This is one of the most commonly asked questions. It’s also hardest to answer across the board. Services are highly individualized, but the average length of services at Creighton Pediatric Therapy is about 6-9 months. The therapy team will work hard to make sure your child’s needs are being addressed, that he/she is progressing towards meeting the established goals and that no other issues are being missed. There may be reasons to take breaks to allow your child to try community activities, to allow for more family time or to allow your child to practice his/her new skills at home, school or in the community. With that said, we will continue providing services as long as they are necessary.
We strive to cerebrate your child’s successes with you. Once therapy goals are met and services are no longer deemed necessary, your child’s therapist will discuss completion of services. You may be sent home with activities to continue practicing, red flags to watch for and maybe even a “graduation” certificate! We welcome questions if new concerns arise. We also send a copy of the discharge summary home with you and to your referring physician.
A prescription is needed to document medical necessity and is required if billing insurance or Medicaid for your child’s care. Your insurance company will request the diagnosis for your child; your physician is the one who should provide this information. Please note that not all diagnoses are covered by insurance.
It may be a good idea to contact your insurance company to review your policy coverage for therapy services as it relates to your child’s diagnosis and then speak with your physician to determine the most appropriate diagnosis for your child’s difficulties. Prior to your first visit, please have your child’s physician fax a prescription to our office at 402.280.2210.
Please have the following items in hand. Our clinic support specialist will ask you to provide:
- Your name and contact information
- Your child’s name
- The name of your child’s referring physician
- The reason for the referral (include your child’s diagnosis, if any)
- Your concerns (what you hope your child will accomplish)
- Insurance information
If you are coming for a feeding/swallowing evaluation, please make sure to bring the food your child typically eats and any other products (bottle, nipple, spoon, etc.). We will do our best to schedule the appointment during a typical feeding time to see your child’s best performance.
If you are coming for any other reason, please have your child dressed in comfortable clothing. Bring any equipment your child uses (like braces, walker, wheelchair, etc.) that would help them show off typical movement patterns. Please have your child wear socks, as this is our policy when using our mat surfaces.
If you have wheeled mobility needs or will be bringing a stroller, please enter through our west handicapped entrance, where there is ample parking and automatic door openers. Once inside, simply pick up the phone located next to the entrance, and a Creighton Pediatric Therapy team member will greet you.
If you don’t have special mobility needs, simply enter through our south main entrance and a clinical support specialist at the front desk will greet you.
We do have a sampling of snack foods to use, ranging in texture and consistency. However, we do not stock formulas.
We have a sampling of diapers and wipes your child can use. We do welcome donations to help keep up our stock.
We welcome family involvement at Creighton Pediatric Therapy, but take an individualized approach. Most families are present during most therapy sessions. However, other options include waiting in the waiting room, watching and listening to the therapy session in the conference room via video feed, running an errand at one of the many nearby businesses or going for a walk at the nearby lake during the session. If you do choose to leave, we simply ask that you are back prior to the end of the session and leave us with a working cell phone number.
About half of our families bring a sibling with their child who is receiving therapy. However, we ask that you keep in mind what is in the best therapeutic interest for your child and also ask that you are responsible for and present with your other children who come along.
Our highest priority is patient and family safety. If weather becomes inclement for any reason, the director of Creighton Pediatric Therapy will determine whether to reschedule patient appointments by 8:30 a.m. The director and/or clinic manager will contact patients/families by phone to reschedule.
Note: If the University is closed for inclement weather, the Clinic will also close. This information is announced on local radio and television stations. You may also call the University weather hotline number 402.280.5800. The hotline message is updated frequently and has the latest information.
You are welcome to bring us a copy before or during your first appointment. You can also have your doctor’s office fax it to us at 402.280.2210.
We understand that life happens! If you foresee or realize a change in schedule, please call us at 402.280.2200 as soon as possible, and we’ll work with you to reschedule. We do have a cancellation/no-show policy that will be provided to you when you begin services.
A copayment is a set fee your health plan may require you to pay your healthcare provider at each visit for certain covered services. This fee can vary depending on the service rendered and is established by your insurance plan and policy. Not all insurance plans have a copay for therapy services. Your insurance company requires us to collect this amount at the time of service. If your insurance company requires a copay for therapy services, this amount will be collected at the time of check-in to each visit.
