- All services
provided in our Psychosomatic Center (CIPM LLC) are qualified as a self-pay. The
self-pay patients or patients with out-of-network benefits will be required to
pay the full fee prior to each service provided. We accept cash and checks
only. Patients should contact their insurance companies to determine their
out-of-network benefits. Effective January 2014 Dr. Venera Miller’s Medicare
status has changed to Non-Participating Medicare Provider. We will provide
information to help patients submit for Medicare or out-of-network
reimbursement on their own from their insurance company.
- Past due balances
and fees for miscellaneous requests are due at the time check of visit. There
is a $50.00 charge for all returned checks. Patient will receive one phone call
regarding this matter. The payment is required within 48 hrs. of notification
that check was returned. We will not accept check from those patients whose
check was return at least once. Non-payment will result in legal action from
State’s Attorney Office.
- There is a 24-hour
notice required to cancel a routine appointment (medication management,
Suboxone appointment, group therapy, individual/couples/family psychotherapy).
A cancellation with less than 24 hours notice will be charged the late
cancellation fee which is equivalent to the missed appointment fee. Any Initial
evaluation/consultation appointment should be cancelled during working office hours
at least 48 hrs. in advance to avoid missed/cancelled initial evaluation/consultation
appointment charges. No further appointments will be scheduled until all
missed/cancelled fees are paid. If the office is closed and you find it
is necessary to cancel your appointment you may leave a message on the
answering machine (410-535-6520) or email us at email@example.com with
your name, phone number, day and time of your call and day/time of your
scheduled appointment. To insure you are not charged, it is your responsibility
to call the office during normal office hours (8:30am-5:00pm Monday – Thursday
(Prince Frederick office); 10:00 am – 1 pm every other Friday (Chevy Chase
office); closed Saturday and Sunday) to confirm the appointment was cancelled
within the appropriate time period. Two missed initial evaluation appointments
will result in no further appointments being scheduled. Two consecutive missed
appointments for any services provided will result in discharge from all
- Regular Medication
Management appointments are 15-20 minutes at a cost of $100.00. If you need an
additional time with Dr. Miller (20-30 minutes) an additional charge of $50.00
for the Extended Medication Management will be charged at check out. You can of
course, let the receptionist know in advance if you feel you will need
additional time with Dr. Miller and we will give you an appointment time will
allow for the additional time you need.
have to arrive 15-20 minutes early for the initial evaluation to fill out the
paper work. Twenty or more minutes late for the initial evaluation will result
in cancellation of your appointment and appropriate cancellation fees will be
we attempt to make reminder calls for appointments, this is done as a courtesy only.
The absence of a reminder call does not relieve you from your responsibility to
provide us with a 24-hour cancellation notice for follow-up (routine
psychotherapy and medication management) appointments and 48 hour cancellation
notice for initial evaluation you are unable to keep.
you are Experiencing Medical or Psychiatric Emergency please call 911 or
proceed to the nearest emergency room. If you are calling after hours, Friday
or on a weekend and believe that you are having an emergency situation, please
call 911 or proceed to the nearest emergency room. For any other non-emergency
issues please leave the message on answering machine or email us and we will
get back to you on Monday. In a case that Monday is the Federal holiday we will
return your call on Tuesday.
- If you have not been seen in our
Psychosomatic Center for more than 1 year – you will be automatically
discharged for non-compliance with treatment. In order to receive any services
from us again you will need to re-enroll as a new patient and comply with
associated new patient’s rules, policies and fees. The re-enrollment is done on
a case by case basis and depends on patient’s treatment history or
circumstances of the discharge.
- We are
requiring 48-72 hrs. to refill the prescription. Please call (410) 535-6520 and
speak slowly and clearly your name, date of birth, contact phone number,
medication you are requesting and pharmacy name and phone number. Medication requests are not filled
after hours (after 4:30 pm during weekdays) or on weekends (closed Friday,
Saturday and Sunday) and holidays so please plan accordingly. It is wise to schedule your appointment in
advance to avoid running out of important medications. If you require prior
authorization for the prescribed medication, your pharmacy should fax us the
Prior Authorization Form at (410) 535-6523 and it will be your responsibility
to make sure that we received that form. We need 48-72 hrs. to complete the
prior authorization process. If you are requesting the prior authorization on
Thursday, we may not be able to complete the process until Monday.
- If you have not been seen by the physician
for more than 6 months you will not be given refills on any medications
(scheduled or non-scheduled). You must schedule follow-up appointment and be
re-evaluated for effectiveness of current medication regimen and possible side
effects or complications. If you have not been seen in an office for more than
3 months you will not be given refills on any Anxiolytic Medications
(Benzodiazepines: Xanax, Ativan, Valium, Klonopin and other) as well as ADHD
medications (Stimulants: Adderall, Ritalin, Vyvanse, Concerta, Dexedrine and
other). Make sure you allow sufficient
time to have your appointment scheduled to be re-evaluated for necessity of
current controlled medications and to avoid possible withdrawal symptoms due to
abrupt discontinuation of Benzodiazepines.
