Common Reasons for Neuropsychological Testing Referrals
1. Assistance with differential diagnoses of Alzheimer's Disease (AD) versus other causes of dementia such as Lewy Body Dementia and Fronto-Temporal Dementia (FTD).
2. Determination of mental capacities in the context of the ability to return to work and/or helping to ascertain one's level of disability.
3. Helping to determine the impact on cognition and affect of conditions such as traumatic brain injury (TBI), stroke, Parkinson's Disease, Multiple Sclerosis (MS), oxygen deprivation (hypoxia/anoxia), central nervous system infection, and other neurologic and neuropsychiatric conditions.
4. Assessment of IQ, adult learning disability and adult Attention-Deficit/Hyperactivity Disorder.
5. To document changes in functioning over time and staging of deficit severity.
6. Develop a profile of strengths and weaknesses to guide treatment planning (e.g., rehabilitation, vocational, educational or
7. Psychodiagnostic evaluations to assist with differential psychiatric diagnosis and treatment planning.
8. Independent Medical Examinations (medico-legal)
Executive Functions (planning, organizing, problem solving, inhibiting, mental
Complex Visuoperception/Visuospatial Reasoning
Verbal Learning and Memory
Visual Learning and Memory
Fine Motor Abilities
Mood and Psychological Functioning.
How to Prepare for a Neuropsychological Evaluation
Bring any supporting documentation- medical records, school records, and so forth.
Please eat before the appointment and make sure you are well rested.
Bring a current list of your medications and their dosages.
Bring your reading glasses, hearing aids or other assistive devices you ordinarily use.
Bring a valid photo ID and health insurance card.
What to Expect
The assessment involves a thorough history taking and clinical interview, record review, a mental status exam, and formal testing. The testing involves paper and pencil and hands-on activities using well-validated instruments designed to measure the
various cognitive domains of brain functioning. Depending on the nature of the referral, a neuropsychological evaluation can take a minimum of three hours to much more than that depending on the nature of the referral question. Comprehensive neuropsychological evaluations are typically conducted in more than one session.
Neuropsychological Testing costs can range from $800 to $3500 and up, depending on the nature of the exam, length of testing, the needs of the individual, and insurance reimbursement rates. Please phone to discuss rates and fees. A sliding scale can be arranged based on economic hardship. I abide by the New York State HIPAA guidelines for protection of patients’ personal information and billing procedures.
I PARTICIPATE IN THE FOLLOWING PLANS
Empire Blue Cross/Blue Shield
Out of Network
NOTE: Insurance companies typically DO NOT reimburse for evaluations concerning Attention-Deficit/Hyperactivity Disorder and Learning Disabilities. Responsibility for full payment rests on the patient in these cases.
In cases involving out-of-network services, insurance companies may authorize neuropsychological and psychological testing, but they often DO NOT reimburse for the full evaluation or sometimes, they refuse to reimburse at all. Any amount not covered by insurance is the responsibility of the insured/patient and will be billed to you after or if I receive payment from the insurance company. When services are billed out of network a lower reimbursement rate is expected and therefore, greater financial demand is placed on the insured/patient.
Some plans may require pre-authorization. My billing service and I will make every effort to verify benefits and submit claims for you.
Psychotherapy services are offered for individuals with head injuries, stroke, and other neurologic injuries. While treatment needs are based on individual needs, common themes include interventions to promote compliance with medical recommendations, adjustment to illness, compensatory cognitive strategies, role re-evaluation, the formation of realistic expectations, impulse control, grief and loss, and other issues. A variety of theoretical frameworks are used to best match the needs of the individual.
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