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NeuroStar - Psychiatric Consultants of Wichita

NeuroStar TMS Therapy®

NeuroStar TMS Therapy® is used to reduce the symptoms of medication resistant major depressive disorder. TMS stands for “Transcranial Magnetic Stimulation”. In NeuroStar TMS Therapy, TMS is delivered by the NeuroStar TMS System as powerful magnetic field pulses. NeuroStar TMS Therapy has been shown to be safe and effective in the treatment of adult patients with depression who have failed to receive satisfactory improvement from 4 prior antidepressant medications in the current episode.

NeuroStar TMS Therapy® is performed in the doctor’s office under Dr. Paul Murphy care. The treatment is noninvasive and non-systemic which means that it does not involve surgery and does not circulate in the blood stream throughout the body. Treatment with NeuroStar TMS Therapy does not involve anesthesia or sedation, and patients are awake and alert during the treatment session. A typical treatment course consists of 5 treatments per week over about 6 weeks for a total of 36 separate treatment sessions. Each treatment session lasts 19 to 30 minutes. You should discuss the number of treatments and treatment schedule with Dr. Murphy.

NeuroStar TMS Therapy is not an appropriate treatment for all patients with depression. You should call 316-636-2888 to make an appointment to discuss the information with your Dr. Murphy or his medical staff to determine if NeuroStar TMS Therapy is an appropriate treatment option for you.

NeuroStar TMS Therapy® Questions

NeuroStar TMS Therapy® is only available by prescription. Patients should consult with a doctor to determine if NeuroStar TMS Therapy is right for them. The doctor and staff can also help determine your benefit coverage and payment options. Additional resources, including a list of government and commercial health plans can be found on NeuroStar.com

Treatment costs vary and are set by NeuroStar TMS providers. To determine treatment cost, for your personal evaluation, please contact us.

You may need to pay for some of the cost of your treatment. The amount you pay will depend on your insurance policy and the benefits covered. The amount that you are required to pay for your treatment may vary based on:

  • Your deductible
  • Your co-pay
  • Your co-insurance
  • Other costs, depending on your coverage

The first step anyone considering NeuroStar TMS Therapy® should take is consulting with a TMS provider. During the consultation the doctor will determine if TMS therapy is an appropriate treatment option for you. Once prescribed NeuroStar TMS Therapy, you should partner with the physician and their staff to complete the Benefits Investigation (BI). This process is an important first step in verifying your specific health insurance benefits and eligibility. The outcome of the BI will determine whether treatment could be covered by your insurance based on the coverage guidelines and your specific benefits plan. Insurance verification is the responsibility of the doctor.

Not necessarily. Medical necessity or medically necessary is defined as a health care service or procedure that a doctor provides to a patient for the purpose of preventing, diagnosing or treating an illness, injury, disease or its symptoms in a manner that are generally accepted standards of medical practice, clinically appropriate and are not more costly than other treatment alternatives. In some cases, your doctor might decide that you need medical care that is not covered by your insurance policy. Insurance companies determine what procedures, tests, drugs and services they will cover. These choices are based on information and data on the kinds of medical care that most patients need. Based on this information your insurance company may or may not cover the procedure, test, drug or service you need.

According to AARP, millions of claims are rejected each year, and there are many reasons for the insurance companies to deny a claim. The claim may be denied due to a mistake with the claim forms, such as a coding error, or a communication error in preauthorization. In any case you have the right to appeal the decision made by your insurance.

An insurance company must describe the reason for the denial and inform you of their process for filing an appeal. It is important you understand the appeal process for your particular insurance plan; this information can be found in your summary of plan benefits, on the insurance website or by calling the insurance company’s customer service representative. Your doctor’s office should partner with you to file the appeal. But you need to be involved or you may want to file the appeal yourself. During the appeal process, keep records of all correspondence between you, the insurance company and your doctor.

Appealing a Medicare claim denial can vary from commercial insurance. An appeal can be filed after a Medicare claim has been denied. Any appeal must begin at the first level, called redetermination. A redetermination is a review of the claim by a person who is different from the person who made the initial claim determination. This appeal must be provided in writing within 120 days. Once all procedural steps are completed, an appeal may be elevated to the next decision level in the process. The second level of appeal for Medicare is called reconsideration. Reconsideration is conducted by an independent contractor. The contractor has their own physicians and other health professionals to review and assess the appeal. Appeals may be elevated to the next higher level until an appellant’s appeal rights are exhausted. Please refer to Medicare’s website for more appeals information: Click Here.

NeuroStar TMS