What to expect

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Conditions

 

HEADACHE & JAW PAIN

Get relief from whiplash, muscle tension headaches, cervicogenic headaches, migraine headaches, and TMJ disorders safely and without the use of drugs.

HAND AND WRIST PAIN

Finger and wrist tendonitis, nerve impingement, and carpal tunnel syndrome all can be treated safely and conservatively.

HIP PAIN

Hip pain and mobility problems are very common in today's athletic population. Our sports chiropractors excel at diagnosing and correcting the imbalances that are holding you back.

LEG AND ANKLE PAIN

We can help with many conditions of the lower extremity including knee pain, quad and hamstring strain, calf strain, and shin splints.

 

 

 

 
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NECK PAIN

From whiplash to cervical facet syndrome, chiropractic therapy has a long history of success in treating these conditions, and a strong body of research supporting its efficacy.

SHOULDER PAIN

Recover from tendonitis, impingement syndrome, rotator cuff strain, AC joint sprain, and frozen shoulder without surgery.

BACK PAIN

No other condition sends more people to see the doctor than low back pain, and chiropractic manipulation is considered the go-to first line therapy for these conditions. From strain to herniation, we can help to provide long-lasting relief. 

FOOT PAIN

Plantar fasciitis and Achilles tendonitis are just a few of the foot conditions that we commonly treat with great success.

 

Insurance and Rates

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Patient FormS

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Office Guidelines

Preparation Guidelines

Prior to your initial visit you need to obtain all the necessary paperwork. We ask you to read and complete this paperwork at home (in non-urgent cases) to give you time to think through your answers and to make the most out of your time in our office. You may also want to visit our website (www.MtTamSportSpine.com) to learn more about the services offered in our office, what to expect on your first visit, and to find answers to some questions frequently asked by patients.

Medical Records

If applicable, please bring copies of your latest laboratory and imaging (x-ray, MRI, CT) reports—no film required—on the day of your initial exam. If your doctor requires an ‘Authorization to Release Medical Records’ form please contact our office and we will provide one for you. Often your laboratory and imaging reports can be faxed or emailed directly to you by your doctor.

Fees

Our goal is to provide you with the best personalized health care at an affordable price.

Non-Medicare Health Insurance:

We are “out-of-network” for all* insurance companies. To find out about your out-of-network benefits, call the customer service number on your insurance card and inquire about your chiropractic coverage. We do not bill or directly communicate with insurance companies; however, we are happy to provide you with a “superbill” that includes the information you need to file a claim. Any reimbursement will then be mailed directly to you from your insurance company. There is no out-of-network reimbursement for Medicare, Tricare or Kaiser/HMO patients. If you have a Health Savings Account (HSA) or Flexible Spending Account (FSA) the “superbill” will also validate your expenses in our office as healthcare-related to those entities. Payment for each visit is required at the time of service.

Medicare:

We do accept Medicare as a “non-participating  physician.” This means that we collect the full amount of your visit charges at the time of service and then send in your Medicare billing for you. Medicare and your secondary insurance policy (if you have one in place) will then reimburse you, based on the details of your health coverage, by sending a check directly to you. Medicare is particular on what chiropractic services they will cover and we will go over these details with you during your first visit.

Retail Sales

Many doctors offer supplies (glasses, crutches, supplements, etc.) at their offices for the convenience of their patients. Depending on the nature of your case, the doctor may recommend nutritional and/or support products such as vitamins/minerals, botanicals, joint braces, etc. Although he/she does suggest commercial products (health food stores, online, etc.), most are recommended from our office for several reasons. Years of clinical experience shows that most commercial products are poor quality, in spite of the label claims. We carefully select ‘professional grade’ products from various

reputable manufacturers. Additionally, California Tax law states that the patient doesn’t have to pay sales tax on these products when sold in a chiropractor’s office. That is nearly a 10% savings for patients. Please note that no patient is required to purchase products from our office, however if you choose to purchase over-the-counter products of lesser quality, you should not be surprised if you obtain sub-optimal results.

Return Policy

Product returns must be made within thirty (30) days of purchase. Unopened products (supplements and/or orthopedic supports/supplies) that are returned within 30 days will be given a full refund. All supplement returns must be unopened and sealed inside the original packaging. Opened supplements may not be returned. No refunds are offered on services rendered.

