FAQ

IMG_4706
1. Would my child benefit from services at Sensory City?
If you think that your child may have difficulties in gross motor, fine motor, or sensory processing, an occupational therapy evaluation may be warranted. An experienced occupational therapist can answer any questions you may have, discuss your concerns and assist you in deciding which type of assessment would be appropriate. Sensory City welcomes you to visit us or to set up a private consultation.

2. What is the process by which my child will receive therapy services?
If you are interested in private therapy services, you may contact Sensory City to set up either an evaluation or a consultation . The length of a formal evaluation is about 1 to 2 hours. Once completed, a full report will be provided with specific recommendations and therapy goals. A regularly scheduled appointment will be set up based on your child’s needs.

Please note that New York State requires that all children receiving an evaluation or occupational therapy services obtain a prescription for “Occupational Therapy services as needed” from his or her primary care physician. The prescription may be faxed, emailed or mailed to our office. Our fax number is (718) 433-4464. Our email address is info@sensorycityot.com. Our office address is 11-11 44th Road, Suite 402, Long Island City, NY, 11101.

If your child has been approved to receive therapy services through the NYC Department of Education, you may contact Sensory City to discuss scheduling. We will take care of the necessary paperwork. If your child is already approved to receive services through NYS Early Intervention, please contact us, as we can provide EI services at our sensory clinic.

3. Does insurance cover these services?
Many insurance plans cover speech, occupational, and physical therapy services. Speech Therapy services at Sensory City are provided through Speech Matters PLLC. Speech Matters is one of the few practices that participates in insurance companies for payment. These insurance companies included Blue Cross Blue Shield, CIGNA, Oxford and United as well as private pay.

Occupational Therapy services at Sensory City are considered “out of network.” For reimbursement of services by your insurance carrier, you must have “out of network” benefits. Contact your insurance provider’s member services using the number on your insurance card.

It is helpful to ask the following questions to find out if you are eligible for insurance reimbursement before beginning treatment:

• What are my benefits for out-of-network occupational therapy?
• What is my out-of-network deductible?
• How much of my deductible has already been met?
• How many visits are allowed per calendar year?
• What percentage of the fee per session is covered based on usual and customary
charges?
• Is prior authorization required?

If you are eligible for “out of network” benefits for Occupational Therapy services, we will provide you with a detailed billing statement for you to submit for reimbursement as a courtesy. Please note that reimbursement rates differ by insurance companies. All children must obtain a referral (prescription) from their primary care physician to receive services.

Specific “CPT Treatment codes” that your insurance may ask that OT services may be billed for are as follows:
– 97003 Occupational Therapy Evaluation
– 97530 Therapeutic Activities
– 97535 Self Care/ADL Training
– 97110 Therapeutic Exercise
– 97533 Sensory Integration
– 97140 Manual Therapy
– 97124 Massage

4. How long will my child be in therapy?
Each child has specific and individualized needs. Therefore, the length of time that a child spends in therapy is very dependent on this, as well as the carry over received at home. Follow-through in your child’s treatment plan is essential to optimize the benefits of a therapy program.

5. What do I need to do as a parent or caregiver to make sure my child gets the most from his or her therapy?
Parents and caregivers are critical to the therapeutic process. As part of your child’s treatment, you will receive a home program. Carrying over suggestions at home is essential for progress since your child is only in therapy for a limited amount of time each week. Consistent follow-through at home, as well as across other environments (i.e., in school, on the playground, in the community) will decrease the course of treatment.

