Frequently Asked Questions

• If there is concern for Alzheimer’s Disease or other dementias
• To assess for possible mild cognitive impairment
• Following brain injury or stroke to understand areas of deficits and provide further rehabilitation recommendations

A neuropsychological evaluation involves an intake interview in addition to 2-3 hours of testing. The testing is mostly verbal and paper-and-pencil. Many people report the testing process is challenging, but also find it interesting. Peak Performance Neuropsychology offers evaluations to adults and older adults.

Dr. Roberts will work with you to develop an individualized plan based on scientifically proven lifestyle methods to help maintain brain health.

Peak Performance Neuropsychology does not contract with insurance companies.

We are an out-of-network provider. As a fee-for-service practice, patients are responsible for payments at the times of service. Our services may be eligible for full or partial reimbursement as part of your out-of-network benefits. To help facilitate out-of-network claims, Peak Performance Neuropsychology will provide you with a Super Bill which includes the necessary information to submit to an insurance company. To learn more about your out-of-network coverage for neuropsychological assessment, we recommend that you contact your insurance company and inquire about:

• What coverage is available for out-of-network providers for the specific diagnosis or diagnostic question (e.g., dementia, stroke, TBI).
  
• Whether there are limits on the number of hours for the assessment.
• The reasons for an assessment referral
• How much will you be reimbursed per hour of assessment.

Common CPT (procedure) codes associated with a neuropsychological assessment include:

96116 – Neurobehavioral status exam by QHP (1 hour)

96121 – Each additional 30 minutes (1 hour)

96132 – Neuropsychological Testing Evaluation Services by QHP (1 hour)

96133 – Each additional hour (1 hour)

96136 – Psychological/neuropsychological test administration/scoring by QHP (30 min)

96137 – Each additional 30 minutes (30 min)

Common CPT codes associated Brain Health Consultations include:

90791 – Psychiatric Diagnostic Evaluation

90834 – Psychotherapy 30 minutes

90834 – Psychotherapy 45 minutes

90837 – Psychotherapy 60 minutes

What are some benefits of using a private pay provider?

• There is frequently a shorter wait to be seen. Organizations that take insurance often have waitlists of 6 months or more.
• Receive more personalized care and individualized recommendations that are not templated.
• The evaluation is not compromised by insurance reimbursement limits.
• The evaluator has access to the best, most recently updated measures.
• Increased control over the experience. Decisions about care are not managed by the insurance company.
• You will not have to accept an evaluator who may not have the expertise to match your questions and concerns.
• Increased privacy – results will not be shared with insurance companies or anyone else (unless you request it).​

What is a Good Faith Estimate?

You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have a right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Make sure your health provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.