william b. salt ii, m.D.
IBS & Gut Microbiome Solutions
A UNIQUE AND BOUTIQUE gastroenterology practice
"All disease begins in the gut"
The Father of Medicine
A renaissance for recognition, diagnosis, and management of IBS, SIBO, and gut microbiome dysbiosis is happening today in select doctors’ practices across the country. Dr. Bill Salt’s practice is one of these few. He promises his patients time, expertise, compassion, and solutions. They promise to be his partners ~ to become students of and to share decisions about their gut health.
Two years ago, after 36 years of private practice with a large gastroenterology group, Dr. Salt went solo. Solo ~ as in unique and boutique ~ practicing as a non-procedural integrative gastroenterologist, well known for his expertise in diagnosis and treatment. Dr. Salt has completed hundreds of hours of post-graduate studies concentrated in IBS, SIBO, gut microbiome dysbiosis, autoimmune diseases, and leaky gut. He integrates the best of gastroenterology (particularly the research, experience, and recommendations of gastroenterologist, Mark Pimentel, MD, of Cedars Sinai Medical Center in Los Angeles) with complementary, functional, and naturopathic medicine.
Dr. Bill Salt’s specialty practice features his passion for ~ and success in ~ helping patients who have gut microbiome dysfunction. New methods of diagnosis and hot-off-the-press treatments, as well as recent discoveries regarding IBS and SIBO (Small Intestine Bacterial Overgrowth), are integral to Dr. Salt’s practice.
Patients with gut microbiome dysfunction
are uniquely complicated
Most have gone doctor to doctor ~ many for years ~ without feeling better. Most have had colonoscopies (often more than one) that are “normal.” Like a detective, Dr. Salt looks for clues and missing information in patients’ medical records. He carefully listens to their health stories. Then, in collaborative fashion, they move forward with a plan. The plan often needs to be changed and adjusted; patients report back and more tweaking takes place. Finding the formula is an art, as well as a science.
And Dr. Bill Salt is the artist.
Together, we will find your gut solutions.
- William B. Salt II, M.D.
IBS & Gut Microbiome Solutions
Dr. Salt and IBS & Gut Microbiome Solutions does not participate with insurance or Medicare, which enables us to spend adequate time with patients. We will provide you with a detailed superbill at the time of your consultation and follow up visit(s) to submit to your insurance company, although reimbursement (if any) will depend on your individual carrier and plan. If you wish to check reimbursement rates, you can call your insurance company and give them the following information:
- New patient consultation CPT code: 99245 (or 99205 for Medicare)
- Follow-up visit CPT code: 99215
- Please clarify that Dr. Salt is a “non-participating provider/out of network”
If you are a new patient wanting to schedule an Initial Consultation with Dr. Salt, please email our office: info@WilliamSaltMD.com. Alternatively, complete the contact form on this website. We will then email you Our Policies and request that you reply with your agreement. Following receipt of your email agreement, Barb or Susan (from our office) will call you to schedule your appointment. Your health care professional can also refer you by faxing our practice (877.883.5012). "Schedule Consultation with Dr. Salt" is a link to PatientFusion.com's online scheduler. We request that only patients returning for Follow-Up Consultations use this scheduler.
We are happy to offer telephone consultations. Please let us know if that is what you prefer when you schedule your consultation and we will set it up.
We maintain an active waitlist. If you would like a consultation sooner than your appointment, please let us know and we will put you on our cancellation list. If you know you cannot make your consultation, please give us at least one week’s notice so we can offer the time to someone on our waitlist.
Appointments are available Mondays, Tuesdays, and Wednesdays from 8:30 am to 3:30. Phone consultations are also available during evenings and weekends, depending on Dr. Salt’s availability.
We do not use encryption or other secure methods in our e-mail communication. In agreeing to be a patient with Dr. Salt at IBS & Gut Microbiome Solutions, you are consenting to the occasional use of regular e-mail to send and receive information. Medical questions you may have for Dr. Salt, though, should be sent through your patient portal.
