Colorado Neurogeriatrics

Andrew Schechterman PhD LLC

State Board of Colorado License 2871

National Provider ID 1679652184

 

6789 South Yosemite Street

First Floor 

(Inside IMMUNOe)

Centennial, Colorado  80112

 

Hello@AndrewSchechterman.com

Fax 303-242-3510

Office 303-242-3510

 

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For all Emergencies 
please call 911 or go to your nearest Emergency Room.
Federal Medicare and Medicare Classic,
Tricare and Veterans of War,
Self-Insured and Discount Fee options
to meet your individual needs.

Your Neurocognitive Health Is Our Business:

Be Informed . . . Scientia est Potentia

Made C's in Math? No worry! 

After you select an amount,  you can include a multiplier. 

Owe $248.00? Put $124.00 in the Cart, then enter 2.

Owe $18.00? Put $1.00 in the cart, then enter 18. 

Yup, in our class, all our patients get an A. 

Sample fee models

 

Basic exam: 90791 x 2 = Total $288.00 with 100% due at initial service.

 

Intermediate exam: 90791 x 2 = $288.00 + 96101 x 2 = $248.00 + 96116 x 3 = $372.00 + 90887 x 2 = $248.00 = Total $1156.00 with 50% due at initial service, 50% due at completion of service. 

 

Complex exam: 90791 x 4= $576.00 + 96101 x 3 = $372.00 + 96116 x 5 = $620.00 + 90887 x 3 = $372.00 = Total $1940.00 with 50% due at initial service, 50% due at completion of service.  

 

If your total bill is $164.00, then select $164.00 from the dropdown menu, and at checkout, enter the Quantity 1 (= $164.00.

 

If your total bill is $288.00, then select $144.00 from the dropdown menu, and at checkout enter the Quantity 2 (= $288.00). 

 

If your total bill is $372.00, then select $124.00 from the dropdown menu, and at checkout enter the Quantity 3 (= $372.00).

 

 

 

Hi Chris, Glad to be connected. Hoping I can help you with the occasional neurogeriatric issue that may arise. Longstanding commitment to 65+ folks (rural, suburban and urban; also international); individuals and families typically coming our way concerned about none to mild to moderate to major neurocognitive signs and symptoms, pre- and post-surgical, ear-nose-throat, ortho-neuro-rehab as well. Would love to be in touch if you think we can share some wisdom about older patients and relevant Dx and Tx concerns. When time allows, looking forward, Andrew Schechterman (hello@andrewschechterman.com or www.andrewschechterman.com)

 

 

While 13% of our population is over 65, persons over 65 account for almost a third of depressive disorders, and sadly, almost 25% of all suicides. Risk factors? Having a co-morbid physical illness, living alone, being male, and having a history of, or current alcohol use . . .  

 

All services are inclusive and cover Records reviews, History, Patient and Collatoral Consultation, Labs, Assessments, Diagnostics, Documentation, treatment planning, phone, email, digital and/or letter correspondence.

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Method and procedures include the (a) decision to evaluate, (b) review of records, (c) in-person consultations with patient and family (collaterol), (d) measurement procedures, (e) assesment of motivation and effort, (f) assessment of concurrent validity, (g) administration and scoring, (h) contexual interpretation, (i) visual and textual reporting, and (j) patient and family feedback (with corrections made to any of the above). 
 
Cognitive screening and assessment includes observation and assessment of symptom expression, differentiation of normal aging from abnormal symptoms, accounting for effects of medical conditions and medications, consideration of psychiatric and/or other co-morbid neurobiological compromise, and, consideration of base rates to inform possible etiologies. 
 
Where screening and assessment are inclusive, collaboration, recommendation and referral for extended neuropsychological examination, radiology and/or other diagnostic services will be made.   
 

All exams are non-invasive and occur in a comfrotable office envrioment. Length of visits vary greatly, from a few minutes to several hours (divided up across days that are conventient to your schedule).  

 

Dr. Schechterman will want to learn about your medical history, mental health history, and any concerns that you have about your thinking abilities. 

 

During the exam, you may complete paper-and-pencil measures of thinking skills. You may be asked to do some writing, reading, or drawing, and to answer questions verbally. You also may complete measures that will help Dr. Schechterman understand how your situation has affected your mood, your personality, or your coping skills. Most individuals find the process to be interesting and engaging. 

 

Gait instability (fall history and risk)

 

Where authroized by you, an exam report, similar to a lab report, with recommendations, will be sent to your designated healthcare provider (often your primary care privider, or, your referring provider). The same report is also provided to you. We will always go over your report results with you. We also encourage you to read your report with care and to contact us with any factual errors, omissions, etc., so that your report can be amended.   

 

Beause of patient confidentiality (HIPAA), unless you authorize in writing to do so, we cannot discuss your exam or provide a copy of your exam report to anyone else, including adult children or other collatoral.  

 

Triage and Referral . . .

Neurocognitive Health 
 
A majority of what we do every day is the same we did yesterday, and the same we'll do tomorrow. Break the subtle and not so subtle patterns:   
 
  • Take a class, sit in a lecture, any class, any lecture. Aim for one you've perhaps avoided all your life, one you suspect will not be interesting or you might even dislike. 
 
  • Use corrective or augmentation devices. Use a daily calendar, create a schedule that provides at least one goal (or event) per day. Always put it in writing, ideally handwriting. 
 
  • Exercise with someone, even if it's just walking to the mailbox. This walk must occur outside of the walls of your home.  
 
  • Increase literacy. Expose yourself to a range of arts and music . . . or simply different visuals and sound. Anything that deviates from the norm, is good for your cognitive health. 
 
  • Ask someone if they understand you, literally the way you speak. With their feedback, make one change, then ask again. 
 
  • Directly address all sensory limitations. Face every person you meet, sit at their eye level, make sure both of you can see the others' mouth and lips at all times. 
 
  • Directly address all physcial limitations. Ask someone to slow down so you can catch up. This could be walking, talking, thinking, answering, or deciding something. 
 
  • Every day, constimulate all the five senses (seeing, hearing, smelling, tasting, touching). Find levels of stimulation that are neither too high nor too low. Change the envrionment: Lighting, ventilliation, temparature, distractions, sound levels.

 

  • Talk to and listen to at least one person every day. Seek quality or over quantity in that communication (now that you're over 18, it's okay to talk to strangers).  

 

  • If it's a bad day, match activities to your history and background, interests, and skills, but vary your order. 

 

Those 65+ have a lifetime of experience which to draw upon, to use in the present. You do not need to detail it, re-tell it, or explain it to another person, for you to reflect, decide and then act.