What happens during an initial consultation?
The initial consultation with both parents will last 1 – 1 ½ hours. Dr Kotsanis strongly advises that both parents participate in the initial consultation. Your child does not attend this initial consult. During this visit, Dr. Kotsanis will review your child’s history with you. Dr. Kotsanis will interview you about your family history, your child’s development and will explain the biomedical treatment approach. He will recommend a battery of diagnostic tests in order to complete his initial assessment. The lab testing will be done at the child’s first visit. Other home tests may also be ordered. Lab testing is essential before any treatment plan is to be recommended. Your child’s treatment will be designed based on their own test results.
Examination of the Child
The second part of the initial consultation will be scheduled on a different day. At this time you bring your child in fasting for blood work to be drawn. The child may be accompanied by one or both parents at this visit. If you are coming from out of town, this second part of the initial consultation can be pre-arranged for the day following the parent visit. Dr. Kotsanis will conduct a physical examination and observe your child’s interactions with you and with us. Basic nutritional information will be provided at this time. For some of the testing specimens, it may be necessary to collect these at home (e.g. urine, stool or saliva testing may be ordered). At this visit we will schedule your next follow-up appointment to go over all test results.
What happens after an initial consultation?
In addition to the face-to-face time you will spend with the doctor, our clinical team will meet to design a custom treatment plan based on the testing and history. The team will also periodically review your child’s progress. The first meeting will happen when all tests are in and before you are seen by the doctor to go over results and get your written treatment plan. The clinical team consists of the doctor, the Clinical Manager and the Care Manager.
Why does my child need these lab tests?
To complete the doctor’s initial assessment of your condition with the most advanced scientific and factual information available about the patient’s condition.
- Lab testing is essential before your Treatment Care Planmay be recommended. Two people may have similar symptoms but very different underlying conditions.
- Your Treatment Care Plan will be designed based on your own highly individual test results. This highly individualized and careful approach has worked in our clinic for many years.
How much will my child’s lab tests cost?
The Cost will vary based on the Doctors recommendations
The cost will vary based upon the tests the doctor recommends. Recommendations are based on history and examination of the child. While he may recommend a series of tests, they may be scheduled over a period of time to best accommodate your needs. In general, lab testing may range from $300.00 to $1,800 or more. Again, cost is determined by type of test.
When does my child complete the lab tests? How do I prepare for them?
Testing: In Home & In Office
Once you decide which lab tests you will take, your Care Manager will explain how to prepare. There are several ways in which tests are done:
- At Home Lab Tests Sample Collection. These require you to collect specimens (samples) such as urine, stool or saliva at home.
- Fasting Lab Tests In-Office. These require taking blood samples in our office after fasting. (Often called a “blood draw.”) During your initial visit we will schedule this appointment at a time convenient for you.
Note: It is best to schedule your fasting lab test appointment in the early morning. We know you will be hungry! Bring food with you for after your blood draw. Nutritional information and fasting time periods will be explained to you at the time you make your appointment.
Your test results follow-up appointment will be scheduled 4-weeks out, at your convenience.
Fees and Policies
What is the fee for the initial consultation?
The fee for the initial consultation varies and is due at the time of the initial parent consultation. This amount does not include any laboratory tests or treatments. As part of our continued effort to provide you with the very best medical care, and to accommodate all appointment requests, we require a credit card deposit to hold your appointment time. There is a 48 business-hour cancellation policy for all new patient visits. Your credit card number will be held on file and charged if you do not cancel or reschedule within 48 business hours of your appointed time.
After the recommended testing has been completed and our team has met to design a treatment plan, you will have a follow-up visit to go over the recommendations. Please do not ask staff to interpret test results over the phone. By law only the doctor may diagnose and prescribe.
We will provide you with a detailed plan, which may include recommendations for new therapies or changes to existing therapies, supplements and medications, and possible changes in foods with supporting menu resources. This treatment plan will change over time depending on new information that becomes available, the progress your child makes, and what therapies the doctor believes may be of value next.
The follow-up consultation may be via telephone for patients who live out-of state. Whether you consult with the doctor in the office or by phone, charges will apply.
May I schedule this follow-up consultation by phone or SKYPE?
Yes, when you live out-of state or a long distance away. Whether you consult with the doctor in the office or by phone, charges will apply. Prior to a scheduled appointment conference call, a staff member will contact you to confirm your appointment and take care of the charges.
Monitoring Treatment Plan Progress & On-Going Care
How is my child’s progress monitored?
Future follow-up consultations will occur approximately once every month in the first year, every two months in the second year, and every three months in the third year. This is so that we can keep track of your child’s progress and make adjustments to treatments when necessary. We make these appointments during each visit in anticipation of the next checkpoint for progress. There are various phases to the treatment and they must be done in a certain order and during a certain time frame for best results. Follow-up may include recommendations for:
- On-going treatment and therapies based upon test results and responses to recommended treatment and therapies
- Testing to determine progress
- Other appropriate therapies and/or interventions as they become known through research
Do you take insurance?
No, although we provide all of the diagnosis and procedure code documentation required by your insurer. You would then simply submit your receipt and a claim form to your insurance company.
Your carrier should reimburse you for most of what we do if you have out-of-network insurance benefits. We are considered an out-of-network provider. Payment is due at the time services are rendered.
If reimbursement is important to you, please make certain you contact your insurance company before committing to our program to determine your level of coverage.
The Kotsanis Institute is designed to treat very complex patients. This requires a staff that is dedicated to our patient Treatment Care Plans, health and wellness. We would be unable to offer the specialized treatments and the highly personalized level of individual care we do if we participated in insurance plans.
Do you offer financial assistance or financing?
Yes. CareCredit® a patient financing program is available. CareCredit®, a medical credit card, offers promotional programs of 90 day interest-free financing as well as programs that let you extend payments up to 24 months.
Some of our patients use this program as bridge financing to cover the time between filing an insurance claim and receiving reimbursement. If you plan to use this strategy, we recommend that you check with your insurance carrier for out-of-network reimbursement rates and turn-around times for claims. Every insurance plan is different. Apply online at www.CareCredit.com, or if you need assistance, call CareCredit® or our office. It usually takes only several minutes to open an account.
Email & How Best to Contact Us
For questions about children please contact:
Nicole Wallace at 888.302.9740
By email she can be reached at [email protected]
May I contact you via e-mail?
Yes; but only routine questions should be submitted online.
Should you have an urgent need or concern, please call our office directly 817.481.6342 .
If you need to speak with someone the same day, call the office. Messages will only be checked Monday through Friday, during business hours. Please allow 24 business hours for a response to your message.
Due to the requirements of federal and state laws governing the privacy of patient health care information, your message will not be returned via email if it relates to your diagnosis, lab results and treatment.