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Testing - Frequently Asked Questions
Is testing covered by my insurance?
Testing is a covered service, but your financial responsibility depends on your insurance plan and the extent to which a co-pay, coinsurance, or deductible may apply.
It is the client's responsibility to verify coverage for testing. The best way to do this is to call the number on the back of your insurance card.
They will ask for CPT/Procedure Codes. Provide them with these:
90791, 96136, 96137, 96130, 96131
If they ask for a diagnosis code, provide them with the following:
*F90.2 (ADHD)
*F84.0 (Autism)
Is pre-authorization required?
Currently, United/Optum is the only insurance company that requires pre-authorization. This is submitted by a provider once all of your information has been obtained.
I heard that testing takes 5-6 hours or more. Is that true?
Some providers/practices complete everything within one day. However, Dr. Knight feels as though this can be highly stressful for clients. As such, the process is broken down into smaller, more manageable parts. A virtual clinical interview is conducted first, followed by an in office appointment for testing. Rating scales are sent and completed electronically.
When/how will I get my results?
Within 5 weeks from the date of testing, Dr. Knight will compile all data/information into a comprehensive written report. This will be provided to you and, after you have a chance to review it, another virtual meeting will be scheduled to review the results with you.
Can I practice for the tests?
No. The assessments are composed of novel tasks that measure a variety of cognitive processes. The best thing that you can do to prepare is get a good night's sleep, eat breakfast, and have a positive mindset.
What if I don't agree with the results/diagnosis?
The diagnoses provided are derived from all available data and information. Participating in testing DOES NOT guarantee a specific diagnosis. Further, the results of the evaluation may suggest a diagnosis that is surprising to the client. Clients are always free to seek a second opinion at their expense.
Do you offer payment plans?
No. Account balances must be paid in full before the report is released to the client.
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