.
Any web or mobile browser can access the member portal where they can take the digital evaluation and assessment. To have the best experience in the web member portal, we recommend using chrome. We use zoom for video tele-health session with a counselor.
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All of the counselors at Skyler Health are Master’s level prepared and have completed over 1 year of supervised post-degree clinical experience prior to obtaining licensure in their home state. Many have surpassed this high standard and sought Doctoral levels of education or completed specialized certifications in various area of mental and behavioral health.
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At Skyler Health, we understand the importance of accessing quality mental health services while also managing healthcare costs. While we do directly accept major insurances in key states, we are committed to helping you utilize your out-of-network benefits to offset the expense of your therapy sessions.
Here's how it works:
Payment Upfront: You'll pay for your sessions directly to Skyler Health at the time of service via the member portal. We accept credit card payment methods for your convenience.
Superbill Provided: Upon request after a session, you'll receive a detailed superbill that outlines the services provided, along with the associated fees. This document is essential for seeking reimbursement from your insurance company. Please send your request for a superbill to care@skylerhealth.com.
Submit for Reimbursement: You can then submit this superbill to your insurance company for reimbursement. Many insurance plans offer out-of-network coverage for mental health services, which means you may be eligible for partial reimbursement of your session fees.
Frequently Asked Questions - For Members: Coaching
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Mental health coaching is a collaborative, goal-oriented process designed to help individuals navigate life’s challenges, develop resilience, and achieve personal growth. Unlike therapy, which delves into the diagnosis and treatment of mental health disorders, mental health coaching focuses on equipping clients with tools, strategies, and a proactive mindset to address everyday stressors and life transitions. The primary aim is to empower individuals to take charge of their emotional well-being, enhance their quality of life, and build the skills necessary to overcome obstacles and achieve their goals.
Coaches work with clients to tackle a wide range of life situations, from managing anxiety and burnout to building healthier relationships and improving sleep. This partnership involves assessing the client’s current circumstances, identifying areas for improvement, and co-creating actionable plans for positive change. Coaches act as motivators, accountability partners, and resources, offering guidance and support while encouraging clients to unlock their full potential.
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While both mental health coaches and therapists aim to support your mental well-being, they differ significantly in their approach, focus, and qualifications. Here’s how they compare:
Area of Focus:
• Mental Health Coaches: Coaches concentrate on your current situation and future goals, working collaboratively with you to create actionable steps toward achieving those objectives. They provide ongoing guidance and help adjust strategies to keep you on track as you progress.
• Therapists: Therapy, on the other hand, involves working with a licensed professional to address deep-rooted psychological symptoms or emotional patterns that may be holding you back. Sessions often delve into past and present challenges to facilitate healing and lasting positive change.
Credentials:
• Mental Health Coaches: Coaches complete certifications from recognized organizations, such as the National Board for Health & Wellness Coaching (NBHWC), or may hold a master’s-level degree in a psychology-related field. They focus on evidence-based coaching strategies rather than clinical treatment.
• Therapists: Therapists typically hold at least a master’s degree in psychology, counseling, or a related discipline. They must also complete state-specific licensing requirements, including supervised clinical practice hours. Advanced practitioners, such as psychologists, may have a PhD or PsyD in their field.
Diagnoses:
• Mental Health Coaches: Coaches are not qualified to diagnose mental health conditions. However, they can suggest seeking evaluation from a licensed therapist if needed. Coaches help co-create personalized plans to support your well-being but are not equipped to treat mental health disorders like Major Depressive Disorder or Generalized Anxiety Disorder.
• Therapists: Therapists are trained to diagnose and treat mental illnesses using evidence-based techniques such as Cognitive Behavioral Therapy (CBT), psychodynamic therapy, or other therapeutic modalities.
Medication:
• Mental Health Coaches: Coaches cannot prescribe medications. If they believe medication could benefit you, they may recommend consulting a psychiatrist or psychiatric nurse practitioner for further evaluation.
• Therapists: While most therapists cannot prescribe medication (except certain providers like psychiatrists or psychiatric nurse practitioners), they can collaborate with prescribing professionals to ensure you receive comprehensive care.
Price: Mental health coaching sessions are typically cheaper than seeing a therapist. For example, a 1 hour session with a Skyler Health therapist is $135 where as a 1 hour session with a mental health coach is $85.
Summary:
Mental health coaching is a forward-focused, goal-oriented approach that helps you navigate present challenges and build a brighter future. Therapy, on the other hand, is a clinical practice aimed at addressing deeper psychological concerns and patterns to facilitate healing. Both serve valuable roles, depending on your needs and circumstances.