It is necessary for you to have ~ and be reasonably proficient with ~ a computer, and to have a cellphone and an email account. We will send you an email with a Word attachment, which you will need to open, type into, and return as a Word attachment to an email. You will need to be able to use your computer to enroll in ~ and use ~ your Patient Portal at PatientFusion.com.
Please note that our office does not handle medical emergencies. If you are having a medical emergency, you should call 911, visit the nearest emergency department, or call your primary care physician.
Currently our Charge is $350 per hour. The cost of your Initial Consultation (one hour) is $350 and your 45 minute first Follow-Up Consultation is $262. Since subsequent follow-up consultations vary in time, costs will be based on the hourly rate of $350 (i.e., the cost of a 30 minute consultation would be $175).
Effective September 4, 2018, our Charge will be $500 per hour.
- Initial Consultations (one hour) will be $500
- First Follow-Up Consultations: $375
- Prices of Subsequent Follow-Up Consultations can be variable, depending upon the complexity of your case:
- 30 minutes: $250
- 45 minutes: $375
- 60 minutes: $500
- Longer: based upon $500/hour
In order to be able to spend more time with patients, we do not participate with insurance or Medicare. We will provide you with a "Superbill" after every consultation, which includes your diagnostic and visit codes (CPT Codes), which you can submit to your insurance provider with a request for reimbursement. You can expect your payment to count towards out-of-network deductible. The amount of reimbursement, if any, depends upon your specific policy. Insurance providers, including Medicare, consider Dr. Salt to be an out-of-network provider. But they also consider him to be an in-network prescriber, which means your insurance will kick in as it normally would for any tests, lab work, imaging, or procedures Dr. Salt may order. If you wish to check reimbursement rates for consultations, you can call your insurer and give them the following codes: new patient consultation CPT code (99245) and follow-up consultation CPT code (99215). Be sure to let your insurer know that Dr. Salt is a “non-participating/out-of-network provider.”
Our office accepts payment for your consultation at the end of your visit in the form of credit card, debit card, check, or cash.
Established patients will be grandfathered under current prices through December 31, 2018. Afterwards, our September 4, 2018 prices will be applied.
Your appointment will last 1 hour. Prior to your visit, Dr. Salt will have reviewed your medical records, along with our comprehensive Patient Intake Form (sent to you as an email attachment that you will have completed and returned by email). Much of the Patient Intake Form is based upon National Institutes of Health (NIH) research.
What happens during your Initial Consultation? You and Dr. Salt will have a detailed discussion, using his review of your records and Intake Form as a springboard, with the goal of determining a working (hypothesis) diagnosis or diagnoses. Dr. Salt will likely need more pieces of your “puzzle” in order to make a final diagnosis (or diagnoses) and, therefore, may order breath tests, labs (blood, stool), imaging, or procedures. He seldom repeats tests you have already done. You will be given test orders, which Dr. Salt will expect you to complete in a timely fashion and prior to your first Follow-Up Consultation. Treatment may be initiated. ***You will also be able to communicate with Dr. Salt through your Patient Portal at PatientFusion.com.*** At the conclusion of your Initial Consultation, you will be given:
- A written Care Plan sent to you through the electronic health record (PatientFusion), which can be printed at your request, including:
- Working diagnosis(s), which is a description including ICD-10 diagnostic codes of Dr Salt's initial impression and opinion
- Differential diagnosis(s), which includes the conditions and diagnosis or diagnoses that need to be considered in your case (it is quite common for more than one to be present).
- Comprehensive diagnostic plan
- Initial treatment plan (in some situations, initial treatment can be offered, but the comprehensive treatment plan is usually reserved for the first follow up visit, discussed below)
- A printed copy of the latest version of Dr. Salt's Map, marked to show the causes and conditions to be considered in your case (Copyright © 2018 by William Salt MD, LLC)
- Updated printed version of Dr. Salt's Core Gut Health Recommendations
- Depending upon your evaluation, updated printed versions of pertinent diagnostic and treatment information
You will receive free access to Dr. Salt's new e-learning program and book entitled,
More information about the e-learning program and book can be found at WilliamSaltMD.com.
