Fees, Payment & Insurance

Fees

Fees per session are dependent upon the clinician and services provided.

In terms of therapy, we hold two psychiatric diagnostic interview sessions (a 60 minute session and a 45 minute session) for children, adolescents, and young adults. We typically meet with parents first for children under the age of 14. Following intakes, patients will begin weekly therapy if indicated. Payment is due in full at the time of service. At times, we provide services on a sliding fee scale upon request/need.

In terms of testing, after the initial two psychiatric diagnostic interviews (if you are a new patient), we will help you obtain preauthorization if necessary from your insurance company. Testing is billed for both face-to-face testing time, as well as, time for scoring, interpretation, and report writing. In terms of testing, we ask that you pay 50% of the estimate at the first testing session and the remainder at the feedback session.

Payment

We accept cash, check, or credit/debit cards, although checks are preferred. Cards that we accept include American Express, Discover, Mastercard, or Visa. We also accept payment through a health savings account credit card. Payment is due at the end of each session and a statement is provided for you to submit to your insurance company for potential reimbursement. 

Insurance

Like most private practices in the Tri-state Area, Compass Psychological Services, LLC, is an out-of-network provider and does not accept insurance. However, if you receive out-of-network benefits, you may be eligible for direct reimbursement upon submitting the necessary information to your insurance company. Prior to making an appointment, we encourage all patients to directly contact their insurance provider about your out-of-network benefits as each insurance company has different procedures and reimbursement rates. In terms of testing, we will help patients obtain prior authorization if necessary.

Therapy Coverage:

  • Call your insurance company (ask for the behavioral health or mental health department), and tell them you will be taking your child to an out of network provider for a psychiatric diagnostic interview and therapy.
  • It is useful to get a reference number for your call.
  • We suggest that you ask them the following:
    1. Do I have any out-of network benefits?
    2. Do I have a deductible I need to meet and what is it? How much have I met already?
    3. Will I get reimbursed for telehealth sessions? Will the reimbursement be different?
    4. What will I get reimbursed at an hourly rate for the codes, CPT 90791 and 90834? (CPT 90791 is the code for the first two diagnostic visits and CPT 90834 is the code for therapy sessions).
      • If they say, for example, they will cover 80% of what is customary and reasonable after the deductible is met, ask what is customary and reasonable for each of those CPT codes or if our practice’s prices fall in the range.
      • They typically ask for a zip code for this information. Use our practice’s zip code which is 07701.
    5. How do I submit out-of-network statements?

Testing Coverage:

  • Call your insurance company (ask for the behavioral health or mental health department), and tell them that your child will be going to an out-of-network clinician for testing for diagnostic clarification.
  • Please get a reference number for your call.
  • We suggest that you ask them the following:
    1. Do I have any out-of-network benefits?
    2. Do I have a deductible I need to meet and what is it? How much have I met already?
    3. Do I need preauthorization for psychological and/or neuropsychological testing?
      • If you need preauthorization, please have them email you the form or find out the website where we can obtain it. Your clinician will also need a copy of your insurance card and will submit for preauthorization as soon as the screening measures and intake appointments are completed.
    4. Find out whether preauthorization is required for any of these codes and if they are covered:
      • CPT 96130
      • CPT 96131
      • CPT 96132
      • CPT 96133
      • CPT 96136
      • CPT 96137
      • CPT 96146 
    5. What will I get reimbursed at an hourly rate for the codes above?
      • If they say, for example, they will cover 80% of what is customary and reasonable after the deductible is met, ask what is customary and reasonable for each of those CPT codes.
      • They typically ask for a zip code for this information, use our practice’s zip code which is 07701.
    6. How do I submit for reimbursement?

Please contact our office at info@compasspsychnj.com or fill out our Contact Form for any additional questions or concerns about fees, payment, or insurance coverage.