No Show & Cancellation Policy

We are committed to offering exceptional patient care during every visit. We have invested in equipment, training, and systems to make your visit comfortable and effective. We pride ourselves on consistently running on time. We will be ready for your appointment with our full attention and energy. We ask that you prepare for your appointment accordingly. Please silence your cell phone prior to your visit. Please come dressed appropriately for the area to be treated (ex: don’t wear tight jeans if we are going to be working on your knee). We have a 24-hour cancellation policy on all appointments. No-shows or cancellations with less than a 24-hour notice will be billed the full fee of the appointment. Our staff will make every attempt to remind you of your appointment, but it is ultimately your responsibility to remember. If you are running late please call to let us know when you anticipate arriving for your visit. We will do our best to accommodate your revised visit time into the doctor’s schedule. However, our office makes a policy of not pushing the entire day’s schedule out because a single patient is late to their appointment. We will run on time as a rule and we ask that you show up on time for your appointments.

Payment Agreement

Payment for the initial consultation and treatments is required at the time of service. For your convenience, we accept cash, checks, Mastercard, and Visa.

Additionally, regarding insurance, please be sure to note:

  • Your insurance policy is a legal contract between you, your employer, and the insurance company. We, as healthcare providers, are NOT a party to that contract.

  • The doctors at Mt Tam Sport & Spine are not members of any HMO, PPO, or other provider networks. Therefore, any coverage you may have for services provided in this office will be deemed “out of network coverage” by your insurance company.

  • Many insurance companies will advise you that your coverage will be a percentage of the office fees (e.g. 80% of treatment charges) after a yearly deductible amount has been fulfilled. What is often not specified by the insurance company are plan fee schedules, annual maximums, and other limitations that will have a direct bearing on the reimbursement they allow. For details on your health insurance “out-of-network” chiropractic benefits please contact your insurance company directly.

Release of Information: I authorize the release of any information concerning my health and health care services to my insurance companies, pre-paid health plan or Medicare. I, the undersigned, agree to all the above Office Guidelines and Policies. I have asked, and had answered to my satisfaction, any questions I have regarding these policies. By my signature, I acknowledge receipt of the provider’s Notice of Privacy Practices (HIPPA) and the provider’s Patient Rights and have been given the opportunity to read them. I understand that this information is available to me upon my request, or available online at www.mttamsportspine.com/privacy at any time.

 

Policies and Fees

Our goal is to provide you with the best personalized health care at an affordable price. The care you receive at Mt Tam Sport & Spine will always be tailored to your needs as an individual.

Please call our office at 415-555-5555 to schedule a convenient time to meet. Patients are seen Monday through Friday by appointment. (Please indicate if you are in immediate pain or need urgent care.) You can also book an appointment online [link here] your convenience. We recommend that you try to schedule anticipated appointments as far in advance as possible to assure that we can see you at an optimal time. Please be sure to let us know at least 24 hours in advance if you need to cancel or reschedule an appointment.

Non-Medicare Health Insurance: We are "out-of-network" for all* insurance companies. Payment for each visit is required at the time of service.  To find out about your out-of-network benefits, call the customer service number on your insurance card and inquire about your chiropractic coverage. We do not bill or directly communicate with insurance companies; however, upon request we will provide you with a "superbill" that includes the information you need to file a claim. Any reimbursement will then be mailed directly to you from your insurance company.

If you have a Health Savings Account (HSA) or Flexible Spending Account (FSA) the "superbill" will also validate your expenses in our office as healthcare-related to those entities. Payment for each visit is required at the time of service.

Medicare: We do accept Medicare as a "non-participating physician." This means that we collect the full amount of your visit charges at the time of service and then send in your Medicare billing for you. Medicare and your secondary insurance policy (if you have one in place) will then reimburse you, based on the details of your health coverage, by sending a check directly to you. Medicare is particular on what chiropractic services they will cover and we will go over these details with you during your first visit.

The initial exam and treatment as well as supplement/orthopedic support sales are payable at the time of service. For your convenience we accept cash, check, Visa, Mastercard, Discover, American Express, Apple Pay, Android Pay, and Samsung Pay

Regular Office Visits: $90
New Patient Evaluations: $170
Re-exam/New Injury/Complicated Cases/Extended Visits: $140
Running Analysis: $125

Your privacy is important to us. Please take a moment to review our Notice of Privacy Practices (HIPPA) and Patient Rights.

