Income Potential for Providing Fall Risk Assessment & VNG Testing

  • Balance+Plus BASIC Fall Assessment Testing: The Balance+Plus Fall Assessment system is designed to quantify a person's ability to maintain balance through postural sway measurements. Increased postural sway is a strong indicator of poor balance and a leading cause of falls. Using the Balance+Plus test protocols, a clinician may determine the cause of the balance problem or that further testing is medically necessary. If appropriate, the physician can use the Balance+Plus VNG System to further diagnose the patient's problem and refer that patient to the best specialist for treatment. This test takes about 2-3 minutes and can be done by a staff member along with checking blood pressure and weight.

 

  • Balance+Plus Fall Prevention Training (optional): Since Training is driven based on the results of the above testing, there are always fewer patients in the training phase than in the testing phase. Typically about 50% of these patients tested will qualify for training. Each patient will go through between 5 and 10 one hour sessions spread over 2-3 weeks. A single training tech can treat or train 8 individual patients per day. Since an individual patient may come in 2 times per week (3 times per week at most), you would have 2 groups of 8 patients in the cycle at any given time. Some practices will use a physical therapist in this role, but with our system, inside a physician's practice this is not necessary.
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  • Balance+Plus Videonystagmogrpahy (VNG) Testing with Balance+Plus Caloric Airrigator: Testing will typically take between 30 and 45 minutes and the tech will be able to perform 6-7 studies per day.

 

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To give you an idea of what this could mean for a small practice, here is an actual projection for a doctor in Dallas, Texas who was only seeing about 50 patients a week over the age of 60.

 

Medicare reimbursement in his area for 30-45 minutes of his or his staff's time is around $377.64 (This number came from the 2014 Centers for Medicare & Medicaid Services (CMS) Website for the "Dallas, TX" area). Commercial insurance could pay as much as $600-$1,000…or more.

 

If you survey the 50 patients you are seeing each week who are over 60, you will probably find that about 50% of them will give answers to the fall-related questions that would cause any responsible physician to want to investigate further.

If 50% of your patients need objective testing to determine their potential for falling and injuring themselves, that means approximately 25 of your patients each week will need to be tested using our BASIC Fall Assessment System.

Usually, more than 75% of the patients who test positive on the balance platform need further diagnostic testing. However, if only 50% (instead of 75%) of your patients need further evaluation and testing, that means approximately 12.5 patients per week should have a Comprehensive Evaluation done and then (if appropriate) be tested using the VNG and Caloric Systems.

Based on collecting $137,579.00 for the BASIC Fall Assessment testing (the balance platform) and $245,466.00 for the COMPREHENSIVE diagnostic testing with the VNG and Caloric ($377.64 per patient from Medicare), you would earn approximately $383,045.00 per year.


 

Projection for Dallas, TX

 

Given Congress’s intent with the Keeping Seniors Safe from Falls Act of 2004 and its current focus on Preventative Healthcare and better outcomes in patient care, this type of testing will continute to be covered for many years to come.

Note: CPT Coding paradigms, ICD9 Diagnostic codes, Sample EOBs and proforma information can be provided upon request and will be formatted to fit your particular situation.


*** This Business Proposal may contain forward-looking statements and financial results such as revenues, expenses, income, capital expenditures, operating margins, financial position, expected results of operations and other financial items. Forward-looking statements are not guarantees of future performance, uncertainties and assumptions ("Risk Factors") that make the timing, extent, likelihood and degree of occurrence of these matters difficult to predict. In addition, words such as "believes," "estimates," "expects," "intends," "should," "could," "will," variations of such words and similar expressions are intended to identify forward-looking statements. There are a number of factors, many of which are beyond the Company's control, which could cause actual results and outcomes to differ materially from those described in the forward-looking statements. Although the information provided in this report are certainly not atypical, how you choose to operate your business will have the most significant impact on the overall outcome. Furthermore, the Company expressly disclaims any obligation to update, amend or clarify forward-looking statements.

 

 

Learn More About Our Fall Assessment Balance Program in our "We Do It ALL for You" Proposal...