Policies and Procedures
Payment and Insurance Information
Thrive Pediatric Feeding and Swallowing Therapy, LLC is a private-pay practice and does not accept insurance.
Payment is due at the time of service. Upon request, we can provide a superbill that families may submit to their insurance company for potential out-of-network reimbursement.
Prior to an evaluation, we are happy to provide commonly used CPT service (treatment) codes so families may contact their insurance provider to explore possible reimbursement - although this is not guaranteed. Official diagnosis codes (ICD-10) and CPT codes are determined only after your child receives a comprehensive clinical evaluation and cannot be assigned or provided in advanced. Following an evaluation, applicable ICD-10 and CPT codes will be included on your superbill.
Some families receive partial reimbursement and, in certain cases, full reimbursement depending on their individual insurance plan and out-of-network benefits. Thrive Pediatric Feeding and Swallowing Therapy, LLC does not verify benefits or guarantee reimbursement, as coverage is determined by your individual insurance plan.
Consistency Matters
Feeding, swallowing and myofunctional therapy work best when sessions occur regularly.
Once therapy begins, families are encouraged to maintain a consistent schedule to support progress, caregiver education, and skill carry-over. We recognize that some children and families have ongoing or dynamic medical needs that may involve frequent illness, medical appointments and/or hospitalizations, and flexibility is provided when necessary. If frequent cancellations occur, outside of medical necessity, scheduling may be adjusted to ensure availability for families who are ready to engage consistently.
If you must cancel or reschedule occasionally, please provide a minimum of 24-hour notice.
Following an evaluation, personalized plan of care will be developed based on your child's specific feeding needs. A written evaluation report outlining impressions and recommendations is typically provided within one week of the evaluation. This report will include treatment goals, strategies, home programming, and any referrals and/or recommendations.
Therapy is commonly recommended in structured blocks (such as 12 sessions or approximately 3 months) to allow for measurable progress but is ultimately based on your child's individual needs. At the conclusion of each block period, or sooner if progress warrants, progress is reviewed and your child's plan of care is updated.
For children receiving longer-term services, a re-evaluation is recommended and will be completed at least annually to assess progress, update goals, and ensure continued medical developmental appropriateness of care.
Plan of Care and Progress Reviews
Privacy and Confidentiality
Thrive Pediatric Feeding and Swallowing Therapy, LLC complies with HIPAA regulations and maintains strict confidentiality of all client information.
The Good Faith Estimate Notice
Under the federal No Surprise Act, healthcare providers are required to provide clients who are not using insurance with a "Good Faith Estimate" of the expected cost of services.
Thrive Pediatric Feeding and Swallowing Therapy, LLC provides each family with a written Good Faith Estimate outlining the anticipated cost of evaluation and therapy services prior to beginning treatment - within three business days of scheduling an evaluation or therapy services.
If services are scheduled less than three business days in advance, the Good Faith Estimate will be provided no later than one business day before the appointment.
Because feeding therapy is individualized and progress-based, your Good Faith Estimate reflects the initial plan of care (typically a 12-session block of therapy). At the completion of this initial phase, progress is reviewed and a written progress summary is provided. If continued services are recommended, an updated Good Faith Estimate will be issued outlining the expected cost of the next phase of care before additional sessions are scheduled or conducted.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the charges through a federal patient-provider dispute resolution process.
For questions regarding your estimate, please contact us directly.