Robert D. Smith, PhD
Testing & Treatment for Children & Adults
© Robert D. Smith, PhD
Made with Xara
Dyslexia, ADHD, Learning Disabilities, Therapy
35 years experience
serving mid-Michigan
PAYMENT & INSURANCE REIMBURSEMENT
Dr. Smith does not bill or participate with insurance companies. Participation with insurance companies usually restricts the nature of evaluations that
can be performed. Consequently, Dr. Smith does not participate with insurance companies nor submit billing statements to insurance companies. However,
most insurance companies allow you to consult non participating providers and submit a billing statement for reimbursement. Many insurance carriers
reimburse the cost for part or all of evaluation services, even from non-participating providers. Please check with your insurance company prior to the
appointments to determine reimbursement.
Payment is expected on the day of service. Dr. Smith will provide you with an itemized statement with applicable procedure and diagnostic codes needed
for you to submit a claim to your insurance company.
The following methods of payment are accepted:
Visa
MasterCard
American Express
Discover
Check
Cash
Procedure codes are listed in each service description (in the description of services page) to assist you when you check with your insurance about coverage.
Insurance company reimbursement is based on the number of hours (units) of each applicable procedure code. This usually involves one hour (unit) of Intake
Interview (90801) and 8 hours (units) of Neuropsychological Testing (96118), though this may vary depending on the needs of a particular evaluation. Below
is also a separate list of some of the most common procedure and diagnostic codes that may be applicable in your evaluation. Contact your insurance
company to acquire accurate information concerning what is covered and the amounts covered.
You need two different pieces of information when talking to your insurance policy about coverage. The Procedure Codes and Diagnostic code are needed
when discussing this with your insurance.
Procedure Codes:
90801 for the Intake interview
96118 for Neuropsychological Testing.
96101 for Psychological Testing
(Sometimes the specific circumstances of the case call for a different testing procedure code 96101 for Psychological Testing instead of 96118).
Diagnostic Codes. We cannot know which diagnostic code will be used before we meet with your for the diagnostic interview. The interview is used to review
your case and determine what the diagnoses that should be considered.
The most common diagnostic codes are 315.00 for Reading Disorder (dyslexia) and 314.00 for ADHD. Other diagnostic codes may apply.