First Follow-Up Consultations will last 45 minutes.
What happens during your First Follow-Up Consultation?
- Test results will be reviewed and discussed.
- Your working diagnosis(s) will be reviewed, which is a description including ICD-10 diagnostic codes of Dr. Salt's impressions and opinion.
- Outstanding differential diagnosis(s), which includes the conditions and diagnosis or diagnoses that still need to be considered in your case (it is quite common for more than one to be present) will be reviewed.
- If you began treatment at your Initial Consultation, your treatment response will be reviewed. Further treatment options will be described, if needed, and, together, you will decide on a comprehensive treatment plan with which you are comfortable.
- Depending upon your evaluation, updated printed versions of pertinent diagnostic and treatment information will be provided.
- Your questions will be discussed and answered.
Subsequent Follow-Up Consultations will vary in time, due to your complexity.
What happens during your Subsequent Follow-Up Consultations (if necessary):
Treatment can be tricky. Due to individual complexity and uniqueness, many patients need changes to their treatment plans. If this includes you, Dr. Salt has many adjustments that can be employed. It would therefore be important for you to continue reporting back to him until you are completely satisfied.
WE WILL FIND
This remarkable app will take your history accurately, such that recent research shows it to to be more accurate than the history obtained by many experienced gastroenterologists. You can send the report to us in an email to info@WilliamSaltMD.com. Please bring your phone (with the app) to your appointment.
COMMUNICATING WITH DR. SALT AND IBS & GUT MICROBIOME SOLUTIONS
This is the preferred method for communicating health questions and updates with Dr. Salt. It is HIPAA secure. You can attach PDF files and send them to us through your portal, but we cannot attach files to send to you.
***We also ask your consideration of Dr. Salt’s time when you send him messages through your Patient Portal. Please refrain from sending messages requiring more than a 5 minute reply from him. Portal messaging is meant for quick communications. We will ask patients sending portal communications requiring a lengthy reply from Dr. Salt to please schedule an appointment.***
We do not use encryption or other secure methods in our email communication (info@WilliamSaltMD.com) or here on this website with the contact form. In agreeing to be a patient of Dr. Salt and IBS & Gut Microbiome Solutions, you are consenting to the use of a non-HIPAA compliant vehicle. This is our preferred method for communicating with staff regarding appointments and general information.
The phone number of IBS & Gut Microbiome Solutions is 614.427.3161. (If you have an emergency, hang up and dial 911.) You will be leaving a message when you call this number and so we encourage you to use Email or Portal message, in order to avoid telephone tag.
When you make the decision to become our patient, we immediately enter into a relationship with you. We make a promise and so do you. There are many components of our promise ~ from our policies to your patient experience. We promise to work hard to help you achieve your gut health solutions. We promise you unfailing personal time, friendliness, and attention to your health details. In return, we ask that you make a promise. There are components to your promise, too ~ from returning your Patient Intake Form (and any records you are sending to us) no later than one week prior to your appointment to your consideration of our cancellation policy. Regarding our cancellation policy, we ask that you promise to keep your appointment and if you need to cancel, you will do so at least one week prior to your appointment. (Dr. Salt reviews your medical records and intake form one week prior to your appointment, taking quite a bit of time to do so.) We therefore consider late cancellations and “no-showing” to be a breach of trust and we will probably not reschedule you, unless we determine there is an impressive reason for doing so. We also ask that you please not expect a portal response taking more than 5 minutes of Dr. Salt's time.
NOW THAT YOU HAVE READ OUR POLICIES
We invite you to send an email, stating that you have read and agree with our Policies. Susan or Barb (from our office) will call you to schedule your Initial Consultation.