What is a D.O.? What is the difference between a D.O. and an M.D.?
A doctor of osteopathic medicine (D.O.) is a physician licensed to perform surgery and prescribe medication. Like an M.D., an osteopathic physician completes four years of comprehensive medical education with an additional emphasis on disease prevention and treatment of the total person, rather than their disease alone. Upon graduation from medical school, D.O.s continue with internship and residency training, side by side with their M.D. counterparts, in any of the medical specialties: from family medicine to neurosurgery.
Is there any difference between these two kinds of physicians? Yes... and no. Over the years, the gap between "conventional" medicine and osteopathic medicine has narrowed, as M.D.s have embraced many of the premises of osteopathic medicine. In addition, D.O.s have incorporated the diagnostic and treatment techniques common to conventional medicine. D.O.s receive the same four-year medical school education but with the osteopathic philosophies tied into the basic principles of medicine. D.O.s also receive hundreds of hours of additional training in manipulative medicine techniques and diagnosis. Otherwise there are few differences: M.D.s and D.O.s have the same practice rights throughout the United States. Like M.D.s, osteopathic physicians are licensed at the state level; both must pass comparable examinations to obtain state licenses. You can find D.O.s and M.D.s working together in the best hospitals and clinics throughout the nation, from community clinics and private practices to academic medical centers.
What is Telepsychiatry?
Telemedicine is the process of providing health care from a distance through technology, often using videoconferencing. Telepsychiatry, a subset of telemedicine, can involve providing a range of services including psychiatric evaluations, therapy, patient education and medication management. For more information about telepsychiatry, please click here.
Does Dr. Cordes Rose take insurance?
Dr. Cordes Rose does not participate in any insurance panels. Patients pay out-of-pocket and obtain reimbursement from their insurance companies. Please check with your carrier for out-of-network mental health service benefits or pre-approval requirements. Our office will submit a HCFA form to your insurance company at your request. Elimination of insurance paperwork has allowed Dr. Cordes to provide higher-quality services that are tailored to your personal needs, not insurance company demands.
Since you are “out of Network” and not a “Participating Provider” on Insurance Plans, Can I still use my Insurance?
Yes, as long as your insurance has “out of network” mental health benefits. Most managed care and insurance plans partially reimburse for out-of-network benefits. Contact your plan for more details. It is the patient’s responsibility to inquire if there is any paperwork that needs to be completed in order to receive benefits and to notify Dr. Cordes of such at the appointment. The insurance company will then reimburse you directly (not Dr. Cordes). They should send whatever they pay for an "out-of-network" psychiatry visit. For specific treatment codes, please inquire with Dr. Cordes at your appointment.
Why does Dr. Cordes choose not to be a participating provider with Insurance companies?
This decision is due to the restrictions that these programs tend to place on the nature and frequency of treatment provided, as well as their negative impact on patient confidentiality. Dr. Cordes does not believe that a ten to fifteen minute “med check” which has become common in the age of managed care allows for an effective therapeutic relationship between physician and patient; nor does it promote the best quality of care for the patient.
How often will I need to see the Doctor?
Length of treatment is individualized and determined collaboratively between you and Dr. Cordes. For medication treatment, the recommended length of treatment for most disorders is generally one year or greater, depending on your specific case. For therapy, length of treatment can vary between 12-20 weeks to several years. Cases that are complicated by co-morbid presentations (more than one disorder) or history of non-response to treatment may take longer.
The frequency of visits depends on the specific case. Some patients will be appropriate for weekly psychotherapy sessions to continue the process of addressing current or past issues or pursuing goals of increased self awareness, pattern change, or interpersonal growth. For patients who are seeing Dr. Cordes for medications alone, biweekly or monthly visits may be appropriate. Patients may be seen more often during initial treatment or medication adjustment. Patients on a stable medication regimen may be seen every one to two months. Continuous monitoring is important to ensure that you remain well.
Are there services that Dr. Cordes does not provide?
•No In-Hospital Services -- Dr. Cordes does not provide in-hospital services of any kind, including consultations, and is not on staff at any hospital.
•No Medicare or Medicaid Reimbursed Services -- Dr. Cordes provides services to patients who have Medicare and Medicaid coverage, but since she has "opted out" of Medicare, she cannot bill Medicare for services rendered to you, nor can you seek reimbursement for those services. To receive services from Dr. Cordes if you are a Medicare beneficiary, you will be required to sign a Medicare Private Contract.
•No Forensic Psychiatric Services -- Dr. Cordes does not provide evaluations for the purpose of legal proceedings: including but not limited to: divorce or custody disputes, determining competency, fitness to stand trial, expert witness/testimony. Any release of records to an attorney must be discussed with Dr. Cordes, and will be decided on a case-by-case basis.
•Per Oklahoma statues by the Oklahoma Board of Osteopathic Medical Examiners, Dr Cordes is unable to prescribe any CII Controlled substances by telemedicine. CII substances include all opiods and amphetamines (Adderall, Vyvanse, Focalin, Ritalin, Concerta, etc...). Dr Cordes is able to prescribe CIII and CIV medication for up to two years following the last face-to-face appointment.
What is Integrative Medicine?
Integrative medicine (IM) is healing-oriented medicine that takes into account the whole person- all factors that influence a patient’s health, wellness and disease are taken into consideration, including body, mind, spirit, lifestyle and community. An IM practitioner uses all appropriate therapies, both conventional and complementary (CAM), to facilitate the body’s innate healing response.
Integrative medicine emphasizes the therapeutic relationship between the doctor and the patient. IM neither rejects conventional medicine nor accepts alternative therapies uncritically. IM holds that good medicine is based in good science; it is inquiry-driven and open to new paradigms. Alongside the concepts of treatment, the broader concepts of health promotion and the prevention of illness are paramount. Practitioners of integrative medicine should exemplify its principles and commit themselves to self-exploration and self-development.
What is Mind-Body Medicine?
Mind-body medicine focuses on the interactions among the brain, mind, body, and behavior, and on the powerful ways in which emotional, mental, social, spiritual, and behavioral factors can directly affect health. It regards as fundamental an approach that respects and enhances each person's capacity for self-knowledge and self-care, and it emphasizes techniques that are grounded in this approach.
Mind-body medicine typically focuses on intervention strategies that are thought to promote health, such as relaxation, hypnosis, visual imagery, meditation, yoga, biofeedback, tai chi, qi gong, cognitive-behavioral therapies, group support, and spirituality. The field views illness as an opportunity for personal growth and transformation and health care providers as catalysts and guides in this process.