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ANNUAL WELLNESS VISIT AND MACRA REIMBURSEMENTS
Everything starts here
Cancer Screenings is offering a proprietary preventative care software
platform for physicians that incorporates preventative medicine to
accommodate the new sweeping bipartisan Medicare reimbursement laws
(Medicare Access and CHIP Reauthorization Act of 2015 - MACRA), which
started in January 2017. Most commercial PPO insurances also cover numerous
MACRA preventative care and wellness programs that help physicians produce
better patient care with significantly increased physician reimbursement
with ZERO OUT OF POCKET COST to the patient in most case.
Our laboratory partner was founded by attorneys and computer software developers and has the solution in the form of a new patented and patent pending platform for physicians that bring the necessary scientific tools to allow integration of these new MACRA programs into a physician’s practice. The purpose of the platform is to help physicians produce better patient outcomes and significantly increase Medicare and private commercial insurance reimbursement to the physicians without creating any additional economic risk, obligation or additional costs to the physicians. The platform can operate on virtually any standalone electronic portable device (iPad®, Android TM tablet, Windows® PC, smartphone, etc.) and runs via the cloud as a Software as a Service (SaaS) model.
As a physician your primary goal is the well being of your patient's and the treatment of all and any ailments. The Annual Wellness Testing is a electronic medical questioner that takes about 20 minutes, encompassing the body in it's entirety. It is designed to ascertain where the doctor needs to investigate further to find any possible ailments the patient may have. This proprietary medical questioner can be given by a staff member and produces a customized and comprehensive patient care plan that must be reviewed with the patient by a MD, PA, DO, RN or NP.
Based upon the patient's responses, you the physician will be notified by our state of the art tablet the patient's eligibility based on the type of insurance, plan limits and deductibles for further medically necessary tests or screenings. You and your patient can work together and be proactive about their health issues, planning, and treatment.
The Annual Wellness Visit is a recommended, preventive measure by Medicare\Medicaid and most PPOs to monitor their plan participants overall health status in an attempt to head off a major health crisis!
The1platform will implement our program with Turn key Macra Solutions and help your practice be successful in using it.
Please watch the video below to see how.
Why the1 Platform?
• Our software platform is the scientific tool that physicians need for bringing the new ACA and MACRA programs together
• Medicare, Accountable Care Organizations (ACOs), and most private commercial insurance plans have embraced preventative and precision medicine with comprehensive wellness programs
• The Affordable Care Act (ACA) has numerous preventative care and wellness program provisions that help physicians produce better patient care with significantly increased physician reimbursement
• MACRA (Medicare Access and CHIP Reauthorization Act of 2015) reporting requirements for new sweeping Medicare reimbursement laws took effect in January 2017
"the1" is the only singular platform that utilizes ACA guidelines & HIPAA compliant technology to bring all the ancillary assessments & services together, delivering tremendous value to your patients and to your practice.
We provide each doctor's office with tablets containing our proprietary software to enroll your patients. Our tablet contains proprietary prequalifying software along with the Annual Wellness Visit software to aide in the insurance verification process. The tablet recommends additional screenings that may be medically necessary to help improve patient outcomes, receives reports and helps you monitor your patient's progress. Our integrated platform is comprised of two sections to help your patients. (one tablet per individual NPI number)
Approach to MACRA Compliance
Annual Wellness Visit Software
Advanced tablet based software for commercial PPO, ACO, IPA, and Medicare Annual Wellness Visits. MACRA Reimbursement for the initial visit ranges from $150.00 to $200.00 depending on the LCD or the patient's PPO plan. Subsequently yearly visits reimburse from $105.00 to about $180.00 depending on the LCD or the patient's PPO plan. Last, Medicare and many PPOs cover the AWV at 100% in other words the patient does NOT have any coinsurance, copayment and/or deductible costs. ZERO OUT OF POCKET.
Electronic Neurocognitive Screening
Patients that have suspected neurocognitive issues are appropriate for the electronic screening test. The screening test has MACRA reimburses at about $80 for Medicare and about $120 PPO per 15 minute electronic screening, which can be administered by an office staff member and then reviewed by a PA, NP, MD/DO. Additional electronic screens to follow-up a behavioral health treatment plan are covered based on medical necessity.
Allergy Testing and Therapy
We offer a turnkey solution to bring allergy testing and immunotherapy in-house to your practice. This allows the doctor to keep allergy treatments in-house for increased reimbursements without the need for an allergist. This program will generate new revenue for your practice and improve patient outcomes. Many offices will qualify for zero upfront fees (depending on the complexity of the office). We manage the entire program and provide the testing, therapy and treatment (scratch test, antigens and subcutaneous injections). The office will receive from $500 - $1,500 and sometimes more per patient per year in MACRA reimbursement, depending on the therapy preauthorized and administered to the patient.
* Fees do apply for utilization of tablet based assessment software per patient, see figures on Program Overview *
Our integrated proprietary platform includes numerous Medicare Access and Chip Reauthorization Act (MACRA) ancillary products that help physicians practice personalized medicine. The goal is to produce better patient outcomes while complying with the new MACRA reimbursement laws.
integrated programs were created specifically for the new provisions
of MACRA. This allows physicians to incorporate these quality
programs to help them comply with MACRA, while receiving new
reimbursements they didn't know existed.
Since all of these products and software services are owned by us and were developed in-house, we can create custom systems for large practices and integrate most EMR/EHR systems with our MACRA ready software platform.
Since the Annual Wellness Visit software incumbencies all the testing protocols in our platform this initial visit can lead to additional screenings. The software recommends the test you think are necessary to help your patient don't leave it up to the patient.
WE CAN TRAIN A MEMBER OF YOUR STAFF TO DO THE SCANS OR PROVIDE A MEDICAL PROFESSIONAL WE HIRE TO DO THEM AND PAY THEIR SALARY IF YOUR PRACTICE MEETS OUR REQUIREMENTS.
This is an opportunity to visibly see every patient you have at least once a year and gage their degree of healthiness, assess it and improve patient outcomes.
Information about our program to share with your associates and aide in your decision making process can be found here.
Here is a brochure about our program
A financially healthy practice directly correlates to your ability to help your patients.
By implementing legal process to the medical profession, providers can obtain fair payment for their services. We will utilize a multi-step process of evaluation, starting from patient intake through the collection of a billed claim to identify the areas that are causing delays in payment of claims. Our legal perspective and background allows us to properly evaluate, solve, and provide the highest return, which will help your practice acquire the most out of its business.
OUR PROGRAM OFFERS YOUR PRACTICE REVENUE GROWTH WITH:
· NO cost to get started
DOCTORS HOW CAN YOU GROW REVENUE WITH THIS PROGRAM?
HELP YOUR PATIENTS MEDICALLY AND YOUR PRACTICE FINANCIALLY
Plan Options with ZERO OUT OF POCKET TO START and the first 30 days FREE!
SIMPLY PUT WE OFFER A MACRA READY SOFTWARE PLATFORM FOR BETTER PATIENT OUTCOMES AND INCREASED INSURANCE REIMBURSEMENTS
JOIN OUR PROGRAM IN TWO EASY STEPS!
Complete both forms and you will be contacted in 72 hours or less
1) Register your practice and reserve your tablet(s) and training position.
2) Complete the process to enroll with our primary laboratory.
Your Sales Representative/Account Manager is Booker Miller