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Our private pay rate for individual coaching sessions is $55 for a 30 minutes session and $85 for a 1 hour session. This can be paid by the clinic or the member. We will charge your credit card in full when you schedule your session to hold your appointment.
Cancellation Policy: You can cancel anytime for no charge if your appointment is over 8 hours away.
Skyler Health will send an email receipt to your email when we charge your credit card. You will also see the charge in the Billing section of the Member Portal. Upon your request, we can provide you with a bill that you can submit to your health insurance company to get paid for your out-of-network benefits for this appointment.
While we do not directly accept insurance for coaching, we are committed to helping you utilize your out-of-network benefits to offset the expense of your coaching sessions. See below for details.
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You can cancel and get a full refund if your appointment time is over 8 hours. If you cancel within 8 hours then you will not get a refund as our coaches are holding their time for the appointment.
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You are shown available times to schedule a 30 minute or a 1 hour session with a coach in the Member Portal. You can then select and confirm an appointment time with a coach. You will see the appointment and a Join Session button in the Member Portal to join the session. You will also be sent an appointment invite with a Zoom link in the email.
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Our coaches only speak English today.
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All of our coaches conduct tele-health visits. A Join Session button appears in the Member Portal for your appointment. You will receive an email with a link to your session 24 hrs before the scheduled appointment as well. Please have Zoom downloaded to your phone or device before your meeting.
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All our appointments are done via tele-health. We do not offer in-person appointments today.
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You can go to the Member Portal to cancel or reschedule your appointments. You can email us at care@skylerhealth.com to cancel your appointment. Appointments can only be rescheduled through the Member Portal.
Cancellation Policy: You can cancel anytime for no charge if your appointment is over 8 hours away. If you are canceling within 8 hours then you will not receive a refund. Please send us an email at care@skylerhealth.com to cancel.
Reschedule Policy: You can reschedule your appointments at no charge if the appointment time is over 8 hours. You can still reschedule your appointment within 8 hours of your original appointment time but you will not receive a refund for your appointment time getting rescheduled within 8 hours of the original time.
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Appointments are available daily and you can typically make an appointment within 4 days.
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At Skyler Health, we understand the importance of accessing quality mental health services while also managing healthcare costs. Our therapy services are covered by major health insurance companies in key states. However, coaching sessions are not covered by health insurance.
While we do not directly accept insurance for coaching sessions, we are committed to helping you utilize your out-of-network benefits to offset the expense of your therapy sessions.
Here's how it works:
Payment Upfront: You'll pay for your sessions directly to Skyler Health at the time of service via the member portal. We accept credit card payment methods for your convenience.
Superbill Provided: Upon request after a session, you'll receive a detailed superbill that outlines the services provided, along with the associated fees. This document is essential for seeking reimbursement from your insurance company. Please send your request for a superbill to care@skylerhealth.com.
Submit for Reimbursement: You can then submit this superbill to your insurance company for reimbursement. Many insurance plans offer out-of-network coverage for mental health services, which means you may be eligible for partial reimbursement of your session fees but you will need to check with your health insurance company to see if they cover coaching.
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No, Skyler Health will not sell personal information. Please see our privacy policy for full details.
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The member will need access to a mobile phone or computer to use Skyler Health.
Any web or mobile browser can access the member portal where they can take the digital evaluation and assessment. To have the best experience in the web member portal, we recommend using chrome. We use zoom for video tele-health session with a counselor.
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All of our coaches are nationally board-certified by an accredited institution, or have earned a Master’s degree in a psychology related field. From daily stress and anxiety to support through big life events, your coach will draw from clinically-validated tools like CBT, ACT, and other well-being practices tailored to help you reach your personal mental health goals.
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At Skyler Health, we understand the importance of accessing quality mental health services while also managing healthcare costs. While we do not directly accept insurance for coaching services, we are committed to helping you utilize your out-of-network benefits to offset the expense of your therapy sessions.
Here's how it works:
Payment Upfront: You'll pay for your sessions directly to Skyler Health at the time of service via the member portal. We accept credit card payment methods for your convenience.
Superbill Provided: Upon request after a session, you'll receive a detailed superbill that outlines the services provided, along with the associated fees. This document is essential for seeking reimbursement from your insurance company. Please send your request for a superbill to care@skylerhealth.com.
Submit for Reimbursement: You can then submit this superbill to your insurance company for reimbursement. Many insurance plans offer out-of-network coverage for mental health services, which means you may be eligible for partial reimbursement of your session fees.
