FREQUENTLY ASK QUESTIONS

• A late cancellation is when the scheduled appointment is cancelled less than 48 hours before your appointment. We understand that sometimes unexpected events occur which may cause you to miss your appointment; we encourage you to contact us as soon as possible.
• You can also cancel and schedule appointments using the Patient Portal.
• If you cancel an initial Psychiatric Evaluation appointment less than 24 hours before your appointment or you do not show to your appointment, you will be charged the full fee for your session ($300).
• If you cancel a follow up appointment less than 48 hours but more than 24 hours before your appointment, we will assess a fee of $100 (for 30 min or less appointment) or $150 (for all other appointments).

• All prescribe medications will have quantities that will last until next your scheduled appointment.
• Any questions or concerns regarding dosing changes, please contact the office.
• Please keep all your health care providers informed of all current medications you are taking.

• Premier Mental Health does not provide after hours coverage. During business hours you may contact the office at 216.273.4003, email ([email protected]), or via the Patient Portal. We will return calls and answer emails as soon as possible but please allow 48 hours for a return call or email response.
• Any communication will become a part of your medical record.
• EMAIL COMMUNICATION SHOULD NEVER BE USED IN THE CASE OF AN EMERGENCY OR FOR URGENT REQUESTS FOR INFORMATION. IF YOU ARE EXPERIENCING A TRUE EMERGENCY CALL 911 OR GO TO THE NEAREST EMERGENCY ROOM.
• You may also call the National Suicide Prevention Lifeline at 1-800- 273-TALK (8255), which is a confidential hotline staffed by trained mental health counselors, 24 hours a day, 7 days a week.
• Email and texting are not HIPPA compliant and should not be used to discuss clinical issues, please use secure messaging through Patient Portal. Any information contained in email messages from Premier Mental Health, LLC is intended solely for the addressee unless otherwise explicitly stated and may contain information that is confidential, privileged, or otherwise protected from disclosure under applicable law.
• If the need arises for hospitalized at any time, we expect the inpatient physician to coordinate care with PMH. Please provide contact information for PMH so that a disruption of care is avoided.

• If you plan to use your insurance benefits, it is in your best interest to check with your insurance provider prior to your first appointment to understand the full details of your out-of-network mental health benefits. You may get reimbursed at a lower rate than in-network providers.
• (In-Network): If we are an in-network provider for your insurance, we will collect the portion of the fee that the insurance does not cover. Please note that you, not your insurance company, are responsible for full payment of all fees. It is your responsibility to check with your insurance carrier prior to your scheduled appointment to see what services are covered. All services not covered by insurance will the responsibility of the patient.
• (Out-of-Network): If we are an Out of Network provider, we do not contact your Insurance for claims or reimbursement of services. You will be provided with an invoice/receipt or “superbill” which you can present to your insurance provider to seek reimbursement for psychiatric or psychotherapeutic services rendered. The invoice/receipt will provide information on the codes used to bill for services, diagnosis, charges, and payments made by the patient.
• Some insurances will not reimburse you for services received out of network, so inquire prior to you schedule appointment.

• We charge an additional fee of $250/hour for administrative work outside of your appointment time, which exceeds more than 10 minutes. This includes but not limited to phone calls (providers or family and friends); responding to emails or direct messages; making photocopies or faxing; document preparation for a third party (attorney, employer, etc.); medical record handling/photocopying, completion of any paperwork/forms; and obtaining any prior authorizations for medications or treatment.
• Time is billed in quarter-hour increments and will be billed when services are rendered. We will use the credit card you have one file.

Termination of services may occur at any time by either the patient or provider. If you wish to discontinue treatment you may do so by calling the office at 216.273.4003 or via email at [email protected] It is best to have a dialogue to enable a smooth transition to your new provider.

Termination by the provider is rare, but may occur for, but not limited to, the following:
• Two missed appointments.
• Failure to comply with prescribed treatment plan.
• You engage in illegal, unethical, threatening, or intimidating behavior.
• You see another psychiatrist or physician/provider for management of the same (or related) conditions we are treating and do not notify us.
• You require a higher level of care or different treatment that we are not able to provide.
• If you are suspected of trading, selling or giving away your medications.
• Non-payment of services.

We reserve the right to terminate any patient from the practice without providing any reason.

If termination occurs, alternative treatment resources will be provided. It is the patient’s responsibility to utilize such resources and establish care. We will make every effort to facilitate a smooth transition. If patient is in crisis prior to termination, we will make efforts to stabilize the patient, including obtaining additional psychiatric services.

It may be necessary for PMH to remain responsible for your care for up to 30 days after termination notification is given. This may or may not include prescription of medications at the discretion of the provider.