FAQ: About CNS Lab Testing Services
Section 1: Booking Your Lab Test
How long will my In-Home Lab Testing appointment last?
To minimize exposure, all in-home lab testings are done as quickly and effeciently as possible. Expect your visit to take approximately 30 - 45 minutes/person, which includes the time that it will take for test results to be received and health screening.
During what times do you perform Health Screenings and Lab testings?
In-home testing hours: Monday - Friday 8:00 am - 6:00 pm PST.
Businesses/Organizations: Monday - Sunday from 5:00 am - 8:00 pm PST. We do accommodate businesses with special shift hours or requesting a certain date and time for testing.
How can I book an appointment for a CNS Testing Home visit?
1) Visit our website at CNStesting.com/contact and fill out quick contact form. Indicate the type of lab testing that you are requesting, date(s) and times. Indicate if you will be private pay or paying with insurance.
You will need to book at least 48 hours in advance of your preferred time slot. We will schedule you according to availability. You will receive an email with a proposed schedule date and time of service within 24 hours of booking. You will have 2 hours to confirm and submit your forms. If you are unavailable on the proposed date/time, then we will attempt to book you at the next available date and time. We typically book each client in 2-hour windows. Home testings are normally booked Monday - Friday 8:00 am - 6:00 pm.
3) INTAKE FORMS
Upon notification of your confirmed testing date and time, we will send you our intake/consultation form that needs to be filled out completely. Note: You must fill out one form per household member.
FAMILY HEALTH PLANS ONLY
The Primary/Main contact Adult's form will be used as the official household's form time stamp, if all forms for every household member being tested are received within 2 hours of the primary adult's form submission. If all household members' consultation forms are not received within 2 hours of the primary adult's form submission, then the date/time submission of the last household member's form will be used.
After your date has been confirmed and all household forms received, if you are private pay, then we will email you a QuickBooks invoice to be paid over QuickBooks' secure site. Once private pay or insurance information has been received, then your booking will be complete.
5) Your CNS nurse will arrive at your residence approximately 5 - 10 minutes before your scheduled time and will give an approximate 5-minute courtesy heads-up call before arriving to perform your health screening and lab test(s) on your reserved date and time slot.
4) Appointments will last approximately 30 - 45 minutes/person being tested.
Do you accept insurance? What forms of payment do you accept?
According to the CARES Act, Covid-19 testing, including antibody testing and diagnostic flu testing, can be covered by your health insurance provider. However, every person's health insurance plan is different. So, contact your insurance benefits provider to see if you are covered. Most insurance plans require a provider's order for coverage eligibility.
If you have a provider's order for your lab test(s), then CNS will bill your insurance first. We are an out-of-network private medical lab testing company, so you will need to contact your insurance provider first to check if you are covered. If your insurance company will not cover the cost of testing, then you will receive a bill and pay out-of-pocket.
If you do not have a provider's order for a lab test, then all lab testing costs must be prepaid out-of-pocket by the client upon final booking. Then, you would have to submit your cost of testing to your insurance company for reimbursement. CNS will not bill your insurance.
CNS will provide you with whatever necessary documents that your insurance provider states that you need from us. There are no hidden costs and lab testing rates include testing, travel AND health screening.
We do accept all major credit and debit cards for online payments. CNS also accepts FSA and HSA cards with a VISA or Mastercard logo. Please contact your insurance benefits provider to verify plan rules and eligible expenses.
Businesses will be able to pay via debit/credit cards and ACH debit.
Payment is due upon booking for private pay clients. All payments will be made over the secured site of our payment processor, QuickBooks. Note: Due to high volume requests, we operate on a first booked, first served basis.
Section 2: About Coronavirus (Covid-19)
What is the Coronavirus?
Coronaviruses are a large family of viruses that can cause respiratory illnesses, such as pneumonia. The name refers to a family (Coronaviridae) of single-stranded RNA viruses having a lipid envelope studded with club-shaped projections, hence the prefix "Corona."
These viruses often circulate among animals and can sometimes evolve and infect people. This novel coronavirus (2019-nCoV) emerged in a seafood and poultry market in the Chinese city of Wuhan.
The media reference to the "Coronavirus" is identified as SARS-CoV2 (Severe Acute Respiratory Syndrome Coronavirus 2). SARS-CoV2 causes the coronavirus disease Covid-19. 2019-nCoV (‘n’ is for novel and ‘CoV’ is for coronavirus) acute respiratory disease was the initial name determined by WHO for the virus identified in China in 2019 but was later changed to SARS-CoV2.
What are the signs and symptoms of Covid-19 infection?
Most people experience experience mild to moderate respiratory illness and recover without requiring special treatment. Some don't show any symptoms. Older people (particularly 65+ age) and those with underlying medical problems such as chronic respiratory disease, heart disease, diabetics, and cancer are more likely to develop serious illness.
