A Turnkey Solution for Addressing Mental Health Aspects of Care.

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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, 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.


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. A monthly remote patient monitoring feature is also performed under general Physician supervision for patients that qualify making use of the relevant code, 99457.


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” and therefore information can be skewed as well as slow. Following optional HIPAA consent by each patient, the initial portion of the BRE Program can be administered in the reception area across multiple patients interactively and simultaneously by dedicated BRE support staffers.  No one feels like they are being interrogated.

  • 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 perform services under direct and indirect Provider supervision.  These services are supported both within the office and remotely.

  • Intuitive interpretation: Certain data collected by the assessment and test scores are color-coded & graphically displayed by individual or multiple patient record 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 that automatically populate in a dedicated billing window portal access followed by verification and documentation of services performed.

  • No slippage or inefficiency of work: Practice is charged by the billable hour only.

Why is the BRE Program More

Effective & Efficient?

As with most programs, there are various options on how to participate.  The most important parameter is whether your office qualifies?

  • BRE targets chronic illness patients who are covered by quality payer insurers.  In order to make economic sense for BRE and for you, your office should have at least 150-250 of such patient type visits per month.  Ideally, patients who benefit most are those that frequent your practice monthly or at least quarterly. Repetitive assessment information is the key for proper patient monitoring and your success with the BRE program.

  • Assuming your office qualifies for participation, as we will mutually determine, your cost to participate can be without upfront fees.  For this option, you will be billed in the arrears for services performed, including an error-free staffing guarantee by BRE.

  • In a smaller office with as few as 150 qualified patient visits per month, you should expect to net after hourly charges, more than $200k per year.

What does it Cost

to Participate?

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:

  1. 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.

  2. 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, DAST-10, PMQ-R, CAGE, CESD-R, GPCOG, etc.

  3. Crafted by dedicated BRE Clinical Case Manager on-site, each patient receives a regularly updated treatment action plan that includes a community-based activity schedule.  The activities include social and physical interaction shown to improve patient conditions based on patient preference, condition and Provider input.

  4. 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 get to work less because BRE Participation gathers more documentation in advance of each chronic care encounter 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.

  1. 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.

  2. BRE staff create treatment action plans for each participating patient and ensure that the patients receive this by email or by hard copy depending on patient preference.

  3. BRE staff, through remote patient monitoring, track important metrics both for objective measurements as well as interactively checking on the patient as an extension of the office who places patient progress first.  Patients appreciate this.

  4. Providers reduce personal legal liability by identifying and taking action for mental health concerns at the earliest stages.

  5. Moderate sized offices seeing 20-30 patient visits per day of targeted payer mix can increase net production per year by seven figures!