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 insurance card, patient intake form and 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 firstname.lastname@example.org or fax to 626.338.0721.
Where are you located?
Address: 507 Mission Street, South Pasadena CA 91030.
We are at the same building as 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 Pasadena Fatigue Center 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 successfully charged directly to the insurance company and the patient does not need to pay for them up front.
What other studies will be done during the visit?
We usually also perform the Visual Contrast Test and a nasal swab to test for MARCoNS, a harmful type of bacteria common in patients with mold disease.
Do you see children?
At this time, we see adolescents (ages 12 and over) and adults only. As our expertise expands, we anticipate that we will be able to schedule younger patients.
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, 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.