Medical provider practice, chain of practices or associations, hospital-owned groups
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Neuro preservation was founded in 2016 as a neuroimmune chemical research project in Boston. Twenty-two million dollars were invested, and combination medications were developed and initially patented. Unlike Biogen and Aduhelm, we recognized early the risks of immunosuppression long before the issues of brain swelling, hemorrhages and other determinants of therapy. The cost of testing was enormous. We recognized the goal medications would be quite expensive and six years later, we have learned they cost over $50K per year. It was a wise decision to concentrate on diagnostic and medications for sleep and mood.
Because of medication disappointments, we refocused on irrefutable lifestyle improvements and especially education. We offer our generic medication suggestions, at no profit for us, except your loyalty. Our current medical strategy is to make this system profitable to the doctors. We are currently converting the website to an app so that your patients can be reminded of the eight foundations of memory retention at no cost.
We will later suggest patient use of our home-based products, particularly the SMARTEST EVER tablet and the 30-minute home hospital-created by our ICU specialists.
EDUCATIONAL:
There are 2 types of Cognitive loss pathways. The first, which fortunately, is the overwhelming rapid familial Alzheimer’s. It occurs in younger patients and similarly in fronto-temporal disease, formally called Lewy body disease ( there are other less recognized conditions).
Secondly, and luckily, the more common slower loss of cognitive function, which has been accepted in the past as part of aging. This second condition, which includes over 95% of patients, is our target group.
Systems such as ours will significantly delay dementia. It will be your responsibility to recognize higher risk patients and begin intervention at a younger more responsive age.
Our mission is to cost-effectively extend meaningful cognitive function. Neuro Preservation has created devices and testing regimens that are profitable in your office and convenient to perform.
All eye testing has associated CPT codes.
A neuropsychological bundle can be performed in your office or at home with results electronically sent to your office for your review with the patient. You or your staff will be paid for time. Unless specified, a copy will automatically be shared with the patient.
Sleep questionnaires are critical, as poor-quality sleep is one of the most serious determinants for later dementia.
We are actively developing a sleep quality home-based analyzer which will be Instrumental in recognizing and effectively treating disordered sleep and parasomnias. There is a ring Oura device that tells heart rate and sleep that is less accurate, but we suggest patients to buy one if they have chronic poor quality sleep.
Upon FDA approval, for a fraction of hospital-based sleep testing you will conveniently be able to apply test strips and profit approximately. $100 per patient per night for a very inexpensive otherwise $2500 hospital-based test.
These numbers are contingent upon manufacturing and licensing costs.
Our founder’s Nobel Laureate virology-polio professor, Albert Sabin, taught that we all age but the goal as doctors, is to have our patients pass away with dignity and independence. In his words, “To pass away as healthy as possible.”
Having mental or cognitive deterioration, particularly to the point of dependence on others is a common fear of midlife. We are helping fulfill Dr. Sabin’s wishes.
Consequently, this system is suggested for patients as young as 50, who would like an inexpensive measure of future cognitive health. The system was created by neurologists, sleep specialists, pharmacologists and their supportive staffs.
Neuropreservation (.health) begins with early recognition of higher risk patients for cognitive issues.
Currently, doctors will have 4 new office revenues:
Eye tracker typically $60 per patient. Eye testing should net $180-$240/day
- Neuropsychological testing should create an additional net $100 per day.
There will be much more income if you can train part of your medical staff to explain the results of the online testing. You may also bill for your time if the patient wants to take the neurological on-line test in your office. - Blood-urine advanced test collections
- More sophisticated cognitive medical reports guided by template check list
DOCTOR REVENUE FINANCIALS
EYE-TRACKER HARDWARE
SOFTWARE SCORING, ON-LINE NEURO-PSYCH BUNDLE,
AND BLOOD-URINE SPECIAL MILD DISEASE TESTING
Who should have eye tracking?
Boston Brain Clinic Research confirmed at national meetings and in the literature (see website bibliography):
Saccadic eye movement and smooth pursuit are two of the best pre-clinical predictors of cognitive decline Conditions include at least:
Alzheimer’s Disease, Parkinson’s, autism, MS,
Temporo-frontal Syndrome-Lewy Body Disease, the palsies,
persistent Covid Fog, and vascular brain disorders.
FDA:
ALL tests including eye-tracker accuracy are FDA evaluated and approved.
Medicare existing code to subsidize visit costs (80%):
- Balance issues all CPT code are included , the critical monetary advantage is that eye tracking gives meaningful data for BOTH balance and cognitive conditions, which often co-exist.
- Reading difficulties
- Athletic visual issues, for example quarterbacks train on eye-trackers to improve field visual perspectives
- Ear diseases where nystagmus is a clinical finding
- Traumatic occipital lobe or actual eyeball injury
In Office Revenue
A neuropsychological bundle of tests will further supplement income.
In development (provisional patent stage) is a sleep quality analyzer device will greatly improve subtle or mild cognitive impairment diagnosis and begin earlier intervention, when intervention is far more effective.
In Houston, where we began trials, we learned that the eye-tracking could be performed by non-medical personnel (general office staff).
The eye tracker will cost $1000 down and then financed at current rates for a $15,000 total cost
We estimate between the eye-tracker and bundle testing the average practice of two or more doctors or Nurse Practitioners/Physician’s Assistants will generate $350/per workday in testing.
Therefore, individual doctor gross testing annual income: $400 X 220 workdays – $22 per day in equipment cost paid over 3 years – $60 per day for office space and salaries would generate approximately $69,900.
Importantly, each new eye-tracker patient should also follow our specialist bloodwork screening-especially B12, folate, TSH/T4, CMP, rheumatological screen with sed rate,in select cases a toxicology screen, in selected cases infectious disease screen for conditions associated with dementia (if present) such as HIV or syphilis.
These tests are indicated for higher risk patients. With the use of our more comprehensive cognitive severity evaluation questionnaire the evaluation, done by primary care reaches the level of a CPT complex evaluation (CPT 29316) generally paying $120-130 depending on area in the country. If you are independent of hospital labs, a collection system and using our labs will generate $50-60 dollars. The labs and template guidance to ensure a comprehensive evaluation for cognitive status will therefore earn for new patients a total of $180/new patient. Estimating 4 new patients (again 2 doctor, two PA/NPs) desiring screening, the total new revenues would be another $180 x4 x220 work days= $156,000. For simplicity, each caregiver would ear an average of $156,000 +$70,000 divided by 4= $56,000 after payment of equipment and staff costs.
Patients have never feared a chronic disease as much as dementia or cancer. Both are far more successfully managed if diagnosed early. Neuro P reservation provides the tools and neurologists with neuroradiology and possible lumbar puncture will bring for some experimental immunochemistry trials but for all, doctors will rely on the eight pillars of cognitive retention, Our smartest ever program and app.
CONSIDER YOUR OFFICE MANAGER OR PARTNER WITH THE STRONGEST INTEREST IN EARLY OR MILD COGNITIVE LOSS DIAGNOSTICS AND MANAGEMENT arrange a zoom initial demonstration and if interested an in office demonstration of the eye-tracker and test collection system.
CLICK HERE TO REGISTER OR CALL 843 224 5225 FOR QUESTIONS.