Are cognitive measurement biofeedback tests covered by insurance?
EEG measurement and analysis is covered by CMS and most insurance companies. There are six different CPT codes that are generally reimbursed in conjunction with proper ICD-10 codes. For a list of applicable CPT and ICD-10 codes, contact Evoke Neuroscience at support@evokeneuroscience.com.
Is eVox® neurotherapy covered by insurance?
Neurotherapy is reimbursed by some insurance providers. It is also commonly performed as a cash-pay procedure. For a list of applicable CPT and ICD-10 codes, and information about national rates for patient-pay procedures, contact Evoke Neuroscience at support@evokeneuroscience.com.
What is the eVox system?
The eVox system is a device to help physicians objectively measure and optimally manage memory loss, cognitive impairment, and other stress-related conditions.- The eVox system is a state-of-the-art hardware and software system that allows for an objective and expansive functional measurement of the brain and cognition using electroencephalography (EEG), electrocardiography (ECG), and event-related potential (ERP).
- The eVox system is designed to help facilitate early and continuous understanding of changes in cognitive function. As a result, it can deliver quantitative information for physicians to provide informed medical, nutritional, and behavioral interventions to help optimize patient outcomes.
- eVox allows primary care physicians and specialists to monitor dynamic changes that take place throughout the brain during cognitive processing tasks.
- The eVox system is the only system available that combines these sophisticated assessment tools into one portable, easy-to-use workstation that generates a cognitive assessment report that informs of a more individualized biofeedback protocol.
- eVox provides a report which is a useful tool to the clinician as an adjunct to traditional subjective clinical assessment, as it provides objective data with high degree of sensitivity in detecting subtle variations in brain activity.
- eVox does not require a physician to operate the device.
Why are EEG, ECG, and ERP measures important?
- EEG shows how well-functioning brain regions compensate for dysfunctional regions which allows specific determination of varied treatments and an ability to track changes over time.1 EEG analysis can identify the specific electrical frequency markers of physiological aging and memory performance.2-4
- ECG is used to calculate heart rate variability (HRV) measures that are linked to cognitive decline, and anxiety and stress related conditions.5 Low HRV predicts heart disease incidence and is linked to cognitive impairment.6-10
- Event-Related Potentials (ERP) measure real-time cognitive processing that is essential for healthy brain functions and helps detect early risk measures of dementia, including:
- Decision making, organization, attention, and memory11-16
- Visual processing17
- Language processing18,19
- ERP testing measures inattention, impulsivity, motor processing speed, and reaction time linked to cognitive impairment.20
What is included in the eVox system?
- The eVox system includes the workstation hardware, software, and disposables to collect EEG, ECG, and ERP data for both cognitive assessment reporting and neurotherapy applications.
- The eVox system initially comes with a package of “report credits” for you to get started. A “report credit” is required each time you run a cognitive assessment test on a patient. This enables the workstation to perform the test and automatically generates a summary and detailed cloud-based eVox report.
- The hardware includes a laptop computer (pre-downloaded with eVox proprietary software), eVox amplifier, patient response button, USB charging cable, 2 reusable EEG/ECG recording caps, and ear buds.
- Disposables include electro-conductive gel, syringe, blunt tip needles, alcohol swabs, ECG sensors, NuPrep skin preparatory cream, and orange sticks for cap cleaning. The stocking order of disposables is cost effective and supports approximately 15 to 20 patient recordings.
Where can I purchase additional report credits and testing supplies for my eVox system?
- Additional supplies are available for purchase from Electro Cap International by calling 800.527.2193. A complete list of supplies is provided with your eVox system.
- You can purchase additional report credits on the secure and HIPAA compliant Evoke Neuroscience web portal at portal.evokeneuroscience.com.
Evoke Neuroscience is an FDA Registered Establishment and is compliant with all FDA standards, meaning that all of our business policies, procedures, and products align with the FDA and are subject to FDA audits. In addition, our facility goes through a rigorous and ongoing auditing process and is certified by BSI (ISO 13485:2003).
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Dr. David Hagedorn is experienced in clinical health psychology and neuropsychology and serves as an international neuroscience and biofeedback research consultant and instructor.
Eileen Sukumaran has been a healthcare operations expert for the last eighteen years. Prior to joining Evoke Neuroscience, Ms. Sukumaran served as Director of Operations for Nephros Inc, a publicly traded medical device company. She worked to transition the company from R&D to a commercial manufacturer bringing multiple FDA cleared products to market. She also served as operation project manager for the Chairman’s Office, Department of Surgery at Columbia University Medical Center (NYPH). Ms. Sukumaran is a graduate of Hunter College with a Bachelor of Arts degree in Political Science and Philosophy.
Dr. James Thompson holds both a master’s degree and doctorate degree in Kinesiology (specializing in sports-related brain injury) and Psychophysiology from Pennsylvania State University. He also holds a Bachelor of Science degree in Human Kinetics (Athletic Training and Rehabilitation). He is a Certified Kinesiologist with the Canadian Kinesiology Association, board certified in Neurofeedback, and is an Associate Fellow of the Biofeedback Certification International Alliance.
