How to Influence the Insurance Industry: Two Critical Steps for Every TMS Practice

You’re invited to join the Clinical TMS Society for this installment of our Grand Round Webinar Series: How to Influence the Insurance Industry: Two Critical Steps for Every TMS Practice

Don't miss out on our LIVE Q&A portion of the webinar!

At the end of this presentation participants will:

1. Understand two practical steps any TMS practice based in the United States can take to align insurance TMS coverage policies with the CTMSS ideal coverage policies.
    
2. Describe the AMA and APA definitions of Medical Necessity and the CTMSS Ideal Coverage Policies for Major Depression and Obsessive Compulsive Disorder.
    
3. Prescribe TMS based on generally accepted standards of medical practice rather than standards driven by the insurance industry.
    
4. Understand, perform, and win more medical necessity reviews (“peer-to-peers” to improve patient access to TMS.
    

Date: Tuesday, March 1, 2022

Time: 5:00 pm PST/8:00 pm EST

Format: LIVE

Cost: Members: $25 | Non-members $50 | Student Members FREE

SPEAKERS:

Richard Bermudes, MD

Dr. Bermudes is a Board-Certified Psychiatrist and the Chief Medical Officer of Mindful Health Solutions. He completed medical school at the University of California, San Diego and residency training in Psychiatry and Family Medicine at the University of Cincinnati.

Dr. Bermudes founded Mindful Health Solutions in 2007, a group practice with over 30 interventional-neuropsychiatrists in California. TMS HS has a number of clinical programs and provides medication management, psychotherapy, ECT, TMS and Esketamine services.

He co-wrote and co-edited “Transcranial Magnetic Stimulation: Clinical Applications for Psychiatric Practice, a book with key research findings on TMS as well as its potential to be used for other conditions such as OCD, PTSD, Adolescent Depression and mild dementia.

Dr. Bermudes is a founding member of the Clinical TMS Society. He chaired the groupʻs first annual meeting in 2013 and was elected as its president in 2015, serving for two years. He currently serves on the Board of Directors and co-chairs the Insurance Committee.

Todd Hutton, MD

Dr. Hutton is a Board-Certified Psychiatrist and a Distinguished Fellow of the American Psychiatric Association.  He is the founder and Medical Director of Southern California TMS Center which operates in 12 locations in the greater Los Angeles area. 

Dr. Hutton has been treating patients with TMS since 2009 and has been very active in the Clinical MTS Society, serving as president from 2019-2020.  He continues to serve on the Annual meeting committee and the Education committee where he is part of the PULSES faculty lecturing on insurance issues.

He attended the University of California Irvine for undergraduate and medical school.  He did his psychiatry residency at LA County+USC Medical Center where he served as chief resident.

Ahmed Abouesh, MD

Dr. Abouesh is a Board-Certified Psychiatrist and the Chief Executive Officer of Therapeutic Solutions. He completed medical school at Ain Shams University in Cairo and residency training in Psychiatry at the University of Virginia.

Dr. Abouesh founded Therapeutic Solutions in 2008, a group practice with an office in Chico, California and another in Spokane, Washington. The practice has been providing TMS since 2013 as well as ECT and Ketamine Therapy.

Dr. Abouesh is a member of the Clinical TMS Society since its inception and serves on the Insurance committee.  

No financial commercial support was received for this educational activity.

Satisfactory Completion 

Learners must complete an evaluation form to receive a certificate of completion. You must attend the entire webinar as partial credit is not available. If you are seeking continuing education credit for a specialty not listed below, it is your responsibility to contact your licensing/certification board to determine course eligibility for your licensing/certification requirement.  

Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and Clinical TMS Society.  Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians (ACCME) Credit Designation

Amedco LLC designates this live activity for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Objectives - After Attending This Program You Should Be Able To

1. Name two practical steps any TMS practice based in the United States can take to align insurance TMS coverage policies with the CTMSS ideal coverage policies.
2. Describe the AMA and APA definitions of Medical Necessity and the CTMSS Ideal Coverage Policies for Major Depression and Obsessive Compulsive Disorder.
3. Prescribe TMS based on generally accepted standards of medical practice rather than standards driven by the insurance industry.
4. Explain how to perform and win more medical necessity reviews (“peer-topeers” to improve patient access to TMS.

Disclosure of Conflict of Interest

The following table of disclosure information is provided to learners and contains the relevant financial relationships that each individual in a position to control the content disclosed to Amedco.  All of these relationships were treated as a conflict of interest, and have been resolved.  (C7 SCS 6.1-­‐6.2, 6.5)

All individuals in a position to control the content of CE are listed below.