- How do I contact you?
You can find our contact information on our contact page.
- What are your Covid policies?
Safety of patients and staff is NCMA’s top priority. We have waived fees when appointment cancellations are due to Covid-19 so as to not penalize people due to unexpected circumstances related to the pandemic. Our waiting room is closed, except by prior arrangement. If relevant, please call our office to coordinate waiting room space prior to your appointment. Once scheduled, your provider will contact you before your appointment to review a comprehensive list of Covid-19 related questions. We require that you call if anything changes between the time of providing this information and your appointment, and we also will contact you if anything changes on our end. You must wear a mask inside our clinics until directed otherwise.
When you arrive at either clinic location, please call 207-594-2952 to give notice of your arrival and wait in your car until a staff member comes outside to greet you. Leave a message if your call goes to voicemail, and someone should be with you very shortly. If nobody comes out within 5 minutes of leaving a voicemail, do please call again. Our staff member will be wearing a mask when she comes out. You need to wear a mask- covering nose and mouth) to exit your vehicle. At this time, if you do not have a mask that meets our clinic standards, or if you prefer to use one of our masks, we will provide one of our masks (surgical or gir.co). Acceptable masks are N95, KN94, KF94, surgical or tightly woven and well-fitted cloth. We also will review Covid-19 screening questions to determine if there have been any changes. If no changes have occurred, we will lead you into the building. You will be given your own office space for the duration of the appointment. This space is sanitized between patients; there are no more than two patients per day, and most often only one patient per day) and there is a powerful air filter in the room. You may remove your mask only in this office and only when directed by a staff member. You will complete your appointment in that office with minimal contact from staff, who will wear a mask when in the same room/area as you and generally in all common areas. Video conferencing is used in our Covid set up, so please contact us if you struggle with screen-time or have general testing questions. You also can contact us if you are worried about how this set up might impact the usefulness of your test results.
Please be honest with your symptoms and recent exposures; NCMA staff will also tell you if we have symptoms or recent exposures so that you can decide if you feel safe coming in person to the clinic. We will find another time to see you if needed and you will not be penalized for needing to reschedule due to Covid-19.
- What insurances do you take?
NCMA does not directly take insurance other than standard Medicare and Worker’s Compensation. Medicare replacement plans (Medicare-type insurance through Anthem, Aetna, AARP, etc.) are not processed by us. If you have standard Medicare and a secondary insurance, the cost of services are typically fully covered. Workers Compensation insurance will typically fully cover your services if approved in advance by your adjuster. If you have a Medicare replacement plan or other commercial insurance plan (e.g., through Anthem, Aetna, CIGNA etc.), you will pay Out of Pocket (OOP) at the time of services, and if you would like, we will provide you with a statement so that you can submit it to your insurer for reimbursement. We also will provide codes to you so that you can check with your insurer about coverage prior to the date of your services. Because we are Out-of-Network, we have no ability to ensure that you will be reimbursed by your insurance company at all, or if so, by how much, nor can we ensure that they will give you accurate information about your potential coverage.
- How do I schedule an appointment?
We require clinical information to be able to schedule the specific type of testing that will be needed and to know how much time this service will take. Neuropsychological assessment, psychological assessment, and concussion management are not one-size-fits-all services. It is not like having an x-ray or brain scan; we need to know the areas of concern before determining the scope of your evaluation services. If your services are related to injury, we need to know how long ago the injury occurred. This information most often comes from a referral from a current provider. A provider at NCMA will review the referral and clinical information, and then advise as to scheduling and an associated estimate of cost. If you do not have a referral, it is more difficult to get an accurate estimate, but we can still schedule your services if you provide us with some clinical information. You can do this in several ways. You can call the office and relay that information to our administrative staff, you may use the “contact us” button on the website and provide some detail there; this is sent securely to the administrative staff and to Dr. Bryant. Finally, you can fill out your own Referral Form on our website. We will then contact you to discuss your services.
- How do I pay for my appointment?
NCMA accepts checks and all major credit/debit cards; cards are preferred at this time due to Covid-19. We do not participate with insurances other than medicare and workers’ compensation; therefore, payment is required at the time of services. Once services are complete, we will reconcile the estimate you paid with the actual time used, and you may receive a balance bill for an amount due or a refund for any overpayment. At that time we also provide you with a statement. This statement can be used to submit to your insurance company for reimbursement, but whether and to what extent your insurance company will reimburse is between you and your insurance company.
- Will you coordinate with my insurance company?
We do not have a contract with your company; you as the subscriber have the contract with your company. Therefore, with the exception of standard Medicare and Workers Compensation, we do not coordinate services with your insurance company, and therefore do not fill out prior authorizations, one-time-agreements, or other insurance paperwork. It is your responsibility to contact your insurance company to understand your Out-of-Network (OON) benefits and reimbursement rate.
