Frequently Asked Questions

 

1. How have your services changed due to COVID-19?


Due to the potential health risks posed with COVID-19, a greater sense of flexibility is required in order to ensure everyone’s safety. At this time, I am only scheduling therapy via a HIPAA-compliant Telehealth video conference. For diagnostic evaluations, all intake and feedback appointments will take place via a HIPAA-compliant telehealth video conference or via phone. In many instances, I may be able to gain valuable information by evaluating your child through Telehealth testing and observations. In other cases, it may be clinically necessary to meet in person for the testing portion of the evaluation process. It is also possible to do a hybrid model of both telehealth and in-person testing. We will discuss which options will be best for your child.

 

I will only have one in-office visit per day to allow sufficient time for thoroughly sanitizing surfaces and assessment material. Clients will be asked to wash their hands when they arrive, halfway through testing, and at the end of testing. Hand sanitizer will also be available throughout the appointment.

 

Whenever possible, we will maintain social distancing by keeping at least 6 feet between us. Masks are required for the duration of most in-person appointments. Plenty of breaks will be available, including the option of taking “mask breaks” outside. If you believe your child will not be able to tolerate wearing a mask for the duration of the testing appointments, please discuss this with me during the intake appointment so we can make other arrangements.

 

While I typically have a 48-hour cancellation policy, this policy does not apply if you begin to display COVID-19 or other cold/flu symptoms.

2. What does an evaluation look like?
 

Evaluations are customized based on your child’s needs. Prior to beginning the evaluation, I will meet with parents for an initial 60- to 90-minute intake interview where we will discuss your child’s developmental, psycho-social, and medical history, as well as have an in-depth discussion about your current concerns and reason for seeking a diagnostic evaluation. At the end of the initial intake, I will have a better picture of how to best serve your child and your family. We will then discuss an estimated amount of time for the entire evaluation and I will be able to provide you with an estimated cost.

 

After the initial intake, we can schedule a testing appointment for your child. The amount of time spent testing depends on your child’s age, your present concerns, and your child’s assessment needs. Typically, testing can range from 2 to 6 hours. In order to attempt to reduce the risks that COVID-19 brings, we will likely complete all in-person testing on one day. Parent and teacher questionnaires will also be sent via email for you to complete.

 

After the testing and observations are complete and all parent and teacher questionnaires have been returned, we will schedule a feedback appointment 2 to 4 weeks out from that date. I will spend this time scoring the assessments, interpreting the results, and writing your integrated report. At the feedback appointment, we will review your child’s individualized report which outlines the relevant background information, testing, and most importantly, the clinical conclusions and recommendations.

3. What types of therapy do you provide?


I provide both individual therapy for school-aged children and parent coaching therapy services. To achieve the best possible outcome for your child, it is usually necessary for parents to take an active role so that positive changes may occur. This means that at different times therapy sessions may involve meeting with the parents alone, the child alone, or the entire family together.

 

While I draw on various therapeutic techniques depending on each client’s needs, I primarily use a cognitive-behavioral approach in my conceptualization and treatment throughout therapy. This approach involves examining the connections between your child’s thoughts, emotions, and behavior, and how this impacts their experiences. This helps determine where to intervene in order to improve your child’s quality of life across various settings. I also place a strong importance on building up your child’s strengths throughout the therapeutic process.

 

4. How do I schedule an intake appointment?


Both diagnostic evaluations and therapy require an initial 60- to 90-minute intake appointment so that we can review all relevant history and get an in-depth picture of your current concerns. Please complete the Contact Me form to schedule an intake appointment.

5. How long is your waitlist?


I am currently scheduling intakes for diagnostic evaluations within about a 2- to 4-week period. I have limited availability for therapy and because therapy is individualized for each client, the length of therapy depends on many different factors. Please contact me to get an up-to-date timeframe for individual therapy.

6. Do you take insurance?


I am not contracted with any insurance companies due to the limitations and restrictions insurance companies place on psychological services, in particular diagnostic evaluations. As a result, I am able to use a collaborative process to determine the best care for your child. However, I provide an itemized invoice for all diagnostic evaluations and therapy services for you to submit to your insurance provider for possible reimbursement. Please see below for a list of questions to ask your insurance provider to determine your out of network coverage.

7. What questions should I ask my insurance company to see if I have out of network benefits?


While I do not directly bill insurance companies for my services, many clients are able to receive reimbursement of my services using their Out of Network benefits. Please contact your insurance company and ask them the following questions. If your insurance company would like to know my NPI number, possible diagnostic codes, or any additional information, please contact me directly.

 

These questions are also available in an editable Word document (click to download) for you to use during your call to your insurance company.

 

For Diagnostic Evaluations:

  • Do I have Out of Network coverage? What are my Out of Network benefits?

  • What is my deductible? After I meet my deductible, what percentage of the visit cost will I be reimbursed for?

  • For the following CPT codes (the 5-digit numbers below): How much can I be reimbursed? Is there a limit to the number of units I can be reimbursed for? Do I have Telehealth benefits, with location 2 and modifier GT/95?

    • 90791 (intake appointment)

    • 96136 and 96137 (psychological test administration and scoring codes)

    • 96130 and 96131 (psychological evaluation services, including interpretation, report writing, and feedback appointment)

    • 96132 and 96133 (neuropsychological evaluation services, including interpretation, report writing, and feedback appointment)

 

For Therapy:

  • Do I have Out of Network coverage? What are my Out of Network benefits?

  • What is my deductible? After I meet my deductible, what percentage of the visit cost will I be reimbursed for?

  • For the following CPT codes (the 5-digit numbers below): How much can I be reimbursed? Is there a limit to the number of units I can be reimbursed for per year? Do I have Telehealth benefits, with location 2 and modifier GT/95?

    • 90791 (intake appointment)

    • 90832 (individual therapy, 16-37 minutes)

    • 90834 (individual therapy, 38-52 minutes)

    • 90837 (individual therapy, 53 minutes and over)

    • 90846 (family therapy without the patient present, 50 minutes)

    • 90847 (family therapy with patient present, 50 minutes)

If you have any additional questions, please feel free to contact me. I look forward to answering your questions!

Office Location:

7222 Linden Avenue N

Suite A

Seattle, WA 98103

Phone: 206-627-0033

Fax: 206-428-6102

©2020 by Taja Estrada, PhD, PLLC