- All patients under Dr. Venera Miller’s care
will be subjected to randomized drug analysis (oral or urine testing) to assure
the compliance to the prescribed medication regimen and presence of illegal
substances. Refusal or failure to comply
will result in termination of patient doctor relationship and discharge from
the practice. An additional charge of $ 25.00 could be applied for randomized urine
or oral toxicology screen for any patients who have been prescribed scheduled
controlled medications (Stimulants, Benzodiazepines, and Medications for
- If we suspect the Diversion, Multiple Sources
or Illegal/Illicit drug use, Dr. Miller will determine, based on available
facts and circumstances, the necessity for continuation of medical care or
discharge from the practice for non-compliance. If medical care will continue,
serious limitations in regards of prescribing medications (Stimulants, Benzodiazepines,
Buprenorphine, Sleep Medications and other) will be implemented with ongoing
random toxicology monitoring. If the patient is being discharged from the
practice for non-compliance, the referral to another physician or facility will
Diversion – drug screen negative for drugs prescribed.
If diversion is suspected, prescribing controlled substances is illegal.
prescription will be provided by Dr. Miller. A repeat test must be completed
within 48 hrs.
Multiple sources – drug screen positive for controlled
substances not being prescribed by our practice. The patient appears to be
receiving benzodiazepines, stimulants, buprenorphine, buprenorphine/naloxone
from multiple physicians. Dr. Miller will not continue to prescribe controlled
substances for these patients.
Illegal/illicit drugs– positive screen. Absolutely no controlled
prescription will be prescribed. Controlled substances cannot be safely
prescribed in patients taking illicit drugs, including cannabis.
- If a patient qualifies for a certification to
use Medical Cannabis for health reasons, he/she must disclose the Cannabis use,
name of the recommending physician and present the official medical
documentation, that would confirm the necessity for medical cannabis administration.
It is up to Dr. Miller’s discretion to evaluate the legitimacy of the presented
medical documentation, qualifications of recommending physician and the
justification for the medical use of cannabis.
- If you
lose a scheduled medication prescription for Stimulants (Methylphenidate,
Dextroamphetamine, Amphetamine, Vyvanse, Dexedrine, Adderall, Ritalin and other),
Opioid Dependence medications (Suboxone/Subutex/Buprenorphine, Zubsolv, Bunavil),
Benzodiazepines (Xanax, Ativan, Klonopin, Valium and other) and Sleep
Medications ( Ambien, Sonata, Lunesta and other you will not be given another
prescription until it’s time for scheduled routine refill and you will be required to provide detailed information about the incident and
copy of the police report. Based on circumstances and physician determination
you may or may not be prescribed this specific medication again. Please make
sure to give us 7 days for all ADHD medication refills outside of the regular
doctor’s visit. ADHD medications are scheduled controlled substances and must
be written by a physician in the office. You can only get 1 month supply of
stimulant medications and must by written by a physician at the time of the
appointment and this type of medication can not be called in to a pharmacy. The
office staff will also not be calling pharmacies to check availability of a
medication. Patient may want to call the pharmacy prior to requesting a new
prescription to ensure the pharmacy has the requested medication.
Suboxone® Program includes medication management, mandatory group therapy
sessions and regular toxicology screen (urine or oral). Fees for
medication management, group sessions and urine toxicology screen are due at
the time of service. All Suboxone/ Subutex
(Buprenorphine/Naloxone; Buprenorphine, Zubsolv) prescriptions will be provided
only during routine Opioid Dependence treatment appointment. All patients will
be subject to toxicology screens at every visit as well as randomized screens,
some of which may or may not be observed. We will give as such notice as
possible to the patients. In case of doubt accuracy of results and the patient
is re-tested the patient will be responsible for payment of the second specimen
cup/oral swab. Due to stricter regulations Benzodiazepines will no longer be
prescribe to patients who are taking Buprenorphine.
court or other legal appearance requested to be made by Dr. Venera R. Miller,
other practice Physicians, Psychotherapists or Providers to serve as a
testimonial witness or to give a deposition will necessitate the cancellation
of patient treatments for the entire day. As such, court or other legal
appearances will be charged on a per-day basis and require full payment (according
to treatment charges) in advance (minimum two weeks in advance) via retainer
and a two-week cancellation notice must be given for fees to be returnable.
Unless cancelled a minimum of two weeks in advance, the fees are
non-refundable, even if testimony or a deposition is deemed not necessary.
- Past due balances and delinquent accounts for
all services rendered are subject to collections under the following
guidelines: two telephone attempts to reach patients and two statement mailings
resulting in non-payment will automatically be referred to Practice Attorneys
for Court Processing and to a Debt Collection Agency.
- In case of office closure due to inclement weather or
other urgent situations, office staff will attempt to notify patients
scheduled. Patients are encouraged to call the office and confirm office hours if
inclement weather is in question.