Couple of quick points.
Qbcheck - 89 Australian dollars; not $5000.
But this has nothing to do with the price of eggs.
Qbcheck is a FDA 510(k) cleared medical device to be used as a aid for the diagnosis of ADHD. But even with this clearance no one is in a great rush to put their hand in their pocket to pay for it – there is little (or no) insurance coverage for it.
With respect to CPT codes these are simply a uniform language for the reporting of medical services. Exactly as the company has stated in the announcement.
They have nothing whatsoever to do with getting someone – the person, an insurer or the government to pay for those services. You guys have joined this dot and misled yourselves.
It is easy for us in an Australia to think CPT codes are like Medicare items. Go to the doctors, receive a standard consult and this will be billed (coded) as an item 23. If you are bulk billed the government picks up the tab. If there is a co-payment you are charged the gap.
Use tali train (for assessment – NOT treatment) in the US with the CPT item 96146. Who pays the bill? Only the parent; there is no one else.
But why would you even bother at all?
There is a free assessment on the tali website just use that and don’t pay a cent. So how exactly MAX25 does the company make anything from the “child attention testing” when the assessment is free.
Well only by signing parents up to the paid treatment program after the “free assessment”. And for this there is no CPT code, no reimbursement pathway, no FDA approval and no evidence that has been reviewed by a regulatory authority that the treatment does much of anything.
In terms of Panadol? Yep you can make money out of treating non-specific problems with a treatment that may be by and large ineffective. But the government / insurers will never pay for your panadol. It is your health dollars that buy it ... which at 4c a dose most of us will.
