Payment/Authorizations
Cost & Payment
I am an out-of-network provider for insurance companies. This mean that I cannot bill insurance companies directly. PPO Plans typically reimburse you for services with an out-of-network provider. Additionally, some HMO plans approve a ‘one-time-exception’ or ‘single-case agreement’ of there are long wait times for services.
You are encouraged to determine the specific reimbursement schedule for your plan. Please call your insurance provider. You may find the following information below to be helpful in your conversation: CPT Codes for Neuropsychological Testing include the following (with very approximate hours associated): Intake: 90791 (1 or 2 hrs); Testing: 96132/3 (8 hrs); Writing: 96136/7 (14 hrs); and, Feedback: 90847 (1 or 2 hrs). More information is available at the bottom of this page.
Payment is required on the day of service (or first day of testing). The cost of each testing may vary. You are encouraged to call and discuss the specifics of your case to better understand the potential cost. Below are descriptions of the most common kinds of testing completed. Itemized invoices (“Super Bill”) detailing the services provided are provided.
Comprehensive Neuropsychological Evaluation: Includes Intake, Evaluation (Cognitive, Academic and General Psychological), Report, Collateral Contact. Feedback with parents and a separate feedback with the child.Typically consists of up to 2 days of testing. Partial testing is available and will be pro-rated as needed.
I do attend IEP Meetings. This is typically an additional cost beyond the testing itself.
Reports are Individualized and Easy-to-Understand. I do not use AI or generic templates. My reports are tailored to each individual, offering a clear summary, detailed results, important observations, and actionable recommendations. All reports are written to meet the demands of the IEP process and standardized testing companies requirements for accommodations.
Adjusted testing fees for specific testing requests (ex: WISC-V Administration or Reading Progress Assessment) as well as hourly fees for consultation, school observation, record review and phone contact are also available.
Please note, the fee for testing can be discussed at the time of the initial phone call. The fee will be increased January 1st, each year, to reflect cost of living.
Reports & Testing
Working with Insurance Companies
PPO plans often cover for out-of-network providers. If you have such a plan, it is possible that you will have at least some of the testing fee reimbursed. Some HMO plans approve a ‘one-time-exception’ or ‘single-case agreement’ of there are long wait times for services. It will be important for you to explore your plan's coverage for neuropsychological testing, co-pay, deductible and your testing needs (particularly if you will be paying for Academic testing anyway) when you decide whether to use an in-network or out-of-network provider.
If you are using a PPO, check with your insurance company about whether an authorization is needed. I will be able to complete the paperwork needed if required.
When Calling Your Insurance Company to determine PPO coverage for an Out-of-Network Provider.
The following information may be helpful in the process of determining your insurance company’s ability to reimburse for services as an out-of-network provider. My National Provider Number (NPI) is 1063578235. The following CPT (Current Procedural Terminology) codes are used for the various services provided. Commonly used codes include: As of 1/1/19 CPT Codes for Neuropsychological Testing include the following (with very approximate hours associated): Intake: 90791 (1 or 2 hrs); Testing: 96132/3 (8 hrs); Writing: 96136/7 (14 hrs); and, Feedback: 90847 (1 or 2 hrs).
Please call your company to confirm the specific form your plan requires and the kind of coverage you will receive for the CPT codes mentioned above (ie: “what percent coverage” and “what is the allowable amount”.)
For more detail on which CPT codes I use please click here to access the form.
