FAQ
FREQUENTLY ASKED QUESTIONS
Click on a topic for more information.
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Fees - Cognitive Screenings
- The total cost of a Cognitive Screening evaluation is $750. No hidden costs - this fee covers all components of the evaluation including clinical interview, testing, data analysis, report writing, and feedback. You will also be provided with a written report that details your results.
- A $500 deposit is required to schedule your evaluation. The deposit will be applied toward the total cost of the evaluation.
- If desired, a superbill will be provided for you to seek direct reimbursement from your insurance company.
- The total cost of the evaluation is due at the time of your evaluation. Payment can be made via cash, check, or credit card.
- Fees cover the rendering of services and do not guarantee the provision of a desired outcome or diagnosis.
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Fees - Comprehensive Evaluations
- Comprehensive Evaluations are billed at $156.25/hour for 8 hours.
- The total cost of comprehensive evaluations (including Baseline, Repeat/Follow-up, and Dementia evaluations) is $1,250. No hidden costs - this fee covers all components of the evaluation including clinical interview, testing, data analysis, report writing, and feedback. You will also be provided with a written report that details your results.
- We use a half-down/half at testing payment schedule. That is, a $625 deposit is required to schedule your evaluation. The deposit will be applied toward the total cost of the evaluation. The remaining $625 is due at the time of your evaluation.
- If desired, a superbill will be provided for you to seek direct reimbursement from your insurance company.
- Payment can be made via cash, check, or credit card.
- Fees cover the rendering of services and do not guarantee the provision of a desired outcome or diagnosis.
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Can I use insurance?
- Carolina Cognition Center is out of network with all insurance providers. We are an independent, fee for service practice, meaning you are responsible for the total cost of your evaluation prior to the rendering of services.
- Despite our out of network status, you might still be eligible for reimbursement via your insurance company. You will be provided with a superbill at your feedback session, which acts as a receipt for rendered services. You may submit this superbill to your insurance company as means of requesting reimbursement. Carolina Cognition Center makes no guarantees regarding your insurance company’s reimbursement decision.
- It is recommended that you speak to your insurance company prior to scheduling an evaluation if you are planning to submit a superbill to request reimbursement.
- Need help requesting reimbursement? We recommend using Reimbursify - an online resource designed to maximize your out of network benefits. Visit reimbursify.com for more information.
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What is a superbill?
- Put simply, a superbill is like a receipt of services rendered during a private pay service.
- You can submit a superbill to your insurance company as means of requesting direct reimbursement. This can help defray the cost of an out of network service.
- Want more information? Check out thesuperbill.com for superbill explanations and resources.
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Why fee for service?
- Quite simply, insurance companies are making it increasingly difficult to do our jobs the right way.
- Get the right evaluation the first time! Private pay means we do not have to accept insurance-based limitations on tests or duration of the evaluation.
- Work one-on-one with Dr. Hurley throughout your entire evaluation! Many insurance-based clinics limit your face-to-face time with the doctor in order to maximize their billable hours; this often results in more than half of the evaluation being conducted by a student, trainee, or technician.
- Private pay allows Carolina Cognition Center to operate as a one client per day clinic. This ensures complete attention to detail and quick turnaround times on reports/results. Many insurance-based clinics take 3-6 weeks to provide results.
- The ability to keep your results private. Private pay means you have no obligation to provide the results of your evaluation to your insurance company. Please note that insurance companies require an evaluation result/diagnosis to process a superbill request.
- No hidden costs.
- You pick your provider - no network-based limitations on which provider you can see.
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How to ask your insurance company about reimbursement
- Call your insurance company's member services line.
- Tell them you want to know if you will receive reimbursement for an out of network neuropsychological evaluation. Tell them you will receive a superbill at the completion of the evaluation.
- For comprehensive evaluations: Give them CPT codes 90791, 96132, 96133 (3 units), 96136, and 96137 (4 units) - these are the codes for the work associated with a neuropsychological evaluation.
- For screening evaluations: Give them CPT codes 90791, 96132, 96136, and 96137 (1 unit).
- Need help requesting reimbursement? We recommend using Reimbursify - an online resource designed to maximize your out of network benefits. Visit reimbursify.com for more information.
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I need help requesting reimbursement from my insurance company
- Need help requesting reimbursement? We recommend using Reimbursify - an online resource designed to maximize your out of network benefits. Visit reimbursify.com for more information.
- Your first service with Reimbursify is free!
- Carolina Cognition Center has no affiliation with Reimbursify, and receives no compensation if you utilize their services.
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How to submit a Medicare claim
- Medicare Part B covers an annual specialist visit to "fully review your cognitive function, establish or confirm a diagnosis like dementia or Alzheimer's disease, and establish a care plan" (read more at: Medicare Cognitive Assessments).
- We encourage all clients to contact Medicare prior to scheduling an evaluation to determine what reimbursement they might qualify for.
- You may submit your superbill to Medicare to request direct reimbursement.
- For instructions on how to file a Medicare claim, click the following link: Medicare Claim Instructions.
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I don't know which service to schedule!
- Don't worry, Dr. Hurley will assess the appropriate level of service during your appointment!
- You can always start by choosing a Cognitive Screening. That secures your desired appointment date and time.
- If you choose a more comprehensive evaluation but only require a screening, we will reimburse that portion of cost.
- We'll never run a more comprehensive evaluation without your express consent - no surprise costs!
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Cancellation Policy
- Given our one client per day philosophy, a strict cancellation policy is necessary.
- If you cancel/re-schedule more than 24 hours prior to your appointment, your deposit will be applied toward one rescheduled appointment.
- If you cancel/re-schedule a second time, you will forfeit your original deposit to cover lost clinic time/revenue.
- If you cancel less than 24 hours prior to your appointment, you will forfeit your deposit. Should you desire to reschedule, a new deposit will be required. The original forfeited deposit will not apply toward the total cost of a future evaluation.
- Thank you for your understanding and cooperation with this cancellation policy, as it helps to ensure timely delivery of services for all clients and families.
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Good Faith Estimate
- As of January 1, 2022, Section 2799B-6 of the Public Health Service Act requires state-licensed or certified health care providers to provide a Good Faith Estimate of healthcare charges to every new and continuing client who is either uninsured or is not planning to submit a claim to their insurance for healthcare services.
- Under the law, health care providers need to give clients who don’t have insurance or who are not using insurance an estimate of the total cost for their desired medical services and equipment.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- For questions or more information about your rights to a Good Faith Estimate, visit www.cms.gov/nosurprises.
- At Carolina Cognition Center, our flat fee model prevents hidden fees.
