Frequently Asked Questions
What if I have further questions or problems after the initial visit?
You will receive a follow-up phone call within 3-5 days of your initial visit to address any further questions or concerns. You may however be asked to schedule another appointment depending on the complexity of your situation.
For non-urgent, straight forward questions, you can call, text, or secure message me however I will not respond by text message as it is not encrypted or secure. If you text me a question, let me know how you would like me to respond- by phone call or secure message. I will respond within 24hrs. Again,depending on the situation, you may be asked to schedule a follow-up appointment.
Some Lactation Consultants provide all access to secure messaging to answer questions for 2 weeks or more. Why is this service not offered?
My philosophy is not to have you dependent on me but to help you gain knowledge and confidence in your breastfeeding skills and promote self-sufficiency. It has been my experience if you need that level of support, you are better served by booking a follow-up appointment.
What can I do if I don’t see an appointment open for the day I need?
Please call the office directly. I may have a cancellation or offer additional hours that may accommodate your needs.
How far do you travel for a home visit?
My travel radius is 60 miles around Cody. The major areas included are Cody, Clark, Powell, Meeteetse, Lovell, Basin, Deaver, Burlington, and Greybull. I do realize Worland falls just outside of this but I can accommodate a home visit if warranted. Travel fees apply. (Please see Payment Policy for full details)
What forms of payment do you accept?
I accept cash, credit, debit card, or FSA/HSA cards. I do not accept any insurance or Medicaid. See Payment Policy for full details.
Why don’t you accept insurance?
Despite the provisions within the Affordable Healthcare Act to cover lactation services and recent requirements to provide you with a “Good Faith Estimate” on what will be owed after billing insurance, there are still numerous factors and barriers that influence your benefits coverage for lactation care. Due to excessive regulations, costs, time involved, and increased cybersecurity attacks affecting payments, I think it is imperative to return to offering quality Lactation Care with complete price transparency so there is no second guessing, no surprise bills, and no Third Party involvement.
I have Medicaid. Can I just pay out of pocket for your services?
Unfortunately, no. It is unlawful for a provider to accept any form of payment for healthcare services from a patient who receives Medicaid. You can call your local WIC or Public Health office for breastfeeding resources or services.
Can I still submit a claim to my health insurance for reimbursement?
Yes, you can. I give everyone a Superbill that you can upload to your particular health insurance account. If your insurance plan finds you are eligible for a reimbursement, it will be sent to you directly.
I have heard from others that when submitting their claim it gets denied. Why does this happen?
From experience, I can tell you the top 3 reasons this occurs.
- In order to submit a claim, your provider must document a Diagnosis code and what is called a CPT code. These codes tell your insurance what your diagnosis is,complexity of the visit, and place of service so it can be determined what your insurance will pay for that type of visit. What I find amongst Lactation Consultants is that coding is often improperly completed or using outdated codes leading to denial of your claim.
- The majority of IBCLCs are not defined as a “provider” by some insurance companies. Without the additional credentials of being a physician or nurse practitioner, some insurance companies will also deny the claim on the a strict definition of “provider”. Since I am a Certified Pediatric Nurse Practitioner in addition to an IBCLC you will never have to worry about this as an issue when submitting your claim.
- If you have a deductible that needs to be met, most healthcare bills are your responsibility in full until the deductible is reached. I still encourage you to submit the claim so it can go towards your deductible. Once your deductible is met, then your insurance will start to cover your visits according to your specific plan benefits.
There are other reasons for denials but it is beyond the scope of this discussion here. Calling your insurance company and asking why the claim was denied is your first step. If it is determined there is something I need to correct for your claim to be reimbursed, please call and let me know.