*There is no out-of-network reimbursement for Medicare, Tricare, or Kaiser/HMO patients.

If you have any questions regarding our clinic or services provided, feel free to speak with our office manager.

We look forward to providing you with our best care and service.

 

How is Mt Tam Sport & Spine different from everybody else?

Our patients and athletes come to us for many reasons - a doctor's or friend's referral, our convenient Mill Valley location, or our personalized treatment, to name a few. They return because of the Mt Tam Sport & Spine experience - the care they receive, the open friendly environment, the fun they have, and the results they achieve.

Do you take my insurance?

Our goal is to provide you with the best personalized health care at an affordable price. We are considered an out-of-network clinic therefore, if you have out-of-network coverage you may be able to get reimbursed for your care. This means we do not directly bill your insurance company, but we are happy to provide you with an itemized receipt/”superbill” of the services provided to you. This will assist you with getting reimbursed for care.

We feel that eliminating billing directly to insurance companies, we are able to spend more time with our patients. This cultivates an environment where we can provide better quality care, more efficient treatments, and faster recovery times for our patients. 

What is out-of-network care?

Any provider who is not contracted with your insurance is considered out-of-network. Some insurances do not cover out-of-network care. Please be sure to confirm this before seeking out-of-network care, especially if you plan on submitting for reimbursement.

How do I know if my insurance has out-of-network benefits?

Some insurance cards have your in-network and out-of-network coverages stated on the front of your insurance card. If your insurance card does not have it indicated, you will have to call your insurance company. You can find customer service phone numbers on the back of your card.

Here are a few recommended questions to ask your insurance company:

  • Will my plan cover out-of-network care?

  • If so, what is the coverage?

  • How many visits do I get a year?

  • Are the visits combined for PT and Chiropractic or separate? (PT visits in other clinicsmay also count against your Chiropractic benefit)

  • Is my coverage a plan year or calendar year?

  • What documentation is required for reimbursement?

  • Is there a deadline for submission for reimbursement?

  • Do I need a referral? (you do NOT need one to see us, but your insurance may require it)

  • Do I have a deductible for out-of-network services?

  • If yes, has it been met?

  • Do I need pre-approval for out-of-network providers?

How do I get my itemized receipt/superbill?

We will provide you an itemized receipt/”superbill” upon request the weekday following your treatment. It will be sent via email, or you can pick it up on your next visit.

How do I go about getting reimbursed for my care?

After you have confirmed that you have Chiropractic out-of-network coverage, you will send your itemized receipt, as well as any other documentation your insurance company requires, via the “claims” address located on the back of your insurance card.

Do I need a prescription for Chiropractic services?

You do not need a prescription for Chiropractic services, but your insurance may require it for reimbursement.

What if I am a previous patient, but from another clinic?

First off, we are excited you found our clinic and so excited to continue care with you. Regarding fees, you will not be considered a New Patient so you will not be responsible for the New Patient visit cost. Your initial visit will be a re-exam.

What is your cancellation policy?

In consideration of our other patients, we have a 24-hour cancellation policy. Please call or email by noon the business day prior to your appointment to avoid being charged. The fee is the same as the cost of the visit you missed.

What methods of payment do you accept?

We accept cash, debit cards, credit cards, checks, mobile payments such as Apple Pay and others, Medical Reimbursement Acounts (MRA), Flexible Spending Accounts (FSA) and Health Savings Account (HSA) cards.

When do I pay for my care?

Payment in full is required at the end of each visit or prior to beginning package care.

How do I find Mt Tam Sport & Spine?

We are located in the heart of Mill Valley within the Thoroughbred Treadmill Studio, right next to Tam High School.
Our address is 600 Miller Ave, Mill Valley, CA 94941. Enter up the stairs on the north (right) side of the building.

Do you have parking?

Yes! We have free parking in our lot.

What kind of amenities does your clinic provide?

For your convenience we offer a changing are and lockers, showers, towels, and shower products.

If you have any other questions, feel free to give us a call at (415) 555-5555 or send us an e-mail through our contact us page.