clinician group presentation mcg 115
TRANSCRIPT
Introduction toMy Mind Lab™
No start-up cost or maintenance expense
PRACTICE ENHANCEMENTClinician Group’s My Mind Lab™ Assessment.
• Provides total patient care
• Increases quality of care
• Enhances the image of the practice
• Is HIPPA Compliant
• Incorporates digitized health records
• Helps increase revenue and profit
• Converts the waiting room into profit center
• Assists in recovering some of the concessions
made as a result of ACA
• Creates a constant, consistent and perpetual
revenue stream
• Decreases capital expenditures
Patient Care Revenue Stream
Who Uses It
• Medical Group Practices - Family Medicine, Pediatrics, Internal Medicine etc.
• Physician Hospital Organizations
• Managed Care Organizations
• Hospitals & Health Systems
• The Affordable Care Act will provide one of the largest expansions of mental health and substance use
disorder coverage in a generation. Beginning in 2014 under the law, all new small group and individual
market plans will be required to cover ten Essential Health Benefit categories, including mental health
and substance use disorder services, and will be required to cover them at parity with medical and surgical
benefits. *
• The Affordable Care Act and its implementing regulations, building on the Mental Health Parity and
Addiction Equity Act, will expand coverage of mental health and substance use disorder benefits and
federal parity protections in three distinct ways: (1) by including mental health and substance use
disorder benefits in the Essential Health Benefits; (2) by applying federal parity protections to mental
health and substance use disorder benefits in the individual and small group markets; and (3) by
providing more Americans with access to quality health care that includes coverage for mental health
and substance use disorder services. *
• The Patient Protection and Affordable Care Act (PPACA) entitles all Medicare beneficiaries to an Initial
Preventive Physician Exam (IPPE) and subsequent annual wellness visit (AWV) as of January 1, 2011.
Fortunately, health professionals can choose our validated and electronic test to screen for Depression,
Anxiety, Bipolar Disorder, and PTSD all in one test with the Clinician Group’s My Mind Lab™ Assessment.
*US Department of Health & Human Services
PPACA And
CPT Code 96103
webMD:
• An estimated 19 million American adults are living with major depression.
Centers for Disease Control and Prevention:
• Depression can adversely affect the course and outcome of common chronic conditions, such as arthritis, asthma, cardiovascular disease, cancer, diabetes, and obesity.
• Suicide is the third leading cause of death for adolescents and young adults from age 15-24. Each year in the US approximately 2 million adolescents attempt suicide.
National Institute of Mental Health
• Depression affects more than 40 percent of those with PTSD
• 25% of those who have cancer
• 27% of those with substance abuse problems
• 50% of those with Parkinson’s Disease
• 50%-75% of those who have an eating disorder
• 33% of those who’ve had a heart attack
Depression Statistics
OUR PRODUCT
Our psychological tests provide the doctor valuable insight into depression and/or depression related issues (i.e., eating problems, sleeping problems, anxiety, etc.) that may be the root cause or prolong the healing process for the medical issues the patient struggles with.
• An automated evidenced based screen utilizing the diagnostic criteria of DSM-5 for depression, anxiety, PTSD, and bipolar disorder..
• Our assessment was validated in a study from 2010 to 2014, with a sample of various demographics of 8,234 people.
• Lends context & meaning to the timely detection and treatment of Mood and Anxiety Disorders, as well as Alcohol and Substance Abuse problems.
• Assessment Tool – Not a hard core diagnostic but rather a quick look at what is going on. Early detection prevents disease progression, hospitalizations, ED visits, and suicide
• Our tests promote a stronger doctor-patient alliance. It fosters among patients the feeling that, for any life problem they bring to their doctor, they have come to the right place.
• Turns waiting room inactivity into productive management. Each minute the patient is in the waiting room is dollars lost.
• Assessment takes an average person under 10 minutes to complete.
• HIPPA Compliant
• As many as 70% of primary-care visits are triggered by underlying mental-health issues but patients often don't raise the issue and providers are too busy to ask. Because the vast majority of primary care patients have a physical ailment affected by stress or mental disorder, studies show it is clinically-sound and cost-effective to make Mental Health a part of primary care.
PRACTICE ENHANCEMENT
PATIENT ENGAGEMENT
• Clinician Group provides an individualized patient assessment geared toward early detection, co-morbid illness, and identifying people in distress irrespective of their particular diagnosis.
• Its dimensional subscores help to place patients on a clinical map, leading the physician toward the appropriate diagnosis. Personalized Medicine and Total Comprehensive Care.
• Immediate Results and Reporting. These results can be transformed into a PDF document for printing or scan into EMR.
