Practice Policies | Resonance Psychiatry

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Review Frequently Asked Questions (FAQ) about practice policies and access the full Patient Service Agreement (PDF)

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PATIENTS

Each practice policy is thoroughly detailed in the Patient Service Agreement, which is completed during the intake process. If you would like to review the agreement in full, it can be viewed here:

Patient Service Agreement (PDF)

Patient Service Agreement

Frequently Asked Questions

Q: Do you accept _________________ insurance?

No. I do not accept any insurances, and I am classified as an out-of-network physician. You are responsible for the full cost of the service, regardless of your insurance coverage. Telehealth appointments are billed at the same rates as in office appointments.

Q: Why did my insurance company directory list you as in-network?

I know it can be frustrating when insurance directories are inaccurate. Because I previously accepted many insurance plans at other practices in Maryland, Virginia, and Washington, DC, my name may still mistakenly appear as an in-network provider. I can assure you that at Resonance Psychiatry, I am no longer contracted with those plans.

Q: What if I have a Preferred Provider Organization (PPO) health plan?

Some insurance providers will cover out-of-network services, but the submission of the claim to insurance is the patient's responsibility. In these cases, you will be provided with the information you need to submit a claim, called a "superbill." The practice does not have control over the allowable amount or reimbursement rate that your insurance sets. It is your responsibility to engage with your insurance provider to fully comprehend your policy.

More information about navigating this process can be found in the Out-of-Network Reimbursement handout.

Q: What is your payment policy?

Regardless of your insurance status, payment must be completed before the service begins, and verification of payment will occur prior to the appointment. If payment is not received by the start time, you may be required to reschedule. Full cost details are outlined in the Good Faith Estimate form each patient receives during intake.

Q: What payment methods do you accept?

I use Square to securely process online payments from any major credit or debit card, FSA/HSA funds, Apple Pay, Google Pay, or Cash App. A link to the Resonance Psychiatry Square “checkout” page is available on the website and through the patient portal. Please note that I do not accept payments via check, cash, or other money transfer apps (e.g. Venmo, PayPal, etc.).

Q: Does Square have access my medical records?

Square is not directly linked to my electronic health record. It only receives the information needed to process your payment and does not have access to your medical record. However, Square is HIPAA compliant, and I have a legal agreement in place requiring them to safeguard any health information they may receive from transactions.

Q: Will I ever be charged for services outside of an appointment?

Many routine administrative tasks (such as brief prescription refills or simple portal messages) are not billed separately. More time-intensive professional services such as those listed below may be billed separately. These services are charged at my standard hourly rate of $300 per hour (prorated in 15-minute increments, up to $75 per 15 minutes).

Before any billable work is completed, I will discuss the estimated time and cost with you. No work will be performed without your knowledge, and there will be no surprise invoices. These services are typically not covered by insurance, including many plans with out-of-network benefits. You may submit a claim to your insurance company if you would like to determine whether your plan provides reimbursement. In those cases, Superbills are available upon request.

Examples of services that may incur a separate fee include, but are not limited to:

Writing letters of support or medical necessity
Completing medical certification forms or writing certification letters
Consulting with other healthcare professionals by phone or video when the discussion extends beyond 20 minutes
Reviewing outside medical records and preparing treatment summaries or clinical narratives

Q: Do you complete medical forms or write letters for patients?

Please be aware that I do not see patients for the express purpose of completing medical certifications or other legal documents. Examples include, but are not limited to, forms and letters related to:

Family and Medical Leave Act (FMLA)
Social Security Disability Insurance (SSDI)
Veterans Disability Compensation
Private Short-Term / Long-Term Disability Insurance
Workers' Compensation
Gender Affirming Surgery
Work & School Accommodations
Emotional Support Animals
Federal Student Loan Total and Permanent Disability Discharge
The National Parks and Federal Recreational Lands Access Pass
Achieving a Better Life Experience (ABLE) Account
N-648, Medical Certification for Disability Exceptions
Jury Duty Medical Excuse
Disability Parking Placard or License Plates

I review requests from current patients on a case-by-case basis once we have worked together for at least three months and completed a minimum of three appointments. This allows me to have enough clinical information to provide accurate documentation.

