WHAT DO YOU TREAT?
We treat patients sick from mold disease after exposure to water-damaged buildings. Also known as Chronic Inflammatory Response Syndrome, mold disease was discovered by a doctor and scientist named Dr. Ritchie Shoemaker. His highly effective evidence-based program for treating patients is known as the Shoemaker protocol and represents your best chance to heal from mold disease.
WHAT DO I NEED TO BRING ON MY FIRST VISIT?
Please bring your patient intake form, prior medical records and lab results. Ideally you can email or fax your prior medical records and labs results if they are extensive prior to your visit and we will review them before you come to the clinic.
WHAT IS THE BEST WAY TO REACH THE CLINIC?
For scheduling and inquires: call 626.838.5485.
For sending old records: email at email@example.com or fax to 626.338.0721.
WHAT IS NEEDED FOR SCHEDULING?
For new appointments, please have a credit or debit card appointment to add on file.
A $60 non-refundable deposit will be requested and your card will be added to your patient profile. This deposit will be applied toward your visit, but is lost in the event that you do not cancel your appointment with 24-hour advance notice. If you re-schedule within the 24-hour time frame, that deposit is applied toward your new appointment. In the event you elect to cancel and not re-schedule, the deposit remains non-refundable.
WHERE ARE YOU LOCATED?
Address: 507 Mission Street, South Pasadena CA 91030 at the Mission Chiropractic Center.
DO YOU TAKE INSURANCE?
Pasadena Chronic Fatigue Center does not directly process insurance. Patients pay for services at the time of the visit. However, each patient can be provided a “Superbill” with all the requisite ICD-9 and 10 and CPT coding, filed by Dr. Jim. The Superbill is the form that patients use to file directly with their insurance companies. Rates of reimbursement vary greatly.
If you’d like to find out prior to making an appointment what percentage of your visit charge you will be reimbursed by your provider, contact your insurance agent:
- inform them you will be seeing a Medical Doctor (M.D.)
- inform them that you will be receiving a coded Superbill
Your insurance agent will then inform you what reimbursement you will receive. The exception to the above is if you are enrolled in Medicare, Medicaid or Medi-Cal.
WHY DOESN’T YOUR CLINIC PARTICIPATE IN MEDICARE OR MEDICAID?
When a patient receives services at our clinic, Pasadena Chronic Fatigue Center cannot bill Medicare and, unlike with other insurances, patients cannot submit a claim to Medicare for reimbursement. The biggest disagreement between physicians and Medicare involves the issue of “medical necessity.” Put simply, Medicare may consider the care administered for the treatment of mold disease as an alternative treatment and also will reimburse for the time spent on educating and counseling patients. Medicare levels steep fines against clinics for treatment it does not consider necessary even if the treatment works or is grounded in scientific legitimacy. Consequently, we are opting out of Medicare so that we can deliver the most comprehensive care we deem necessary.
WILL INSURANCE PAY FOR LAB COSTS?
Lab costs attendant with a patient visit are generally covered by PPO plans. The extent and likelihood of coverage becomes less likely with HMO plans, Medicare and Medicaid. Please contact your particular insurance for the most applicable information regarding coverage of your lab costs. For those patients with no or limited coverage for labs, the clinic offers pricing packages that are more affordable than “walk-in” pricing.
HOW MUST DOES IT COST?
We charge $465 for a one hour initial consultation for mold disease. Additional time beyond one hour is billed at a rate of $100 per 15 minutes. By the end of the first or second visit, we can tell you with a high degree of probability whether you have mold disease and, if you do, can start treatment and order further tests needed to understand your condition.
Follow-up costs are billed based on time, starting at 30 minutes ($200). Procedures that are performed may increase the cost of the visit. Examples include the Visual Contrast Test ($20) and the nasal swab office procedure fee ($30). Of note, the nasal swab lab fee (starting at $85 is not included).
WHAT OTHER STUDIES WILL BE DONE DURING THE VISIT?
We usually also perform the Visual Contrast Test and, at the initial visit, a nasal swab to test for MARCoNS, a harmful type of bacteria common in patients with mold disease.
DO YOU SEE CHILDREN?
Yes. As a specialty clinic, we have expanded to serve patients of all ages. Please keep in mind that Dr. Lysander Jim does not treat any other diseases in children except for chronic inflammatory response syndrome. Close contact with a pediatrician is necessary to diagnose and manage any other conditions our young patients may have.
DO YOU DO TELEPHONE CONSULTATIONS?
The initial visit must be in clinic, but subsequent visits may be conducted on the phone–this will be decided on a case-by-case basis. Factors that affect that decision depend on the severity of illness, location, what other medical diseases the patient has and legal considerations for out-of-state patients.
WILL YOU ORDER LABS FOR ME BEFORE OUR FIRST VISIT?
Unfortunately, to protect the quality of patient care and the clinic we cannot make recommendations, orders or referrals prior to seeing you. For example, the ordering of any labs initiates a doctor-patient relationship and there is not a sufficient basis for such an action prior to the first appointment visit.