Financial Transparency

Brightside Counseling Services, LLC is a small private practice providing Mental Health Services to individuals, couples, families, and groups for all ages. Our practice offers in person sessions at our office in Centennial, Colorado, as well as telehealth sessions via confidential video platforms (Simple Practice, Doxy.me, and Psychology Today).

Our LPC counselors provide services for Colorado Access (RAE 3 & 5), Colorado Health Alliance (RAE 6 & 7), ComPsych EAP and Managed Care, Mines & Associates EAP, and out-of-pocket clients. Our LPCC and intern counselors provide services for Colorado Access (RAE 3 & 5), Colorado Health Alliance (RAE 6 & 7), and out-of-pocket clients.

Provider reimbursement rates are as follows:
Provider

Individual
(53-60 Minutes)

Couples/Family
(60-90 Minutes)

Limited Availability Reduced Rate
(53-60 Minutes)
Angela Schubert, PhD, LPC $150

$250-$270

$100

Melanie McClung-Eidsmoe, LPC, RPT

$150

 Not Offered

Not Offered

Megan Carroll, LPC, CCTP, CYMHS

$150

$200-$250

Not Offered

Katherine Gruver, LPC, LMHCA, NCC

$135

$180-$245

Not Offered
Megan Backstrom, LPCC $95 $135
$75
Daleth McCoy, CMHC Intern $95 $135
$40-$60

 

No Surprises Act

In July, 2021, the U.S. Departments of Health and Human Services, Labor, and the Treasury (the Departments) released the “Requirements Related to Surprise Billing; Part I,” to restrict surprise billing for patients in job-based and individual health plans who get emergency care, non-emergency care from out-of-network providers at in-network facilities, and air ambulance services from out-of-network providers.

In October, 2021, the Departments released the “Requirements Related to Surprise Billing; Part II,” which provides additional protections against surprise medical bills, including:

  • Establishing an independent dispute resolution (IDR) process to determine out-of-network payment amounts between providers (including air ambulance providers) or facilities and health plans.
  • Requiring good-faith estimates of medical items or services for uninsured (or self-paying) individuals.
  • Establishing a patient-provider dispute resolution process for uninsured (or self-paying) individuals to determine payment amounts due to a provider or facility under certain circumstances.
  • Providing a way to appeal certain health plan decisions.

On August 19, 2022, the Departments issued final rules titled “Requirements Related to Surprise Billing: Final Rules.” The rules finalize requirements under the July 2021 interim final rules relating to information that group health plans and health insurance issuers offering group or individual health insurance coverage must share about the qualifying payment amount (QPA).

On December 21, 2023, the Departments issued a final rule titled Federal Independent Dispute Resolution (IDR) Process Administrative Fee and Certified IDR Entity Fee Ranges. This rule outlines the fees established in the No Surprises Act for the Federal IDR process.

In November, 2021, the “Prescription Drug and Health Care Spending” interim final rule was issued, implementing new requirements for group health plans and issuers to submit certain information about prescription drug and health care spending.

Together, these lay the groundwork to provide consumers with protection against surprise billing.

 

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 or call the Colorado Division of Insurance at 303-894-7490 or 1-800-930-3745.

You can also review the Overview of Rules and Fact Sheet of Specific Protections and Provisions at:
Overview of rules & fact sheets | CMS.

* Information contained on this webpage is from www.CMS.gov