Financial Policies of Portland APD
We appreciate your
choosing Portland Auditory Processing Diagnostics. APD testing
is typically recommended after long searches for other causes
have not proved helpful. We understand how important this
testing is to you and your family, and how it is tinged with
worry and concern. In the interests of full disclosure and no
unwanted surprises, this page will inform you about the costs
associated with Auditory Processing testing. We hope this page
is informative, but naturally, we would be happy to clarify
our financial policies further with you
personally.
Fees. The cost of a comprehensive
evaluation of Auditory Processing ranges from $995 to $1449
including a basic audiometric
(hearing) evaluation. Specific charges depend upon analysis
time needed. This can be discussed before the
evaluation. If you already have a copy of an audiogram done by
a licensed audiologist within three months of the APD testing,
the comprehensive price is discounted $100.00. In that case
the initial APD evaluation fee would range from $895 to $1349.
Insurance
Claims. Portland Auditory Processing Diagnostics
(Portland APD) is associated with some, BUT NOT
ALL, third-party payers or insurance plans. Portland APD
works with the Providence EPO and PPO plans, with Regence Blue
Cross/Blue Shield, First Choice Health PPO Network, Asuris, CIGNA, Greatwest, HealthNet of Oregon, LifeWise, Pacific Source, Premara, United Health Care-Pacific Care and Pacific Source. If you have an insurance
plan that does not have a relationship with
Portland APD, you will be responsible for the full
charges for the evaluation. Payment will be required
at time of testing. Portland APD will cooperate to furnish
documentation so that you can request reimbursement for evaluation charges. Please note
that Kaiser health plans, Oregon Health Plan or Columbia United Plan
(CUP) do NOT provide any reimbursement for Auditory Processing
Evaluations. Kaiser members are encouraged to look at the United Healthcare Children's Foundation for possible financial assistance.
Portland APD is
happy to provide you with a full receipt containing all
information necessary for you to submit the costs of the
testing to your third-party payer or insurance plan. If you
are planning to submit the bill to an insurance company or
third-party payer, it is advisable to obtain
pre-authorization. It may be necessary for you to provide the
insurance company or third-party payer with a doctor's
referral for the testing. You will be responsible for
procuring the referral if it is necessary.
Process:
-
Preliminary Case Review (via
telephone, up to 30 minutes). During this telephone call,
background history is collected.
-
Records Review. The evaluator
reads other pertinent records (IEP, etc.).
-
Interview with parent and child
before testing.
-
APD Testing. Two to three hours of
formal testing is done with a two-channel audiometer in a
sound-treated booth. Each child is different, and breaks are
taken according to the child's needs, so this period varies
with each individual. Evaluator and parents will have time
for a short discussion after testing is completed.
-
Report. Writing the formal report
takes at least three hours, often more. This report is
completed within one week of your child's testing.
-
Post-evaluation conference. The
report is explained and remediation planned.
-
Written report. A hard copy of the
report is sent to parents. (Parents may sign a release to
receive a copy of the report via e-mail, if they wish.)
On average, testing involves eight hours of
professional time per evaluation.
Payment. At this
time, Portland APD can only accept checks made out to Portland
APD as payment for services. A $75 fee for all
returned checks will be added to the billing. Reports cannot
be released until payment has occurred. Emergencies. Because
we are essentially scheduling a day's worth of professional
time to prepare, evaluate and report on your child Portland
APD requires a minimum of 24 hours notice if an unforeseen
emergency makes it necessary for you to cancel or reschedule
your appointment. Portland APD reserves the right to charge a
$100 cancellation fee for all no-show appointments or
appointments cancelled with less than 24 hours notice.
Other services. In some cases,
additional or other services may be appropriate for you and
your child. These services are listed below, and because they
are done apart from the initial Auditory Processing
Evaluation, they are billed separately. You will always be
clearly informed of these charges before they are provided to
you or your child.
For example, these services are not
considered part of the Initial Auditory Processing Evaluation
and will be charged at these separate rates:
-
Auditory
Processing Screening (for 5 to 7 year olds): $400.00
-
Rehabilitation services: $110.00 per hour visit
-
Records review (without testing): $160.00 per hour
-
School visits (on site): $150.00 per hour (including
travel time)
-
Case Management (Coordinating
interdisciplinary team): $100.00 per hour
-
Rush of Report
(2 business days): $100.00 Overnight report shipment $30 per
shipment per address
-
Additional telephone follow-up calls
(requested by patient or their family): $25 per call
-
LACE
listening program: $150 for four sessions.
Contact Dr. Polich or Portland APD:
825 NE 20th Avenue, #230
Portland, OR 92323
Office telephone: 503-806-1498
Office email: admin@portlandapd.com
Emergency telephone contact: 503-805-5350 |