We will provide you with the codes that will be used along with an estimate of how many units of each code is anticipated to be needed for your services. This information will hopefully assist you in getting accurate information from your insurer regarding any reimbursement.
You should always ask your insurer if there is a cap on the number of units that can be reimbursed and if there is a required prior authorization process. If there is a required prior authorization process, you will need to have your referring or primary care provider complete that for you. You also should ask about the process for being reimbursed; for example, is there a form for you to fill out to submit to your insurer along with the statement that we can provide to you.
- Can you explain your estimate-statement-insurance process?
Neuropsychological service codes are structured based on time required for all aspects of the service— record reviewing, interviewing, testing, scoring, analyzing, and communicating results by writing and/or discussion. One of our providers will review the clinical information in your referral and decide how much time your services are anticipated to require.You will be charged for this estimated amount at the time of your appointment or prior to it. Once all components of your case are complete, we will send a statement to you that documents how the time was used, and how much it actually cost. If less time was needed than expected, we will refund you that amount. If more time was required than expected, we will bill you for the remaining balance. We try to make tailored and accurate estimates to prevent this from happening, but it does happen for various reasons from time to time. Sometimes this is due to needing to add tests due to what we learn about you as we go through the evaluation process. Sometimes, for various reasons the pacing of completing tests or going through interview is lengthier than anticipated. When the time required is greater than anticipated, you are responsible for the remaining balance. Once you have your statement, you can submit it to your insurance company for reimbursement per their guidelines. We will do our best to keep you informed if it appears likely that the final cost is going to exceed the estimate, particularly if you request that we do this.
- Why don’t you take most insurances?
Unfortunately, it comes down to what is manageable for our small practice. We would like to provide services to everyone without regard to payment issues, but we have learned that it is simply not possible for a practice of our size. Historically, we participated with multiple insurances and with Mainecare, but it was too much to coordinate administratively while maintaining our high service standards. Essentially, we found it unsustainable as our staff was stretched beyond their limits. However, we do continue to provide a reduced fee level for Mainecare recipients.
- What does my appointment include?
Generally speaking, appointments include interview(s), where your provider discusses why you are being seen along with pertinent history; testing, where you meet individually (currently generally via video due to Covid 19) with a testing assistant or your provider to complete cognitive and/or psychological testing (depending on the type of services you are having; and in clinical cases, at a later date (sometimes same day), discussion of test findings, where you receive your results and your provider’s interpretation of testing along with any diagnoses and relevant recommendations. After your appointment, a report detailing your services will be sent to you. You are able to share this report with any of your other providers who might want to see it. For more information about the specific types of services we provide, please refer to Neuropsychological Services, Concussion Management, Legal Consultation or Wellness.
- What is testing like?
While varied, testing typically consists of your provider and/or a testing assistant asking you questions and having you complete paper and pencil tasks, puzzles, computer tasks, and questionnaires that ask about symptoms, mood and behavior. Sometimes we may test academic skills such as reading and math. As needed, we will test vestibular and visual functions (e.g., balance, coordination of head movement and eye movement, visual tracking, etc.). Testing is not medically invasive (no needles, etc.) but it does require your active participation throughout. Testing will ask you to flex your thinking skills and it is important that you give your best effort so that we can get the most accurate and applicable results possible. Breaks are offered as needed, including time for a lunch break if your appointment spans the lunch hour. If we propose a lengthy appointment to meet your evaluation needs and you feel that you may need to have shorter appointments, please ask us about that during the scheduling process. You can find. more information about testing under the Neuropsychological Testing link on the NCMA website.
- Who will get my report?
Except in certain circumstances, which are detailed in our consent and agreement forms, we are only able to release your report and/or records with your permission/authorization. In most, but not all situations, (again detailed in the consent and agreement forms), you will receive a copy of the completed report and, with your permission, we will send a copy to your referring provider as well. Once you have your report, you are welcome to share it with any and all providers, or others, as you wish. In fact, it is recommended that you share your report with any providers involved in your care as that generally facilitates the best coordination of care and best outcome for you. In workers’ compensation cases, your report (along with a work note) is also sent to your adjuster and case manager. If it is your child who received services and you need a specific note for school, we will provide this to you along with the full report so that you can share it with the school. It is in certain legal situations that you may not receive a copy of your report, (e.g., a section 312 exam or an examination completed through State Forensic Services).
- Does NCMA do forensic neuropsychological evaluations?
NCMA is accepting legal referrals, including civil capacity questions, IMEs, medical malpractice cases, and juvenile criminal forensic cases. Dr. Bryant provides neuropsychological section 312 exams, and Dr. Gleeson is accepting referrals for section 207 exams as well as FAA exams. Please contact our office with case information. We will then coordinate retainer, medical records, and examinee scheduling. While most forensic cases will be considered, we do not provide forensic evaluation for child custody/parental capacity.