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    Fees and policies

    Appointment Rates

    Below are the appointment rates for each of our clinicians and practitioners (billed at the conclusion of each appointment):

    Daniel Rashid, MD, IFMCP (Institute for Functional Medicine Certified Practitioner)

    New Patient Appointment: $600

    • Includes a 90-minute video or phone appointment, depending on the complexity of your case
    • Comprehensive review of your history, current and past medical concerns
    • Initial lab recommendations are discussed and some basic recommendations are given
    • Initial appointment are via video or phone
    • Followup appointments are video or phone appointment
    • Please see office procedures for full details on our consultative practice model

    Follow-ups: 

    Dr. Rashid offers 60-minute follow-up appointments at the beginning of your treatment; established patients can also schedule 30 min appointments at the following rates. Any time spent over the scheduled time will be billed at 15 min prorated increments.

    • $400 – 50-min video or phone appointment
    • $250 – 25-min video or phone appointment
    • Some follow-ups will also be done with our Functional Medicine Nutritionist Analia Camarasa, LN, IFMCP. Please see her rates listed below

    Prices may change in the future without notice. Please inquire prior to your visit.

     

    Analia Camarasa, M.Sc., CNS, LN, IFMCP

    Master of Science in Human Nutrition and Functional Medicine

    Certified Nutrition Specialist

    Licensed Nutritionist in the state of North Carolina

    Institute for Functional Medicine Certified Practitioner

    New Patient Appointment for Functional Medicine Nutritional Consultations: $450

    • Includes a 90-minute video or phone appointment
    • Comprehensive review of your nutritional needs from a functional medicine point of view
    • Review of systems biology, biochemical pathways, personalized nutrition, and recommendations for appropriate functional nutritional needs (may include dietary, lifestyle and labs interventions and appropriate referral when necessary)

    Follow-ups: 

    Analia offers appointments at the following rates:

    • $250 – 50-min video or phone appointment
    • $150 – 25-min video or phone appointment

    Note: All appointments are conducted virtually or by phone and I do not accept insurance as payment for my services.

    Prices may change in the future without notice. Please inquire prior to your visit

    An Explanation of Our Financial Policy

    Our physician and staff, are passionate about what we do, and we feel that we have a calling to provide as many people as possible with the highest quality natural health care possible. Just as our services are unique to this region, our financial policies set us apart from mainstream medicine. We have prepared the following information to answer questions you or your family members may have about the rationale for our financial policies. If, after reading this, you still have questions, feel free to speak with our staff.

    Why We Do Not Accept Insurance Assignment

    Many people who have contacted our office for our services have asked us why we do not bill insurance directly when other medical and chiropractic providers do. We fully understand the financial challenge this presents to some patients, and we wish there were a way for us to bill your insurance company. Unfortunately, at this time, there is not. Here is why:

    When clinics bill health insurance companies directly, the doctors are required to become participating providers. The doctors must sign a contract that allows the insurance company to determine which services they will and will not provide and how much they can charge for those services. In general, insurance companies are not focused on any preventive or wellness services. They are heavily invested in the conventional model of health care that too often relies on drugs and surgery. We are committed to the functional medicine model that addresses the underlying causes of your symptoms with specific nutritional and lifestyle recommendations.

    A participating provider must agree to accept the fees the insurance company establishes, regardless of whether the fees are reasonable or applicable to that practice. In general, these established fees cover the actual cost of the briefest (and we believe the lowest quality) care. Doctors who are participating providers are required to accept discounted fees for their services, and they cannot bill the patient for the difference between their fee and what the insurance company will pay. Therefore, the clinic must write off the difference, often as much as 50% or more of the doctor’s fee for service. At the same time, the participating provider’s office overhead costs have increased dramatically because of the staff, time, and equipment necessary for processing and tracking claims.

