+ Does GrassRoots accept health insurance?
We do not accept any form of medical insurance for consultations. We will provide you with an itemized bill with ICD-10 diagnostic codes and CPT codes at the end of your consultation which you may easily file with your insurance company. Some of the laboratory testing we collect may be submitted through your insurance, but we cannot guarantee they will cover any or all of the costs. You may use pre-tax dollars from your Health Savings Account (HSA) to pay for your consultations and lab fees.
+ How much should I expect to invest on lab testing at my first visit?
Your initial appointment at GrassRoots Functional Medicine will typically result in the most in-depth comprehensive laboratory analysis consisting of both conventional and functional lab testing. With the conventional labs that are ordered, you can bill your insurance directly, or you can pay the discounted cash rate we have negotiated with Quest labs. If you pay the discounted cash price for these labs, you will still receive an invoice with CPT codes to submit to your insurance in an attempt to get reimbursed. Please be aware that some of the labs we order are considered “experimental” by insurance companies. If insurance does not cover the labs ordered, the rate the lab companies will bill insurance will likely be significantly higher than the discounted cash rates. Specialized functional laboratory testing through Genova, Doctor's Data, DUTCH, Igenex, Cyrex, and other functional lab companies will likely also be ordered at the initial visit. Some of these tests are billable through insurance, while others are cash pay. Testing is something that will be discussed in detail at your initial appointment with recommendations made on a case by case basis. Most patients invest an average of $300-$1500 in laboratory testing at their new patient visit.
+ Will my medical insurance reimburse me for my consultation at GrassRoots?
We are unable to confirm nor deny whether or not your insurance company will reimburse charges for the visit. Our clinic will provide you with an itemized bill that contains ICD-10 diagnostic codes and CPT codes at the end of your consultation. You may file this information with your insurance company in an attempt to get reimbursed. In our experience, some insurance companies request additional information that is very detailed and resource intensive. At this time, GrassRoots does not have the ability to assist with insurance reimbursement above and beyond providing you with the diagnosis codes, tests codes, and consultation receipt for the consultation.
+ Does GrassRoots Process Prior Authorizations for Medications?
As a small cash-based practice, we do not have the staff to properly process prior authorizations for prescription medications that are ordered. Prior authorizations can take anywhere from 30 minutes to 3 hours with no guarantee of approval. We simply do not have the resources available to manage these requests. It is our recommendation that you approach your primary care physician and see if they are willing to order the medication. Primary care clinics are insurance based and typically have the resources to handle prior authorizations. If you are unable to get your primary care clinic to complete the request, we will process the request for a $50 fee. This fee includes up to one hour of time attempting to get the authorization approved. The fee will be charged regardless of whether the prior authorization is approved or denied. We wish this was an easier process, but unfortunately insurance companies make prior authorizations long and cumbersome. Thank you for understanding.
+ What is the difference between a Doctor of Nursing Practice (DNP) and a Medical Doctor (MD)?
The primary difference in these two professions is the educational curriculum. The Doctor of Nursing Practice (DNP) is a Nurse Practitioner with an educational background in nursing, whereas a Medical Doctor (MD) is a Physician who attends medical school followed by a medical residency. To become a DNP you must first earn a 4 year bachelor’s degree in nursing and then proceed to gain professional experience working as a nurse. Board certification as a Nurse Practitioner is then obtained after returning to school for another 2.5 years earning a Master's degree in the Science of Nursing (MSN). The DNP is an additional 2-2.5 years of education beyond the master’s prepared nurse. In the United States there are currently 21 states plus the District of Columbia where Nurse Practitioners can practice independently without physician oversight. As a Doctor of Nursing Practice Dr. Osgood can order all of the same laboratory/diagnostics tests and medications as an MD that are necessary to provide a thorough Functional Medicine evaluation.
+ Does GrassRoots offer primary care services?
At GrassRoots Functional Medicine we can handle a majority of your primary care needs. With that being said, we do require you to maintain a relationship with a primary care provider for routine wellness screenings such as colonoscopies, pap smears, and prostate exams. As a Functional Medicine consulting clinic, our office hours and staffing does not allow the same availability and access to care that you can receive at your primary care clinic which would be necessary during situations that are urgent or emergent.
+ Does Functional Medicine replace Conventional Medicine?
Functional Medicine is a blend of both conventional medicine and alternative medicine and is meant to coexist with conventional treatment plans. Dr. Osgood is Doctor of Nursing Practice, Board Certicfied Family Nurse Practitioner with post graduate training in Functional Medicine which altogether the best of both worlds.
+ What is the cancellation policy at GrassRoots Functional Medicine?
As a cash-based practice with longer appointment times and limited appointment slots, we have to be very strict with the cancellation policy. We require a minimum cancellation notice of at least 2 business days to cancel or reschedule your appointment, which allows us time to fill the opening. Notification of cancellation in less than 2 business days will result in a charge for the full appointment fee. The clinic hours are Monday-Thursday 8:30am-5:00 pm and Friday 8:30-12 pm. Canceling a Monday appointment must be done during business hours on the Thursday prior to the scheduled appointment.
+ Does GrassRoots provide consults for children?
Dr. Osgood is a Board Certified Family Nurse Practitioner trained to assess and treat indiviuals of all ages. At GrassRoots Functional Medicine we provide Functional Medicine consultations on children 4 years of age and older. As with adults, we do not serve as a primary care practice and children are still required to maintain routine well checks with a pediatrician.