Frequently Asked Questions - For Members: Peer Support
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Peer support is a collaborative and empathetic relationship in which individuals with shared life experiences provide emotional, social, and practical support to one another. It’s based on the principle of mutuality, where peers help each other navigate challenges, build resilience, and work toward personal growth. Peer supporters often have lived experiences in areas such as mental health challenges, recovery from addiction, grief, or life transitions, which enables them to connect deeply with those they support.
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Peer support is a powerful, accessible way to address life’s challenges through connection and mutual understanding. While it shares commonalities with therapy and coaching, its unique emphasis on shared experiences and mutual empowerment makes it a distinct and valuable approach for fostering personal growth and emotional resilience. Each method has its place, depending on the individual’s needs and goals.
What is Peer Support?
Peer support is a collaborative and empathetic relationship in which individuals with shared life experiences provide emotional, social, and practical support to one another. It’s based on the principle of mutuality, where peers help each other navigate challenges, build resilience, and work toward personal growth. Peer supporters often have lived experiences in areas such as mental health challenges, recovery from addiction, grief, or life transitions, which enables them to connect deeply with those they support.
Advantages of Peer Support
1. Empathy and Understanding:
• Peer supporters provide a unique perspective rooted in shared experiences, fostering trust and genuine connection.
2. Reducing Stigma:
• Sharing similar stories can normalize struggles and reduce the stigma associated with seeking help.
3. Emotional Support:
• Peers offer a safe space to express emotions, fostering healing and self-acceptance.
4. Empowerment and Encouragement:
• Peer support emphasizes empowerment, encouraging individuals to take charge of their own recovery or personal growth journey.
5. Cost-Effective:
• Peer support is often more affordable than traditional therapy or coaching, making it accessible to a broader audience.
6. Practical Guidance:
• Peer supporters share real-world strategies and resources that have worked for them, helping others navigate similar situations.
7. Building Community:
• Peer support fosters a sense of belonging and community, reducing feelings of isolation.
How is Peer Support Different from Therapy and Coaching?
While peer support, therapy, and coaching share the goal of helping individuals, they differ significantly in approach, qualifications, and focus:
1. Peer Support
• Focus:
• Mutual support and shared lived experiences.
• Emphasizes empathy, validation, and emotional connection.
• Qualifications:
• Peer supporters are trained but typically not licensed professionals.
• Their lived experience is their primary qualification.
• Approach:
• Informal and collaborative, often guided by shared insights and practical advice.
• Goal:
• Promote self-empowerment, resilience, and connection.
2. Therapy
• Focus:
• Addresses clinical mental health issues and past trauma.
• Involves diagnosing and treating mental health conditions.
• Qualifications:
• Therapists hold advanced degrees (e.g., MSW, PhD, PsyD) and are licensed professionals.
• Approach:
• Structured, evidence-based, and rooted in psychology (e.g., CBT, DBT, psychodynamic therapy).
• Goal:
• Heal psychological wounds and manage mental health conditions.
• Legal/Medical Framework:
• Therapists are bound by strict ethical guidelines and confidentiality laws.
3. Coaching
• Focus:
• Personal development, goal-setting, and future-oriented strategies.
• Qualifications:
• Coaches may have certifications (e.g., ICF, NBHWC) but are not required to have clinical training.
• Approach:
• Solution-driven and action-oriented, emphasizing accountability and performance.
• Goal:
• Achieve specific goals (e.g., career growth, lifestyle changes) through motivation and planning.
• Relationship:
• Focuses on guiding rather than mutual support.
Key Differences
Purpose Emotional connection, shared experience Healing mental health issues Goal-setting and achievement
Qualifications Lived experience, training Advanced degrees, licenses Certifications, training
Focus Empathy, mutuality Clinical treatment Future goals and performance
Approach Informal, collaborative Structured, evidence-based Solution-oriented, action-driven
Conclusion
Peer support is a powerful, accessible way to address life’s challenges through connection and mutual understanding. While it shares commonalities with therapy and coaching, its unique emphasis on shared experiences and mutual empowerment makes it a distinct and valuable approach for fostering personal growth and emotional resilience. Each method has its place, depending on the individual’s needs and goals.
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Our private pay rate for individual sessions with a peer supporter is $40 for a 30 minutes session and $60 for a 1 hour session. We will charge your credit card in full when you schedule your session to hold your appointment.
Cancellation Policy: You can cancel anytime for no charge if your appointment is over 8 hours away.
Skyler Health will send an email receipt to your email when we charge your credit card. You will also see the charge in the Billing section of the Member Portal.
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You can cancel and get a full refund if your appointment time is over 8 hours. If you cancel within 8 hours then you will not get a refund.
