
How do I make an appointment?
Call me at 914-505-6755 or email me at drbarriekrause@gmail.com. If you do not reach me directly, leave a message on my voice mail. I usually return calls within one business day. We will talk briefly on the phone to answer any initial questions you may have and to schedule a consultation appointment. I currently offer both in-person and remote teletherapy.
What does a consultation appointment look like?
The first one or two sessions are usually an evaluation period. During those sessions you and I will decide if we can work together to help you. We will identify the problems or concerns that you or your child are having and develop a plan to intervene. Evaluations with children will always include a parent meeting and depending on age, may include a play component. I will also ask you to complete some forms that will provide me with additional information on history and symptoms. If indicated, I will ask for your written consent to obtain information from any other relevant source. At the end of the evaluation period, we will decide if further intervention is needed and if so, we will have a treatment plan.
How long is a therapy appointment and how often do I come in?
Sessions are usually 45 minutes and most people are seen once a week at a designated time. Sometimes, twice a week sessions are indicated. Sessions are either in person or via teletherapy.
When is a neuropsychological or psychoeducational assessment indicated?
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An assessment is often indicated when a student exhibits slowed speed on academic tasks, failing grades, attentional difficulties, or processing difficulties despite attempts at remediation or informal accommodations. Students with a history of learning challenges or those experiencing social-emotional distress may also benefit from an assessment, Finally, in order to receive formal accommodations, such as extra time on standardized tests, an assessment and the accompanying report is needed. Reports need to be updated every 3-5 years in order to maintain accommodations.
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Do you accept insurance?
I do not accept insurance plans directly. My patients pay me a session fee at each session and at the end of the month I provide a billing statement with all the necessary information needed to submit directly to your insurance company. If you have an out-of-network benefit, you may get some reimbursement. You should contact your insurer to clarify your benefits and to determine if you require pre-authorization, even for an out-of-network service. In the case of a neuropsychological or psychoeducational assessment, insurance companies may require a pre-authorization, which I can help you complete. Please call me to discuss any questions you have about my fees.
What is the No Surprises Act?
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
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You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
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Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
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If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
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Make sure to save a copy or picture of your Good Faith Estimate.
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Is what I tell you confidential?
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Sessions are confidential as regulated by legal, professional, and ethical guidelines. There are some exceptions to confidentiality and the issues are different for children and adults. This will be addressed during the consultation appointment.
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How long does a neuropsychological assessment take?
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The initial intake session takes about an hour and can be done in person or remotely. Other professionals who work with the examinee (you or your child), such as school personnel, therapists, psychiatrists, etc. are consulted separately. Face to face testing takes between 6-9 hours and can be scheduled as one long day of testing or broken up into multiple sessions. Some activities can be administered remotely, if deemed appropriate. A feedback session to discuss the results takes about an hour as well. A written report will be completed within 3 weeks after the feedback session. You will be provided with a testing policy print out if you choose to move forward with an assessment, so that process is transparent.
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