What can I expect in therapy?

Starting therapy is an important decision…a walk towards change.  Reworking well-entrenched patterns usually takes time and effort. While I can provide practical tools, insight, and challenges to your patterns of thought, it is you who has to practice and implement the work of change.

Clients usually find it most helpful to commit to working on a weekly or bi-weekly basis. Nevertheless, I will do my best to accommodate the type of scheduling that works for you. We can meet in my office in Summit, or via my HIPAA-compliant telehealth video platform..

Will our sessions be Confidential?

I am dedicated to providing you complete confidentiality up to the limits of the laws protecting client-therapist communication. In most situations I can only release information about your treatment to others if you sign a HIPAA-compliant Authorization form for the release of specific information. Other situations require you to provide written, advance consent. When you consent to therapy I will provide you my complete Confidentiality Policy.

I offer various methods of secure communication including HIPAA- compliant telemedicine sessions via Simple Practice.

Note: If you are involved in or are contemplating litigation, please consult with your attorney to determine whether a court would be likely to order me to disclose information. It is my policy not to participate in legal matters such as divorce or custodial arrangements for children.

Do you accept insurance?

I am not contracted with any insurance companies, and therefore am considered an “out of network provider.” Out-of-network benefits usually cover psychotherapy (or any medical service) with the professional of your choice. Most plans require the patient to pay a deductible, and then reimburse the patient a substantial percentage of the fee after the deductible has been met. Some plans limit the number of sessions or the dollar amount that are reimbursable each year. The psychotherapy is not managed, and authorization is usually not required.

A call to your insurance company can help you determine the details of the mental health coverage provided by your plan. Your insurance company may have this information on the website, but you might need to call and tell them you would like to access out-of-network behavioral health services. The following are useful questions to ask:

• What is my yearly deductible for behavioral health services?

• How much of this deductible has currently been met? How much remains?

• What is the reimbursement rate for out of network professionals (once the deductible has been met)? How do I submit the claim?

• Are there any limitations of amount of sessions or amount paid out?

• Is there any type of initial authorization required?

Please note that I collect payment at the time of service and can provide you with a receipt for submission to your insurance company (your insurance company’s reimbursement form is usually found on your carrier’s website). As a courtesy, I may be able to submit claims directly to your insurance company after you have paid my professional fees in full. In this case, your insurance carrier will send your benefits directly to you.

Good Faith Estimate Information

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. 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 items and services.You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. 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. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises 

Notice of Privacy Practices

Notice of Policies and Practices to Protect the Privacy of Your Health Information

THIS NOTICE DESCRIBES HOW PSYCHOLOGICAL AND MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

I.Uses and Disclosures for Treatment, Payment, and Health Care Operations

Mind Insight LLC may use or disclose your protected health information (PHI), for treatment, payment, and health care operations purposes with your consent. To help clarify these terms, here are some definitions:

– “PHI” refers to information in your health record that could identify you.

– “Treatment, Payment and Health Care Operations”

Treatment refers to the direct provision of services, coordination of care, and consultation related to your health care. An example of treatment would be when your provider consults with another health care provider, such as your family physician, a psychiatrist or another licensed mental health professional.

– Payment is when your provider obtains reimbursement for your healthcare. Examples of payment are when your provider discloses your PHI to your health insurer to obtain reimbursement for your health care or to determine eligibility or coverage

– Health Care Operations are activities that relate to the performance and operation of Mind Insight LLC. Examples of healthcare operations are quality assessment and improvement activities, business-related matters such as audits and administrative services, and case management and care coordination.

– “Use” applies only to activities within Mind Insight LLC such as sharing, employing, applying, utilizing, examining, and analyzing information that identifies you.

– “Disclosure” applies to activities outside of Mind Insight LLC, such as releasing, transferring, or providing access to information about you to other parties.

II.Uses and Disclosures Requiring Authorization

Mind Insight LLC may use or disclose PHI for purposes outside of treatment, payment, and health care operations when your appropriate authorization is obtained. An “authorization” is written permission above and beyond the general consent that permits only specific disclosures. In those instances, Mind Insight LLC will obtain an authorization from you before releasing this information.

You may revoke all such authorizations at any time, provided each revocation is in writing. You may not revoke an authorization (1) retroactively, as Mind Insight LLC relied on that authorization; or (2) if the authorization was obtained as a condition of obtaining insurance coverage, and the law provides the insurer the right to contest the claim under the policy. Please note that your therapist may elect to keep a second set of records referred to as “Psychotherapy Notes”. While the contents of Psychotherapy Notes vary from client to client, they can include the contents of your conversations with your provider, your providers’ analysis of those conversations, and how they impact on your treatment. They also contain particularly sensitive information that you may reveal to us that is not required to be included in your PHI. HIPAA provides additional protection for psychotherapy notes, and most uses or disclosures of psychotherapy notes require your written permission. Insurance companies cannot require your authorization as a condition of coverage nor penalize you in any way for your refusal to provide it.