PRACTICE ENHANCEMENT
PHYSICIAN EDUCATION
• Our assessments can reduce non-diagnosis, misdiagnoses, mistreatment and delays in treatment
How To Identify Patients
MULTI-DIMENSIONAL - Behavioral Health Screening
Screen for Depression, Bipolar, Anxiety, PTSD, and Substance Use all at once
Medicare Patients—Annual Wellness Visit or Annual Alcohol and Depression
Screenings
Patients on Psychotropic or Anti-Depressant Medications
Patient Already Screened Positive on a Behavioral Health Screening Tool
Patients During an Annual Physical
Patients Complaining of Specific Symptoms
Patients with Certain Chronic Conditions
Anxiousness * Constipation * Decreased Libido * Diarrhea * Fatigue * Headache * Hyperactive Sexual Desire * Insomnia * Irritability * Irritable Bowel Syndrome * Malaise * Memory Loss * Myalgia Myositis * Nervousness * Post –Partum Depression * Premature Ejaculation * Weight Loss * Weight Gain
ADHD * Cancer * Chronic Pain * COPD * Diabetes * HIV/AIDS * Irritable Bowel Syndrome
• Hospitals & Health Systems
• Physician Hospital Organizations
• Managed Care Organizations
• Medical Group Practices including Family Medicine, Pediatrics, Internal Medicine
• Federal Health Clinics
• Correctional Facilities
WHO USES IT?
Clinician Group’s My Mind Lab™ is being used by clinicians and qualified non-physician provider such nurse practitioner, physician assistant or clinical nurse specialist, registered dietitian, nutrition professional, other licensed practitioner or by a team of medical professionals working under the direct supervision of a physician.
Total Patient Care
• Time Saving for Physician – Better identify underlying psychological issues to health problems and healing.
• Determine possibility of medications adversely impacting mental state
• Track depression symptoms in patients with chronic illnesses
• Effective and Efficient Communication with Patient
Reimbursable Service = Strong Revenue Stream:
• Established CPT Code allows for immediate billing.
• CPT code 96103 – including Medicare and most major insurance companies.
• Easy to read report is available immediately.
Benefits
Time savings for doctor:
• Assessment taken on laptop or tablet computer.
• Average patient completion time is under 10 minutes
• Results immediately available for doctor, enabling more quality patient/doctor time rather than test-taking.
• Track progress
• The screening is done during triage.
Benefits – Cont.
• Automatic updates = eases of use and seamless integration.
No start-up cost or maintenance expense:
Administration performed by office staff:
• Administration is easy to learn and use.
• Results are ready for the doctor prior to start of appointment.
Full, On-going training available without charge:
Benefits – Cont.
• Administration training provided
• Refresher training available anytime in person or by phone.
• Quick Start Guide and User’s Manual for step-by-Step Instructions
REVENUE STREAM
Using the CG Assessments not only increases support for the patient but can also be a strong revenue stream for the Doctor.
My Mind Lab™ Assessment
The assessment is a single patient-rated, evidence-based screen.
CG My Mind Lab™ Report
CG My Mind Lab™ Report
CG My Mind Lab™ Report
CG My Mind Lab™ Report
ACCOLADES
Clinician Group’s My Mind Lab™
• Our customized assessment for mental health is designed as a brief screening of common psychiatric
conditions. Developed to verify whether the individual fulfills the diagnostic criteria based on the DSM-V.
The scoring and report-generation algorithms are based on artificial intelligence and system-expert
algorithms to approximate human reasoning.
• Validated in a study from 2010 to 2014, with a sample of various demographics of 8,234 people.
• Our assessment is well researched and rigorously developed according to the APA (American Psychological
Association) standards for educational and psychological testing.
• Our developer is cited in ten journal articles in the American Psychiatric Association for studies conducted on
various psychological/behavioral conditions.
• Closely matches the MMPI (Minnesota Multiphasic Personality Inventory) for sensitivity percentage.
• Our software company CEO Dr. Jerabek has written or collaborated on the development of more than 200 scientifically validated psychological assessments and several matching applications, authored three books on psychological conditions, written over fifteen articles, three thesis papers, and over twelve electronic articles.
* In order for a physician to file an insurance claim specific to CPT Code 96103 ALLinsurances require that "Medical Necessity" is established in order for an insurance claimto be considered for re-numeration*
How can a physician establish "Medical Necessity"?
I. Non-Primary Care Physicians-by virtue of the fact that a patient is visiting a "Specialist," the"medical necessity" has been established. The primary compliant that a patient provides asa reason for visiting a specialist or that another physician has previously recognized as thejustification why a "Specialist" is required to address the condition or disease state of apatient; in most cases, these conditions, diseases states, and/or treatment paths can bedirectly or indirectly linked to patients mental status. Insurance companies recognize thisfact and in most situations have not challenged reimbursement under CPT Code 96103; dueto the fact that, "Specialists" focus and are trained as experts in specific medical disciplines,and the treatment of the various "specific" diseases or conditions can be justified due to avariety of circumstances linked to pain, medication, recovery time, inability to performnormal daily activities, therapy, etc.
II. Primary Care Physicians-Due to the fact that "primary care" physicians treat a broad rangeof conditions and diseases Medical Insurance Companies require that a "Primary Care"physician establish "Medical Necessity" prior to a patient being screened with a device thatqualifies for reimbursement under CPT Code 96103. The reason is that due to the broadrange of conditions that a primary care physician treats CANNOT be directly or indirectlylinked to mental-health.
Medical Necessity