Common symptoms (very similar to the flu virus) of Covid-19 include:
Shortness of breath or difficulty breathing
Note: All of these symptoms are checked in your CNS Health Screening.
About 80% of those infected recover from the disease without needing special treatment. More rarely, the disease can be serious and even fatal.
New loss of taste or smell
How soon can I tell if I am infected with Covid-19 (Coronavirus)?
People can be infected with the Coronavirus for 1 to 14 days before developing symptoms. This is where the buzz words "14-15 day wait" originates. Often times people with little to mild symptoms are told wait/self-quarantine at home for at least 10-14 days after symptom onset before requesting testing, because there is currently no cure for Covid-19 and approximately 80% of those infected with Covid-19 develop little to no symptoms. Also, there has to be enough of the virus present on the sample swab for the diagnostic test to determine a Covid-19 active infection and more severe symptoms can capture a greater number of the virus present on the swab. If the viral sample is too small, then diagnostic testing cannot confirm an active Covid-19 infection. Also, this has lead to the belief of why people can initially test negative and then later test positive for Covid-19.
On the other hand, serology or antibody testing does not require a person to exhibit symptoms. Serology tests can be used to determine a past Covid-19 infection. A person's body actively infected produces IgG and IgM antibodies during an immune response to Covid-19. However, it generally takes the body 5-8 days post infection to mount an antibody response to the virus. At this time, the body may have already fought off and not currently active for the virus. *This is why it is suggested that a serology test should be accompanied by a diagnostic test to confirm that the virus is not actively present in the body. Serology tests are typically used to determine if the body has mounted an immune response to Covid-19, showing evidence of a previous infection. It can be used in helping to determine if a person has immunity to Covid-19.
All serology/antibody test results are presumptive and should be confirmed by an approved molecular assay. Negative results do not rule out SARS-CoV-2 infection, particularly in those who have been in contact with the virus. Follow-up testing with a molecular diagnostic should be considered to rule out infection in these individuals.
Positive results may be due to past or present infection with non-SARS-CoV-2 coronavirus strains, such as coronavirus HKU1, NL63, OC43, or 229E. Results from an antibody test should not be used as the sole basis to diagnose or exclude SARS-CoV-2 (COVID-19) infection or to inform infection status.
What are "Silent Spreaders"?
The people who show little to no symptoms with the active Covid-19 infection are referred to as "silent spreaders." These people are typically unaware that they are infected with the coronavirus. However, because they actively have the infection, they typically unknowingly spread the Covid-19 to others around them.
In China, approximately 86% of Coronavirus infections early in the outbreak were transmitted by people who never got sick enough to go to the doctor.
3 Main Types of Coronavirus Tests: Molecular, Antigen and Serology. What are the differences?
For more information on coronavirus tests, visit the FDA's website
What are the Covid-19 testing kits used by CNS?
At this time, the FDA HAS NOT APPROVED any Covid-19 "Coronavirus" testing kits/machines in the US. This includes PCR (molecular), Antigen (rapid diagnostic) and Serology (antibody) tests.
Currently, the FDA has issued tesing manufacturers, including the CDC, an EUA (Emergency Use Authorization). In certain types of emergencies, the FDA can issue an Emergency Use Authorization, or EUA, to provide more timely access to critical medical products that may help during the emergency when there are no adequate, approved, and available options. The FDA has issued many EUAs for diagnostic tests and antibody tests. For more information about these manufacturers, then check out the FDA website link:
CNS Testing only obtains our Coronavirus testing kits from test manufacturers granted a FDA EUA.
What is Convalescent Plasma Treatment?
Those who have immunity to Covid-19 "Coronavirus" might be able to cure those who are severely ill in a process called Convalescent Plasma Treatments/Infusions. Immunity to Covid-19 can only be confirmed with both Covid-19 Serology/Antibody & Covid-19 PCR/Molecular tests.
What is convalescent plasma?
The liquid part of blood that is collected from patients who have recovered from an infection. Antibodies (i.e. IgG, IgM) that are present in convalescent plasma are proteins that might help fight the infection.
Why is convalescent plasma being investigated to treat COVID-19?
Because there is no approved treatment for COVID-19, there is some information that suggests Convalescent plasma might help some patients recover from COVID-19, which is why convalescent plasma is being investigated for the treatment of COVID-19. Further investigation is still necessary to determine if convalescent plasma might shorten the duration of illness, reduce morbidity, or prevent deathassociated with COVID-19.
FDA statement: "It is possible that convalescent plasma that contains antibodies to SARS-CoV-2 (the virus that causes COVID-19) might be effective against the infection," the FDA statement reads. "Use of convalescent plasma has been studied in outbreaks of other respiratory infections, including the 2009-2010 H1N1 influenza virus pandemic, 2003 SARS-CoV-1 epidemic, and the 2012 MERS-CoV epidemic. Although promising, convalescent plasma has not been shown to be effective in every disease studied."