A deductible is a fixed amount your health plan may require you to pay for certain covered services and supplies each year before your health plan will start paying specified benefits.
Coinsurance is the amount you are required to pay for covered healthcare services after you have paid your deductible. For example, if your health plan has an 80/20 coinsurance, this means that your plan pays for 80 percent of your eligible medical expenses and you are responsible for the remaining 20 percent.
Our office will verify Medicaid eligibility at the time of service. If your child is not eligible for coverage on the date of service or if coverage is still pending, you will be asked to pay a $100 deposit toward your child’s services. If your child becomes eligible for Medicaid for the service dates, Medicaid will be billed and you will receive a refund.
If your child has had an accident or injury requiring a claim to a third-party liability company, such as auto insurance, you will be asked to pay a $100 deposit toward your child’s services. As a courtesy to you, we will submit a claim on your behalf. If we have not heard from the third-party liability company after 60 days, the balance will become your responsibility.
A patient statement will be mailed to you if a balance is due on your account. Depending on billing and insurance payment timeframes, this is typically 30-60 days following the date of service. Statements are run one time each month. Payment is expected upon receipt of your statement. Questions or concerns regarding your statement should be directed to our office at 402.280.2200 as soon as possible to avoid unnecessary delays or further collection activity on your account.
If your insurance plan is not a plan with which we participate, your insurance company will likely require you to pay out-of-pocket costs that are considerably higher based on the out-of-network benefits of your insurance policy. You will be asked to pay a $100 deposit toward your child’s services. As a courtesy to you, we will submit a claim to your insurance company on your behalf. If we have not heard from your insurance company after 60 days, the balance will become your responsibility.
If you are unable to pay the balance on your statement in full upon receipt, please contact us as soon as possible. Payment arrangements are available.
If your account remains unpaid and you have not contacted us to set up payment arrangements, your account will be forwarded to our collection agency. Once an account has been referred to collections, you must work directly with them to satisfy your debt. Patients and their families may be dismissed from our practice for non-payment.
We accept the following payments:
- Credit card: Visa, MasterCard, American Express, Discover
- Aetna Coventry Health Care of Nebraska
- Aetna Leap - CHI Health Omaha
- Aetna Leap - Board
- Aetna Whole Health CHI Health Accountable Care Network
- Blue Cross Blue Shield PPO/Network Blue
- BCBS of Nebraska Plans:
- BCBS of Nebraska Network Blue: In-Network
- BCBS of Nebraska Blueprint Health Network: In-Network
- BCBS of Nebraska Select BlueChoice: Out-of-Network
- BCBS of Nebraska Premier Select BlueChoice: Out-of-Network
- Cigna/Midlands Choice Network
- Coventry Health Care National Network First Health
- GEHA/United Healthcare
- Health Alliance
- Midlands Choice (multiple insurers use Midlands Choice; look for the Midlands Choice logo on your card)
- Private Health Care Systems (PHCS)/Multiplan
- QualChoice/UniNet Healthcare Network (Tier I)
- United Healthcare Compass
- United Healthcare HMO/PPO
- United Healthcare Navigate
- United Healthcare of the Midlands
- Medicaid of Nebraska
- Medicaid of Iowa
MEDICAID MANAGED CARE PRODUCTS
- Nebraska Total Care
- WellCare of Nebraska
- United Healthcare Community Plan of Nebraska
- Amerigroup Iowa
- AmeriHealth Caritas Iowa
- United Healthcare Plan of the River Valley (IA Medicaid)
TRICARE PRODUCTS (Through United Healthcare Military & Veterans)
- Tricare Prime HMO/POS
- Tricare Standard PPO
WORKERS’ COMPENSATION PRODUCTS
For billing questions or to make a payment by phone, please call us at 402.280.2200.
Visit or call the Pediatric Therapy clinic during the following hours:
Monday – Thursday: 8:30 a.m. to 6 p.m.
Friday: 8 a.m. to 5 p.m.
E-mail: pediatrictherapy [at] creighton [dot] edu