Q: Can I review a completed form or letter before it is submitted?

Whether I submit the completed form or letter on your behalf or you are responsible for submitting it, you will have an opportunity to review it with me before it is finalized or sent. This allows us to discuss any questions, address factual inaccuracies, and make appropriate revisions while ensuring the document accurately reflects my independent professional medical opinion.

Because forms and letters involve professional time and clinical judgment, fees will still apply for the time spent preparing the document if we are unable to reach agreement on the final content or if you decide not to submit the document after the final review.

Q: What is your policy on alcohol or substance use during treatment?

It is important to recognize that regular use of alcohol or other substances can interfere with the effectiveness of psychiatric treatment and, in some cases, may worsen symptoms. To support the best possible outcomes, reducing or avoiding substance use during treatment is encouraged.

If a patient appears to be impaired by a substance during a scheduled appointment, the appointment will be ended and rescheduled. This policy is intended to ensure that meaningful and safe care can take place.

Q: Do you provide treatment for substance use disorders?

Please keep in mind that Resonance Psychiatry, LLC is not a specialized substance use treatment clinic. If a higher level of treatment is needed for addressing disordered substance use, you may be referred to specialized programs for dual-diagnosis care.

When a lower level of treatment is appropriate, I can prescribe various medications used to help with cessation and/or maintaining sobriety as part of a broader treatment strategy. Given the scope of my practice and clinical expertise, I do not prescribe the following:

Medications for at-home alcohol or drug detoxification
New prescriptions for Suboxone (buprenorphine/naloxone)
Methadone
Medical cannabis

Q: Do you accept Medicare insurance?

No. I am "opted out" of the main Medicare system, and instead I am classified as an Ordering & Referring Only Physician. This allows me to order lab work and imaging, refer you for other medical tests, and prescribe medications that are generally covered by your Medicare plan. However, appointments with me are not covered by Medicare and must be paid out of pocket.

Q: Do you see patients with Medicare coverage?

Yes. Patients enrolled in any Medicare plan are required to complete a Medicare Private Contract before the first appointment. This agreement states that neither you nor I can bill Medicare or your Medicare supplemental (Medigap) plan for the services I provide. Submitting a claim to Medicare for an opted-out physician is prohibited under federal law and may carry civil or criminal penalties.

Q: Do you accept Medicaid insurance?

No. In many states, Medicaid rules prohibit physicians from charging Medicaid beneficiaries directly for covered services. These protections are designed to prevent financially vulnerable patients from facing out-of-pocket costs for their care. To comply with these regulations, I am unable to provide services to patients enrolled in Medicaid.

Policy Highlights

Social Media

Social Media Policy

To prioritize your confidentiality and avoid dual relationships with patients, I do not accept friend or contact requests from current or former patients on any social networking platforms (such as Facebook, LinkedIn, etc.). Secondary connections blur the lines of the patient-physician relationship and can have negative impacts on treatment outcomes.

I kindly ask that patients honor this boundary and refrain from reaching out to me through social media, including private messages. If you receive any messages through these platforms that appear to be from me or Resonance Psychiatry, please disregard them. These are likely scam or phishing accounts since I exclusively utilize professional channels to communicate with current and former patients.

Online Reviews

Because of my legal and ethical responsibilities, I cannot:

publicly respond to online reviews (opinions are protected by the First Amendment),
seek removal of a review through formal processes if it requires sharing confidential patient information, or
contact reviewers directly if they are identifiable to request removal of the review.

While some reviews may contain inaccuracies, protecting patient confidentiality will always take priority, even at the expense of a physician or clinic's public image.

I genuinely value the concerns raised by patients, colleagues, and community members. I encourage anyone who has experienced a negative situation or has other concerns related to Resonance Psychiatry to reach out to me directly at any time. You can contact me via phone or email (support@respsy.com), or through the patient portal if you are a current patient.

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