Dr. Nicole Hagedorn is a graduate of the United States Military Academy at West Point where she earned the title of Commissioned Officer in the U.S. Army. She is also a graduate of the Michigan State University College of Osteopathic Medicine.
Marinela Gombosev has over 12 years of product development and business leadership experience in high technology and regulated industries. Marinela earned a Master of Business Administration from Pepperdine University and a Bachelor of Science in Electrical Engineering from the University of California, Irvine, where she was named Engineer of the Year at the Henry Samueli School of Engineering.
John Armstrong has 25 years of experience in various sales and marketing roles. Prior to joining Evoke Neuroscience, Mr. Armstrong served as Senior Vice President of Commercial Operations at Bentlin Products. He also served as Senior National Sales Director/Head of Sales at Accera, Inc., where he was responsible for leading the sales, training, and sales operations teams in the Alzheimer’s disease franchise. Mr. Armstrong has also worked at Bristol-Myers Squibb in a variety of sales leadership, sales, sales training, and marketing roles that focused on selling pharmaceutical products to doctors, hospitals, and clinics. Mr. Armstrong is a graduate of the University of Florida with a Bachelor of Arts degree in Political Science, and served in the United States Navy as a Cryptologist for four years.
Dr. Michael A. Repucci received a Ph.D. in neuroscience in 2004 from the Weill Graduate School of Medical Science at Cornell University for work on the nonlinear dynamics in the visual system. He has worked in the field of EEG data analysis since 1999, In his graduate work, he received extensive training in experimental and computational techniques, and significant experience in software design and development. In his subsequent work in several research laboratories and as an independent scientific consultant, he gained further experience in software development and statistical analysis, from work in finance on trading strategies to lead developer on the Spike Train Analysis Toolkit. He has created tools for scientific research with languages including C/C++/C#, Java, Matlab, and Python. In his recent work, he leveraged this strong background in neuroscience, computational methods, and software development to guide the design and implementation of novel brain-computer interface technologies at Neuromatters, and now leads the software development of the flagship QEEG and neurofeedback platform, the eVox System, at Evoke Neuroscience.
Gordon Smith has been a leader of technology organizations for over two decades. His experience includes technology staff and infrastructure management, software design and development, systems analysis, and project management. Mr. Smith is experienced in delivering intellectual property and infrastructure for startups, growing firms, and multinational corporations. Mr. Smith has worked at and performed consulting services for Goldman Sachs, Merrill Lynch, The New York Stock Exchange, and Towers Watson. He was also a member of the board of directors of Members Alliance Insurance.
Dr. Felipe Fregni is the Director of the Laboratory of Neuromodulation at Spaulding Rehabilitation Hospital and Associate Professor of Neurology and Physical Medicine and Rehabilitation at Harvard Medical School. His research is focused on understanding neuroplastic changes associated with conditions such as chronic pain, Parkinson’s disease, and stroke, using non-invasive brain stimulation as an investigative tool for such aims.
Dr. John Polich is dedicated to developing event-related brain potentials (ERPs) and other neuroelectric measures for the assessment of human cognition. His current research focuses on assessing the acute and chronic effects of drug use, neurologic disorders, and basic information processes studies on frontal lobe function.
Dr. Pamela Hyde is a Board Certified by the American Board of Osteopathic Obstetricians and Gynecologists (FACOOG) as well as Anti-Aging and Regenerative Medicine holding the distinction of Advanced Fellow. With a BS from the University of Maryland in Nutrition Research, Dr. Hyde continues the pursuit of health and wellness and is enrolled in the University of South Florida Master’s Degree in Medical Sciences with a Concentration in Metabolic & Nutritional Medicine. After her Active Duty Military commitment, Dr. Hyde moved to southwest Oklahoma in January 2001; and continues as an Active Reservist in the U.S. Air Force. Dr. Hyde has always had a passion for the underserved and has severed on humanitarian missions to Nicaragua and Afghanistan. She is active in the community giving seminars on Healthy lifestyle, Disease Prevention, Stress Reduction, and Hormone Replacement.
Dr. David Haase is board certified in Family Medicine and Integrative Holistic Medicine and is an IFM Certified Functional Medicine Practitioner. Dr. Haase is a recognized expert in the field of non-invasive brain assessment and advanced neuro-performance. He created the QEEG and neurofeedback section of the first US Medical School sponsored Brain Health certification program. He teaches physicians internationally about how the brain is the center of Quality of Life, and a better understanding of the brain is the key to improve patient outcomes.
Dr. Dirk de Ridder is the Neurological Foundation Chair of Neurosurgery at the University of Otago in New Zealand. In his clinical capacity, Dr. Ridder is responsible for skull base surgery, and microvascular decompression surgery. His research interests are centered on a Darwinian predictive brain model with Bayesian updating to adapt to an ever changing environment. This model is the basis to understand common pathophysiological mechanisms clustering groups of pathologies, such as thalamocortical dysrhythmias (pain, tinnitus, epilepsy, depression, Parkinson's disease, schizophrenia) or obsessive compulsive spectrum disorder (such as addiction, OCD, or eating disorders).