Practice FAQs, Policies & Fees
Scheduling: Patients may schedule with our office by contacting our office manager Amy and our scheduling specialists (Jes & Chris) at (267) 687-0655. Our staff are full-time, have worked with the practice for years, and are knowledgeable about our locations and services. You may also email scheduling@rittenhousepa.com or use the form on our Contact page.
Wait Times: In-office visits, depending on location, typically have a 1-2 month wait. Virtual Telehealth appointments, can generally be made within 3 to 4 weeks. If patients wish to be seen sooner, they can opt to schedule with one of the physicians, psychiatric nurse practitioners or psychologists at Rittenhouse Psychiatric Associates, where Dr. Pagnani serves as Medical Director. RPA typically has availability within 1-2 weeks.
In-Office vs. Virtual Psychiatric Appointments: Dr. Pagnani is available for both in-office and virtual Telehealth intake visits and psychiatric evaluations, at his locations in the Philadelphia area, our Manhattan office and our Wilmington, DE office. He can additionally make himself available at our satellite offices in Collingswood, NJ, Pittsburgh, PA and Center Valley, PA, depending on need. Follow-ups are typically by Telehealth.
Appointment Reminders: Our office will send appointment reminders by email and text, 1 week and 72 hours prior to patient visits. If a patient is having a telehealth appointment, they will also receive an email and text with a link to their appointment 10 minutes prior to their appointment time.
Insurances Accepted: Our practice is a fee-for-service practice, with typical initial 60-minute evaluations costing 350 dollars with nurse practitioners and 500-650 dollars with our physicians. Fees are provider specific, and our scheduling specialists can answer any questions about variability within the practice. A typical follow-up for medication management is 175 with our nurse practitioners, 275 – 325 dollars with our physicians. Follow-ups are 20 to 30 minutes in length, depending on provider.
Reimbursement for Services: Many patients with out-of-network insurance reimbursement, can be reimbursed for a percentage of their visit fees. Patients can call member services on the back of their insurance cards, to inquire about out-of-network behavioral health reimbursement. Your insurance may ask about “CPT codes” for your visits. A typical initial psychiatric evaluation for medication management is a 90792 (with a 95 modifier for Telehealth, if applicable) and medication management visits lasting 20-30 minutes are typically 99213 + 90833, w/ 95 (telehealth) modifier if applicable. Patients pay at the time of their visit with a credit card, and they can login to our patient portal to download a “super-bill,” that they can submit to their insurance for reimbursement, if they have out-of-network benefits. Many patients with commercial insurance are surprised that they receive a significant portion of their visits back from their insurance company, and that this process is not difficult. Patients can call our schedulers to discuss.
Missed Visits and Late Cancellations: We have a strict 48 business hour cancellation policy, for the full visit amount.
Provider Availability & Emergencies: If a patient is in crisis, or if there is an emergency, they are to call 911, 988 or go to their nearest emergency room or crisis center. Our providers are not always immediately available, and urgent and emergency matters require immediate attention. Never wait for a return email or call from your provider, if you are in crisis – just call 911. Dr. Pagnani’s emergency line (to only be used after you’ve called 911, or gone to your nearest emergency room or crisis center) is 267-275-4381.
Provider Availability for Non-Urgent Matters: Providers will return calls and emails, and respond to prescription refill requests, within 48 business hours. With that said, medication changes and medical decision making, occur at appointments. If a patient would like to discuss their regimen, or medication changes, we recommend that they call scheduling, and book a sooner visit.
Lost and Stolen Prescriptions: We do not refill lost or stolen controlled medications, even if a patient is experiencing withdrawal. Patients must go to an urgent care or ER, if this happens.
Medical Records: Patients may request their medical records. If a 3rd party requests said records, we will ask the patieint to sign a release of information. There may be an associated fee, for third party forms and requests.
Transferring Providers within the Practice: Patients may transfer provider within the practice once. Transferring is dependent on the patient’s current provider and the new provider, agreeing that the patient is appropriate to continue within the practice, and the new provider agreeing that they have the resources, competency and availability to care for the patient. Patients can initiate this process by discussing with either their current provider, or scheduling. Information on the providers at Rittenhouse Psychiatric Associates can be found on their webpage.
This FAQs page is not exhaustive of all office policies. Please review the full office policies, which will be provided by scheduling.
Contact our Office Manager and Scheduling Specialists:
267-687-0655 x 1
Or Use our Contact Form.