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  • Neuropsychological Testing Request Form - Providers Amerigroup

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Https://providers.amerigroup.com Request for Authorization Neuropsychological Testing Please complete and save form prior to uploading to https://providers.amerigroup.com. General information Member.

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Clients generally request neuropsychological assessments when individuals are experiencing negative effects after Mild Traumatic Brain Injuries (mTBIs). Common mTBIs include: Losing consciousness for less than 30 minutes.

Referral for neuropsychological assessment is appropriate whenever there is doubt about an individual's cognitive functioning. Areas of concern may include: Short-term and long-term memory. Ability to learn new skills and solve problems. Attention, concentration, and distractibility.

Neuropsychological assessment is a performance-based method to assess cognitive functioning. This method is used to examine the cognitive consequences of brain damage, brain disease, and severe mental illness.

Neuropsychological evaluation can be useful in determining decision-making capacity in persons with cognitive impairment. Neuropsychological evaluation can identify cognitive deficits, predict functional outcomes, and monitor patient recovery after traumatic brain injury.

The objective of neuropsychological assessment is to identify the disturbed psychological domain/process/ component, which could be giving rise to the behavioural disruption.

Neuropsychological testing reveals the functional status of the different brain networks, and the neuropsychologist can explain how this status would effect an individual in daily life situations, diagnose a condition if appropriate, and make recommendations for intervention and/or accommodation for any problem areas.

Psychological and neuropsychological testing and assessment have their own codes. Certain assessments are billed separately, such as testing for aphasia. Medicare covers psychological testing and neuropsychological testing whether it is administered by the professional, by a technician or by a computer.

Neuropsychology assessments typically include: Tests of intellectual functioning, attention, learning and memory, reasoning and problem-solving, visuospatial skills, and language, as well as mood and personality.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232