Services & Fees

You do not need a doctor's order simply to receive services. If you are planning to pay cash or use FSA or HSA funds, you may use "direct access" and get started with your services right away.

However, if you plan to submit a superbill to your insurance, you may want to receive a diagnosis and a doctor's order for the services. Please verify the requirements of your insurance provider to ensure you have all the necessary requirements.

While an Occupational Therapist cannot give a formal diagnosis, we do select and use the appropriate ICD-10 codes to identify a treating diagnosis. These can include codes that are as inclusive as "unspecified" conditions or may include a formal diagnosis code given by an authorized provider. If you wish to submit your superbill to insurance, you may benefit from having your physician give a diagnosis code to correspond with our superbill information. Please verify the requirements of your insurance provider.

The Life Skills Spot is a fee-for-service provider. We do not bill insurance. This fee-for-service model allows us to pursue a treatment program dictated by the needs of the client rather than being constrained by insurance limitations. Many insurance companies restrict the number of sessions covered; if we are in-network we cannot operate outside of the agreement with the insurance company. Insurance companies also may dictate the environment in which services may be provided despite clear evidence of greater benefit from a different environment. In addition, some insurance companies will only cover services for certain medical diagnoses. We believe that it is your choice to pursue a diagnosis or not and that you should have the ability to receive the support needed with or without a "label".

We are happy to give you a superbill, if requested, to submit to your insurance for out-of-network reimbursement. Superbills include all the information needed to seek reimbursement including amounts, dates of services, diagnosis and treatment codes, and all provider information. Many people also have HSA or FSA accounts that can be used to cover services directly, which can help maintain confidentiality.

We recommend that you contact your insurance provider to verify any limitations on the number of visits covered annually, reimbursement rates, and ICD-10 and CPT codes covered. If any reports or treatment notes are required by the insurance provider, clients are responsible for requesting them from The Life Skills Spot and submitting them.

You may wish to use a third-party to manage submission of your superbill. These platforms charge a fee for the service. Some examples are, Thrizer, which has 1-5% fees depending on level of support in claim management, Mentaya, which charges a 5% fee per claim, or Reimbursify, which charges a $3.99 flat fee per claim. Use of these platforms is solely for your convenience and The Life Skills Spot does not benefit in any way from your participation.

Research indicates that behavior change for people with ADHD or Autism takes a minimum of 60 days of daily practice. Frequent support is often required to ensure that changes are being implemented and that appropriate problem-solving occurs. Making several progressive changes and building new skill sets usually requires months to ensure that the behavior change sticks and requires several tries to find the right path. We have structured our packages so that our clients can receive the most effective services possible, ensuring there is adequate support, accountability, and flexibility so that some missed sessions can be made up.

Don't worry, we know life happens! If you need to stop services, just give 2 weeks notice and we will give you a pro-rated refund. Our only goal with our packages is to make it easier to keep going than to quit!