Billing

Name: Core Revitalizing Center
Price range: $$$

Core Revitalizing Center utilizes a direct-care model. With the direct-care model, health care becomes personalized again. This modality improves health care quality while reducing costs by removing the “middle man” (i.e. insurance companies) from the relationship between the patient and provider. The actualized outcome of the direct-care model is beneficial for the patient and the provider: longer, appointments, timely access to providers, and real accountability.

You can use your HSA or FSA account, actual cash, a check, or a debit/credit card to obtain one-on-one, high quality, direct care from Core Revitalizing Center. Your visits may also be covered by your insurance provider as out-of-network medical care. We provide you with a superbill to submit for insurance reimbursement using simple online applications (Reimbursify.com, Claimeye.com, Getbetter.co). Core Revitalizing Center in Lakewood Ranch (serving Sarasota, Manatee, and surrounding counties) does our best to help you get the most out of the insurance premiums you are paying.

Why is CRC “Out of Network”?

Confidentiality

CRC provides direct care to you and your family. No front desk staff. No nurses. No tech support. Hence, there is no room for “leakage” of your private information from a personnel standpoint. Dr. Tariq Halim or Dr. Banu Acan, DPT will contact you directly. CRC will NEVER provide any information to outside sources unless you provide written authorization to do so. Upon request, CRC will document all of your or your loved one’s medical records on paper (yes… hand-written notes stored securely and only accessible to the provider).

Example: If you have United Health Insurance, each time a provider submits an invoice to the insurance agency, Optum (United Health Group’s care services group) collects the patient’s medical diagnoses, tests, prescriptions, costs, and socioeconomic data. Optum has information for over 150 million Americans going back to 1993. The personalized information is then marketed to other companies (including those that are not involved in direct health care – such as life insurance companies).

Quality of Care

Obtain the highest level of care immediately with Core Revitalizing Center. When you come into the office, your provider greets you directly. There are no mid-level or paraprofessionals handling your care.

Healthcare parity, the equal treatment of all conditions in insurance plans, is an illusion. Insurance companies create numerous barriers to providing the highest quality of care. There are no set standards of care for wellness, mental health or physical therapy services.

Patient/Provider Autonomy

CRC and you determine when you should be seen, for how long, and if you need to continue receiving services. Dr. Tariq Halim and Dr. Banu Acan work with you in all facets of the treatment plan. What you need to get better is not dictated by any other parties. Insurance plans are able to set criteria for “medically necessary;” thus limiting your and the provider’s autonomy.

Treatment Options

Many “consumers” of medical services may not know, but insurance companies dictate treatment “options” for providers. This is especially short-sighted when it comes to mental health and physical therapy services.

Example: A 12-year-old patient with ADHD who has been on the same medication for 2 years requires refills. She is seeing a new provider in Florida after her parents moved due to an employment change. According to NCQA, the patient will need to be seen within 30 days after the initiation of the same medication. If the physician does not bring the child in within the 30 days, the provider is penalized and will likely receive less per patient from every single person with the same insurance the following year.

Need help submitting your insurance claims?

There is an app for that!

CRC Recommends using Reimbursify

Download the Reimbursify App:
Create an account – add yourself and/or dependents for whom you wish to file claims.
Click the plus sign to create a claim.
Add the Dr. Tariq Halim or Banu Acan, DPT as the provider and specify the Tax ID number: 47-3721200.
Enter information about your claim.
Reimbursify works with your insurance to get you paid.

Find out more at reimbursify.com and remember to use promo code reimbursifive for FIVE free claims!
Reimbursify is safe, secure, and HIPAA-compliant.

Submitting Insurance Claims

Core Revitalizing Center will assist you with submitting the claims reimbursement forms to your insurance plans. Your policy is an agreement between you and your carrier. If the claim is rejected or partially paid, your insurance company should send you an explanation of benefits.

Billing Codes (CPT)
Initial Evaluation – Office or other outpatient visit for the evaluation and management of a new patient
99204 (moderate complexity) +90833 (psychotherapy time) or
99205 (high complexity) +90833 (psychotherapy time)

Follow-Up Appointments – Office or other outpatient visit for the evaluation and management of an established patient
99214 (moderate complexity) +90833 (psychotherapy time)
99215 (high complexity) +90833 (psychotherapy time)

If a young child or disabled adult with a caregiver:
+90875 (interactive complexity present)

Common Diagnostic Codes (ICD-10)

ICD-10	Description	ICD-10	Description
F90.2	ADHD (combined)	F63	Impulse Control Disorder
F10.20	Alcohol Dependence	G47.00	Insomnia
F41.9	Anxiety	F32.9	Major Depressive Disorder
F84.0	Autism	F33.8	Mood Disorder
F31.13	Bipolar (manic)	F42	Obsessive Compulsive Disorder
F31.30	Bipolar (depressed)	F91.3	Oppositional Defiant Disorder
F12.29	Cannabis Dependence	F11.20	Opioid Dependence
F14.20	Cocaine Dependence	F41.0	Panic Disorder
Z71.41	Counseling on Sustance Use	F60.9	Personality Disorder
F34.8	Disruptive Mood Dysregulation Disorder	F29	Psychosis
Z55.9	Educational Problem	F43.10	Post Traumatic Stress Disorder