We are an independent healthcare provider and are only in network with Blue Cross Blue Shield and Medicare. We work closely with an outside billing & insurance specialist who can explain our billing/insurance policies to you, help you understand your medical insurance coverage, and try to predict the level of insurance support you could expect to receive.
As a courtesy, we will file a claim containing the applicable diagnostic and service codes with your insurance company. Please note that reimbursement remains at the sole discretion of insurance carriers and we cannot predict or take any responsibility for these decisions. For further information, please contact our outside billing & insurance specialist (Ms. Meg Krantz) at 410-798-1033.
General Information About Our Fees
There is no set fee for a given evaluation because each assessment is dependent on a patient's needs and unique situation. We bill at an hourly rate and the total cost includes time spent on preparation, clinical planning and decisionmaking, in-person testing and consultation, collateral contacts (e.g., with parents, teachers, partners, referring physicians, etc.), test scoring and analysis, and report writing. An in-person or online feedback session with one of our doctors to go over the final report is billed separately.
Early in 2022, the No Surprises Act codiefied the right to receive a "Good Faith Estimate" explaining how much medical care will cost. We fully support the aspirations of this legislation, but the presiding agencies have not yet clarified how we are expected to interpret and implement related requirements. However, we always clearly state our fees and provide an estimate of cost prior to initiating services. Please feel free to ask us for as much detail and/or explanation as you would like in this regard.
Factors That May Affect Insurance Coverage
Neuropsychological testing often consists of both educational and neuropsychological testing. Please keep in mind that even if your insurance company covers the cost of neuropsychological testing, educational testing is rarely covered.
Most insurance companies will only cover neuropsychological testing if it is medically necessary to make a diagnosis.
It is important for the referring clinician to highlight any relevant medical issues in the referral form. These can include issues such as a head injury, premature birth, stroke, epilepsy, congenital abnormalities, head trauma, memory problems, and any relevant medical diagnosis.
Ekdom Neuropsychology Group 3040 Williams Drive Suite 402 Fairfax, VA 22031