Please fax the written authorization from the claims’ adjuster for the service being requested to (866) 437-0375, along with patient demographics and available medical records. The following describe the verbiage that should be used in the authorization letter.
“Psychological Consultation” describes an initial evaluation with psychological testing for the purpose of diagnostic clarification or treatment planning. Pre-surgical psychological evaluations also qualify as consultations. Consultations may lead to a treatment relationship with the patient, should the results of the evaluation determine that the patient is an appropriate candidate for therapy. Opinions regarding causation and permanent disability will not be addressed if the doctor is a secondary treater.
“Neuropsychological Consultation” includes full cognitive and psychological testing for the purpose of diagnostic clarification or treatment planning. Consultations may lead to a treatment relationship with the patient, should the results of the evaluation determine that the patient is an appropriate candidate for therapy. Opinions regarding causation and permanent disability will not be addressed if the doctor is a secondary treater.
“Medical-Legal Neuropsychological Evaluation” if there purpose of the evaluation is to determine causation and impairment ratings for the claimant’s cognitive and/or psychological symptom. Since neuropsychology is no longer considered a QME subspecialty, requesting specific authorization for a “medical-legal neuropsychological evaluation” is recommended when med-legal opinions are needed.
“Psychological consultation + six sessions CBT” is recommended to expedite the process of approving therapy sessions. At PNBC, we require initial psychological evaluations of all patients prior to seeing them for therapy, to determine an accurate diagnosis and treatment plan, as well as assess whether the patient is an appropriate candidate for therapy.