III.Uses and Disclosures with Neither Consent nor Authorization

Mind Insight LLC may use or disclose PHI without your consent or authorization in the following circumstances:

– Child Abuse: If there is reasonable cause to believe that a child has been subject to abuse, your provider is mandated by law to report this immediately to the New Jersey Division of Child Protection and Permanency.

– Adult and Domestic Abuse: If there is reasonable cause to believe that a vulnerable adult is the subject of abuse, neglect, or exploitation, your provider is mandated by law to report the information to the county adult protective services provider.

– Health Oversight: If state regulatory bodies, such as the New Jersey State Board of Psychological Examiners or the New Jersey Board of Social Work Examiners issue a subpoena, your provider may be compelled to testify before the Board and produce your relevant records and papers.

– Judicial or Administrative Proceedings: If you are involved in a court proceeding and a request is made for information about the professional services that you have received at Mind Insight LLC and/or the records thereof, such information is privileged under state law, and Mind Insight LLC must not release this information without written authorization from you or your legally appointed representative, or a court order. This privilege does not apply when you are being evaluated for a third party or when the evaluation is court ordered. Mind Insight LLC must inform you in advance if this is the case.

– Serious Threat to Health or Safety: If you communicate to your provider a threat of imminent serious physical violence against a readily identifiable victim or yourself or the public and he or she believes you intend to carry out that threat, your provider must take steps to warn and protect you and others. Your provider also must take such steps, even if you have not made a specific verbal threat but there is reasonable concern about you being a danger to yourself or others. The steps your provider takes to warn and protect may include: arranging for you to be admitted to a psychiatric unit of a hospital or other health care facility, advising the police of your threat and the identity of the intended victim, warning the intended victim or his or her parents if the intended victim is under 18, and warning your parents if you are under 18. To reduce the risk of harm from firearms, your provider is required by law to call the police and provide information about where you live, if he or she believes there is an imminent risk of harm to you or others.

– Worker’s Compensation: If you file a worker’s compensation claim, your therapist may be required to release relevant information from your mental health records to a participant in the worker’s compensation case, a reinsurer, the health care provider, medical and non-medical experts in connection with the case, the Division of Worker’s Compensation, or the Compensation Rating and Inspection Bureau.

IV.Patient’s Rights and Mental Health Provider Duties

Patient’s Rights:

– Right to Request Restrictions -You have the right to request restrictions on certain uses and disclosures of protected health information about you. However, Mind Insight LLC is not required to agree to a restriction you request.

– Right to Receive Confidential Communications by Alternative Means and at Alternative Locations – You have the right to request and receive confidential communications of PHI by alternative means and at alternative locations. (For example, you may not want a family member to know that you are receiving services. Upon your request, Mind Insight LLC will send your bills to another address.)

– Right to Inspect and Copy – You have the right to inspect or obtain a copy (or both) of PHI and billing records used to make decisions about you for as long as the PHI is maintained in the record. Mind Insight LLC may deny your access to PHI under certain circumstances, but in some cases, you may have this decision reviewed. On your request, your provider will discuss the details of the request and denial process.

– Right to Amend – You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. Your request may be denied. On your request, your provider will explain the details of the amendment process.

– Right to an Accounting – You generally have the right to receive an accounting of disclosures of PHI for which you have neither provided consent nor authorization (as described in Section III of this Notice). On your request, your provider will explain the details of the accounting process.

– Right to a Paper Copy – You have the right to obtain a paper copy of the notice upon request, even if you have agreed to receive the notice electronically.

Mental Health Provider Duties:

– The law requires service providers to maintain the privacy of PHI and to provide you with a notice of legal duties and privacy practices with respect to PHI.

– Mind Insight LLC reserves the right to change the privacy policies and practices described in this notice. Unless we inform you of such changes, our practice is required to abide by the terms currently in effect.

– If we revise the policies and procedures, and you are an active patient, we will inform you of the changes in policy in person. If you have discontinued services, we will provide you with a revised notice, upon request.

V.Questions and Complaints

If you have questions about this notice, disagree with a decision about access to your records or have other concerns about your privacy rights, you may discuss this with your provider.

If you believe that your privacy rights have been violated and wish to file a complaint, you may send your written complaint to Amy Sadeghi, Privacy Officer at Mind Insight LLC, 45 River Rd. Summit, NJ 07901.

You may send a written complaint to the Secretary of the U.S. Department of Health and Human Services. Mind Insight LLC will provide you with the appropriate address, upon request.

You have specific rights under the Privacy Rule. Mind Insight LLC and its employees will not retaliate against you for exercising your right to file a complaint.

VI. Effective Date, Restrictions and Changes to Privacy Policy

This notice will go into effect on February 18, 2019.