    In today’s healthcare environment, the actual cost for doctors to provide services continues to rise, while the percentage of reasonable fees that insurance payments cover is declining. At the same time, the profits of health insurance companies and the salaries of their top executives continue to rise to record levels.

    Most doctors and clinics cope with the requirements of being participating providers by keeping their office visits very brief, so that they can see many patients within a given time frame. When their clinic becomes unprofitable, it must be supported by another institution. Most primary care medical clinics are not self-sustaining financially and have had to merge with hospitals whose expensive, high-tech surgical and diagnostic procedures are priced to keep the clinics afloat financially. Most chiropractic clinics keep office visits very brief and see many people per hour. Ironically, some of our patients complain about their extremely brief and unsatisfactory office visits in other chiropractic and medical practices, while at the same time expressing frustration that we do not accept insurance. Unfortunately, we have found that we cannot be participating providers in the insurance networks and provide the time-intensive, well-researched, expert intensive care that we do.

    Why Our Team Must Charge for Your Follow-up Consultations

    Some patients have asked why we charge for follow-up consultations regarding lab results and exams, as well as for telephone consultations, when other doctors do not. Our staff is not salaried, as are doctors who are employed in large clinics and hospitals and whose salaries are partially subsidized by expensive diagnostic and surgical procedures and hospital fees. Our staff pay is based solely on the time and services they provide. Like all non-salaried professionals, including lawyers and accountants, our practitioners must charge for their time so we can afford to provide you with care and remain in business. In general, we charge only for our face-to-face time with you. Our practitioners spend considerable non-reimbursed time each week consulting with each other (and other providers) regarding your care, reviewing your records, and meeting with staff to improve the quality of our services.

    In follow-up visits, our doctors spend significant time discussing your results with you. For example, it is relatively simple to inform a patient that her mammogram is negative; but it is entirely different to discuss the results of more complex functional evaluations and to recommend practical lifestyle and dietary strategies that may help to prevent breast cancer. Patients often complain that conventional doctors do little to nothing in the way of truly preventive medicine. We want you to understand that preventive health care takes considerable time and expertise on the part of the doctor and that someone has to pay for that time and expertise.

    Medicare Recipients

    We do not accept Medicare and cannot submit a bill through Medicare, or a supplemental insurance, for reimbursement.  If you have Medicare then we cannot offer a consultation due to billing through Medicare and the federal regulations.

    If you wish to be provided with a consultation through our practice, and you are choosing do so outside of your insurance coverage, we are happy to see you and assist you with your wellness needs. Our office does not turn anyone away that is seeking the counsel and recommendations that we provide but we do advise that you can seek out similar/comparable providers that accept Medicare for reimbursement.

    Cancellation and Rescheduling Policies

    • We request that Notice of Cancellation of an appointment be made in accordance to the below mentioned policy.
    • If you wish to cancel or reschedule your appointment, please message us through the patient portal
    • Repeated “missed appointments” may result in termination of services and discharge as a patient from the practice. If you wish to re-establish care with our practice you will have to make a new patient appointment and incur the fees associated with that service
    • We ask that you please be respectful of our cancellation policies stated below as a courtesy to us as well as others in the practice.
    • We understand that emergencies and unexpected circumstances do happen and we will do our best to work with you to reschedule appointment when possible in a timely fashion.
    • Cancellation fees may be applied if cancellation fall in to the below stated policy based on your appointment type.

    Initial Consults or New Patient appointments:

    • Appointments must be cancelled or rescheduled at least 1 week prior to your scheduled appointment or cancellation fees will apply.
    • Cancellation fees will equal 100% of the appointment fee
    • If you cancel with in one week of your appointment, the full appointment fee with be charged to your credit card on file. You will be given one opportunity to reschedule the appointment once you have been charged.

    Follow-up appointments:

    • Appointments must be cancelled or rescheduled at least 3 business days prior to your scheduled appointment or cancellation fees will apply.

    Cancellation within 72 business hours of your appointment will equal 100% of the clinician’s appointment fee.