6. How is therapy at Sensory City different than therapy offered at school?
School-based therapy addresses your child’s educational needs. Occupational therapy is considered to be an educationally related service. This means that should your child demonstrate delays in occupational performance areas, which are interfering with his or her ability to obtain his or her education, he or she is entitled to receive therapy services through the department of education. While Sensory City provides services for CPSE and CSE students through the NYC DOE, outpatient therapy services are different from those received in school. Our sensory clinic features state of the art therapeutic modalities, as well as cutting edge equipment, which are typically not available in school-based occupational therapy settings. Our therapists have participated in extensive training that focuses on sensory integration, development and biomechanical therapeutic methodologies. For all children receiving therapy at Sensory City Pediatric Occupational Therapy, whether it is privately or through the NYC DOE, our therapists value ongoing communication and collaboration with all professionals working with your child.

7. What is occupational therapy?
Occupational therapy is a healthcare profession in which the therapists are trained to improve an individual’s occupational performance. A pediatric occupational therapist works with the child and the child’s family to improve a child’s ability to play, learn, and/or perform self-care skills such as getting dressed and feeding oneself. An occupational therapist evaluates the child’s fine motor, gross motor, visual motor, visual perceptual, sensory processing, and self-care care skills, as well as range of motion, muscle tone, motor planning, functional communication and social adaptation. If the child and family would benefit from occupational therapy, the occupational therapist will recommend treatment and will use his or her knowledge in sensory integration, anatomy, neurology, kinesiology, child development, medical diagnosis and current research to improve the child’s occupational performance. The therapy sessions should appear to be fun for the child and will often look like play… which is of course a child’s most important occupation.

8. What are sensory activities?
Sensory Integration refers to both a theory base and a treatment approach. Sensory integration is the process by which the central nervous system processes and integrates information received through the senses. Children with difficulty with sensory processing may display difficulties with motor coordination, learning and attention, social success and behavior. Sensory activities are designed to challenge your child’s ability to respond appropriately to sensory input. “Sensory” does not only pertain to the five known senses of sight, smell, taste, touch and hearing, but also to the lesser known senses of proprioception and vestibular sensations. Proprioception refers to input from one’s muscles, tendons, joints and ligaments, also known as “the position sense”, and is responsible for internal perception of body position and the force exerted. Our vestibular system responds to gravity, and is therefore activated by movement. It contributes to one’s balance and muscle tone. Together, the tactile, vestibular and proprioceptive systems make up one’s somatosensory perception of the self. After identifying the underlying problems within specific sensory systems, the therapist will then customize a treatment program that helps your child to process and integrate sensory information in order to successfully meet every day challenges. This is done by providing progressively challenging and motivating activities in which your child can succeed. Some sensory activities may include climbing up a ladder, playing in rice, crashing into a ball pit, sliding down a scooter board, swinging on a trapeze bar, or walking barefoot in the mud. The talented therapists at Sensory City will work with your child to provide individualized, achievable challenges. The sensory gym at Sensory City has suspended equipment, a ball pit, rock climbing walls, tunnels, therapy balls, scooter boards and much more. After receiving sensory integration therapy, therapists observe and parents often report improved attention, improved compliance with dressing and eating, improved tolerance to new places, a more organized child, improved motor skills, less tantrums, improved self esteem, improved academic skills, improved hand-eye coordination and an overall improved sense of self.

9. What is The Listening Program® ?
The Listening Program® (TLP) by Advanced Brain Technologies is a music listening therapy that provides engaging brain stimulation to improve daily living performance. It is systematic training through listening to psychoacoustically modified classical music which trains the brain to process sound more effectively. TLP can improve an individual’s:

Learning
Attention
Communication
Reading
Listening
Sensory Processing
Social Engagement
Behavior
Self Regulation
Musical Ability
Brain Fitness
Daily Living

Because of it’s portability, people of all ages can use the program any where including in the home, in the classroom and in the community. The Listening Program requires 15 to 30 minutes of daily listening and is specified to an individual’s needs and goals. The program requires guidance with a certified Listening Program coach. Nicole L. Abate-Gioino, MS, OTR/L has received training through The Listening Program and can provide treatment and the coaching needed to participate in this effective treatment program. For more information please use the following link: http://tlp.advancedbrain.com/#sensorycityot

Website By Magicx Studios