BRE PROVIDES THE SOLUTION
A Turnkey Solution for Addressing Mental Health Aspects of Care.
Genesis of the BRE Program
In the first quarter of 2019, CMS Medicare released its revised fee schedule for the new mental health CPT codes. Several codes were deleted, however important new codes were added such as 96130, 96132, and 96138 that more favorably encourage expanded usage by Physician offices.
These codes were designed to incentivize providers of all disciplines to include a more robust mental health program in their existing practices in order to address the rapid rise of related mental illnesses with the intent of earlier identification and intervention.
The government has published statistics forecasting that mental health diseases will be the number one diagnosed malady by 2030 surpassing that of heart disease and that the estimated costs worldwide will exceed $12 Trillion USD.
BRE Program works seamlessly by utilizing the new 2019 implemented coding and diagnosis qualification for proper ongoing monitoring of mental health indicators.
The BRE Program uses the annual mental health screening test encounters as an opportunity for interaction with chronic condition patients to also help determine whether patients qualify for repetitive testing and ongoing monitoring/care considerations, in accordance with ICD, National, and Local Coverage Determinations.
In the US, almost half of adults (46.4 %) will experience a mental illness in their lifetime.
Non-judgmental interaction: Most offices perform do-it-yourself Mental Health Assessments usually performed by existing staff who have other duties. This process is time-consuming and lacks non-judgmental interaction. In other words, the patient feels like they are being “judged”; therefore, information can be skewed and slow. BRE staff assess patients over the telephone, which patients prefer. This process significantly increases patient participation.
Dedicated staff: BRE provides dedicated staff personnel who are experienced and trained to use proprietary software that documents, tracks, and monitors all aspects of care, not just specifically mental health. Staff performs services under direct and indirect Provider supervision.
Intuitive interpretation: Certain data collected by the assessment and test scores are color-coded & graphically displayed by the individual or multiple patient records visually depicted on a single screen window. This allows for rapid and efficient Provider review.
Simplistic Billing: Billing codes correlated to the ICD, LCD, and NCD compliant diagnostic codes will be populated in your EMR to be billed during the patient's E&M visit.
No slippage or inefficiency of work: Practice is charged by the billable hour only. You only pay for what is used, and we ensure that patients who are assessed will be reimbursed to you by payors.
Why is the BRE Program More
Effective & Efficient?
BRE targets chronic illness patients who are covered by quality payer insurers. In order to qualify, your office should have at least 250 E&M visits per month by patients covered under some type of Medicare plan. The repetitive assessment information is the key to proper patient monitoring and your success with the BRE program.
There is a one-time software license fee required that is based on the number of participating patients. We structure the license fee so that it will be fully recovered within the first two months of program implementation. The fee can be financed so the practice has no upfront costs.
What does it Cost
How do Patients Benefit?
The most important consideration for any ancillary office service is that patients gain benefit and cost to payers can be contained or reduced. BRE meets both of these criteria in important ways:
Hospitalizations and Emergency Services are reduced because of early detection and intervention especially for medication complications related to potential side-effects. This alone affects nearly 20% of all chronic condition patients.
Patients, relatives and caregivers often miss subtle changes in patient condition because they live within a controlled environment. Assessment tests become objective because they are designed to identify even slight changes in mental health according to research literature. Example: PHQ-9, PMQ-R, CESD-R, GPCOG, etc.
Providers receive data in a simple, usable and immediately actionable format which allows for easy comparison from test sequence to test sequence over time.
"I work more efficiently with patients because BRE gathers necessary documentation in advance of each patient visit, so I am not wasting time reviewing old notes and asking repetitive questions."
How do Providers
It is unfortunate but true that most mental health assessment programs provide little more than window dressing for the majority of practices that use them. The primary reason is that occasional data doesn’t provide comparable results for proper tracking and monitoring for patients that are defined as “at risk” and meet medical necessity guideline criteria. Also, for patients that are under chronic condition where all health risks are heightened, annual assessments are like an eternity away.
BRE staff take the inconsistencies out of assessment gathering, evaluation and document all aspects in a HIPAA compliant and billing compliant format, provide checks and balances, and offer software features for easy evaluation and management for each patient participating.
Providers reduce personal legal liability by identifying and taking action for mental health concerns at the earliest stages.
The BRE program increases the practice's annual net income between $1,550 - $2,050 per patient.