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You are shown available times to schedule a 30 minute session with a peer supporter in the Member Portal. You can then select and confirm an appointment time with a peer fellow. You will see the appointment and a Join Session button in the Member Portal to join the session. You will also be sent an appointment invite with a Zoom link in the email.
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Our peers speak English or Spanish or both.
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All of our peer fellows conduct tele-health visits. A Join Session button appears in the Member Portal for your appointment. You will receive an email with a link to your session 24 hrs before the scheduled appointment as well. Please have Zoom downloaded to your phone or device before your meeting.
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All our appointments are done via tele-health. We do not offer in-person appointments today.
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You can go to the Member Portal to cancel or reschedule your appointments. You can email us at care@skylerhealth.com to cancel your appointment. Appointments can only be rescheduled through the Member Portal.
Cancellation Policy: You can cancel anytime for no charge if your appointment is over 8 hours away. If you are canceling within 8 hours then you will not receive a refund. Please send us an email at care@skylerhealth.com to cancel.
Reschedule Policy: You can reschedule your appointments at no charge if the appointment time is over 8 hours. You can still reschedule your appointment within 8 hours of your original appointment time but you will not receive a refund for your appointment time getting rescheduled within 8 hours of the original time.
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Appointments are available daily and you can typically make an appointment within 4 days.
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Peer support is not reimbursed by health insurance.
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No, Skyler Health will not sell personal information. Please see our privacy policy for full details.
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The member will need access to a mobile phone or computer to use Skyler Health.
Any web or mobile browser can access the member portal where they can take the digital evaluation and assessment. To have the best experience in the web member portal, we recommend using chrome. We use zoom for video tele-health session with a counselor.
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Skyler Health’s peer supporters are people who've been there. It is a community where you get affordable, practical guidance from someone who has shared life experience and has successfully overcome challenges you are facing. A peer supporter is someone sharing their specific lived experience to help others who are going through a similar situation. Our peer supporters help you get through what you're going through. All peer supporters receive training in meeting your needs, active listening, effective support methods and crisis management, and must pass an assessment before offering check-ins.
Frequently Asked Questions - For Clinics
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Skyler Health provides 24/7 psychological evaluations and counseling for pain and general mental health with results delivered within 24 hours with the highest clinical efficacy. This allows clinics to make decisions and progress with your personalized medical treatment for your patients, schedule surgeries and procedures and ensure that your patients are receiving timely and personalized care. Our clinical team made up of licensed therapists offer a fast, yet thorough clearance decision in a timely manner. We streamline the evaluation process to provide fast, accurate, and reliable results.
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Our private pay rate for individual evaluations and counseling sessions is $99 per session. This can be paid by the clinic or the member. We currently do not accept health insurance. We also help patients utilize out of network health benefits to get reimbursed for their payment to Skyler Health.
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There are three simple ways for the clinics to send referrals in minutes:
1. Clinic Portal: Go to the Clinic Portal to create an account and send us a referral in minutes. We are offering a 50% discount on your first three referrals! You can send us referrals through the Clinic Portal and specify if the clinic will pay or if the patient will pay.
2. Fax: Clinics can also fax their referrals to 1-650-397-4264. We need at a minimum: Patient’s Name, Patient’s DOB, Patient’s email, Patient’s phone number, Requested service type (Psychological Evaluation for Surgical Clearance, Psychological Evaluation for General Mental Health, Pain Counseling and Evaluation.) We’ll contact the patient to get them started.
3. Member Portal: Clinics can also ask the patients to sign-up directly and order their own evaluation at the Member Portal. Clinics can email or print and hand them this flier with information for members to get started with Skyler Health.
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The reports are available within 24 hours for the clinics (in the Clinic Portal) and for members (in the Member Portal).
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The final evaluation or assessment report will be available via the clinical portal to the clinic if the referral was sent through the Clinic Portal. Otherwise, the patient will receive the report that they will have to share with the clinic. The clinic will be notified once the report is available.
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We’re not experts in Behavioral Health Integration (BHI) billing through CPT 99484, 96127 codes. We advise you to check with an expert. However, what we know about these codes is as follows:
CPT Code 99484: Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified healthcare professional, per calendar month. This code is used for reporting non-face-to-face care coordination services for patients with behavioral health conditions. It involves at least 20 minutes of clinical staff time per month, directed by a qualified healthcare professional.
CPT Code 96127: Brief emotional/behavioral assessment (e.g., depression, anxiety scale), with scoring and documentation, per standardized instrument. This code is used for reporting brief emotional or behavioral assessments, typically involving the use of standardized instruments like depression scales. It includes scoring and documentation based on the results of the assessment.
A clinic can get reimbursed at a rate of approximately $50 per month per patient (varies by insurer) for reviewing the reports that include these data.