New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin...

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Sales Training Video New Options for Allergy Finger Stick Blood Drop and Scratch Testing

Transcript of New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin...

Page 1: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Sales Training Video

New Options for Allergy

Finger Stick Blood Drop and Scratch Testing

Page 2: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Positioning AllergyPro Options

1. Patient volume: Daily volume vs Allergy Volume2. Payer mix: Commercial, Federal, Cash3. Level of involvement desired (comfort level vs revenue)4. Level of revenue to be generated (very low to very high)5. Patient Outcomes: Being in control of your own patient

Doctors are different. Specialties are different. This is why AllergyPro has created three platforms for doctors to choose from. The following criteria allows a doctor decide which platform is best for his practice:

All of the AllergyPro platforms provide better allergy and asthma care beyond “symptomatic control”. Each platform is designed to provide both testing and therapy as a combined solution to enhance patient care and build a higher quality of life for patients suffering from allergies.

Page 3: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

“Allergic rhinitis is over-diagnosed. Among patients diagnosed as having allergic rhinitis and prescribed a non-sedating medication, approximately 65% are…NOT ALLERGIC!”

With the use of either skin or blood IgE allergy testing,

the diagnosis of non-allergic patients

increased from 9.6% to 42.7%

Stop Guessing. Start Testing.

Page 4: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Symptoms

Long Term Successful Outcomes

Diagnostics

Therapy Plan

Giving patients options for diagnostics offers more information

NegativePositive

Exposure Reduction Medication

Evidence for Decision “OK, it’s not Allergies!”

Evidence for Decision “Well, looks like it’s allergies”

Why Testing is Important

Page 5: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

TreatmentDecision Evidence TestingSymptoms

Symptomatic Approach:

Result: 65% of patients diagnosed with allergies are not allergicHighly Confidential Trade Secret

Many clinicians manage allergic disease by identifying allergy-like symptoms, obtaining a history suggestive of allergic disease and just prescribing pharmacotherapy. Such a strategy is both safe and consistent with patient expectations, although it contradicts the basic evidence-based disease management paradigm. The history and physical exam alone often lead to incorrect diagnosis and provides questionable healthcare at best.

Irresponsible care

Symptomatic Treatment

Page 6: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Treatment Decision EvidenceTestingSymptoms

Evidence Based Approach: Complete Allergy Care

Result: Better Medicine. Better Result. Better BusinessHighly Confidential Trade Secret

With allergic diseases, clinicians frequently progress directly from signs and symptoms to pharmacotherapy, even when diagnostic evidence is readily available. Empiric management may result in unnecessary repeat office visits, inappropriate medication, greater costs and unnecessary referrals. Testing provides evidence to make a clinical decision and offer both avoidance and the proper therapy options for better outcomes.

Evidence Based Treatment

Page 7: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Gastroenteritis

Why Do Allergy Testing?

1. Confirm or rule out “allergy”

2. Identify allergic triggers

3. Targeted exposure reduction

4. Determine course of therapy

5. Set baseline for therapy

6. Revenue source for the practice

Highly Confidential Trade Secret

Stop Guessing. Start Testing.

Page 8: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Why do Immunotherapy?

1. Desensitization to allergy

2. Eliminate Rx Dependence

3. Save money (don’t need meds)

4. Long term solution

5. Reduce or eliminate other

ailments (asthma, eczema,

migraines…)

Highly Confidential Trade Secret

Treat Allergies. Not Symptoms

Page 9: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Platform Options

1 32

Rx Drops

Cards Cards

Skin

Cards

Skin

Shots

Service

No cost to clinic

No contracts

Office Visits Only

In-Network

No contracts

Practice Revenue

Easy to implement

Rx Drops Rx Drops

Awesome Revenue

Page 10: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Option 1: Protocol

Option 1: Cards & Rx

1

Rx

Cards

No cost to clinic

No contracts

Office Visits Only

In-Network

Visit 1: 99213. (National MC 2016: $72.70) *Identify Patient as potential allergy candidate (patient survey)

YOUR TOTAL SCORE:

Treat the cause not the symptom

liveALLERGY FREE

TM

TM

allergypro.usallergypro.us

STEP-BY-STEPAllergyProTM is a safe and simple testing and treatment program for the most common pollen, animal, insect, mold, and food allergens. 

Step 1: QuestionnaireDo you have allergy or asthma symptoms?

Step 2: Diagnostic Testing Identify what triggers are causing your allergy & asthma symptoms.

Step 3: Exposure ReductionOnce identified, minimize exposure to what triggers your allergies.

Step 4: Immunotherapy Build long term immunity to triggers you are allergic to.

Step 5: Live Symptom Free Enhance your quality of life.

Do you or someone you love suffer from allergies or asthma?

ALLERGIES: 5TH Leading causeof chronic illness in the U.S.

ALLERGYPROTM SYMPTOM SCOREPlease check the following symptoms; ranking them from 0 (none) to 5 (severe).

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Page 11: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Option 1: Protocol

Option 1: Cards & Rx

1

Rx

Cards

No cost to clinic

No contracts

Office Visits Only

In-Network

Visit 1: 99213. (National MC 2016: $72.70) *Identify Patient as potential allergy candidate (patient survey)

Asthma in 60% of adults and 90% of childrenis triggered by allergies. Eliminate the allergy, eliminate the asthma.

TREAT ALLERGIES, NOT SYMPTOMS.

Traditional allergy testing & treatment programs can be painful, incomplete, expensive, time-consuming, inconvenient and may not provide all of the information required to know what you are allergic to. AllergyProTM is a revolutionary new program to help you live allergy free.

Better Results. Affordable.

Over 54% of patients are allergic to at least two allergens.

Based on your budget, comfort level and schedule demands, your doctor can recommend an AllergyProTM treatment plan customized specifically for you.

Comprehensive. Safe.

LIVE ALLERGY FREE.

AllergyProTM gives patients what they have never had before: CHOICES.

of patients suffering from allergies visit their primary care provider for help first.58%*

Page 12: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Option 1: Protocol

Option 1: Cards & Rx

1

Rx

Cards

No cost to clinic

No contracts

Office Visits Only

In-Network

Visit 1: 99213. (National MC 2016: $72.70) *Identify Patient as potential allergy candidate (patient survey)

Patient Name:_____________________________________

Date of Birth: _______/_______/_________

When do you suffer from allergies?Winter

What allergy medications do you use?

1. ______________________________________________

2. ______________________________________________

3. ______________________________________________

Have you ever been allergy tested before?from Blood Test from Skin Test

If yes, what were you allergic to?

Do any pets cause your allergy symptoms?

Do you suffer from asthma?

Do you use inhalers?

Have you ever used immunotherapy?

Shots: Did they work?

Drops: Did they work?

Please tear off this portion and give it to the receptionist to discuss with your doctor.

Learn what it really means to be “Allergy-Free.”

SEE IF YOU QUALIFY FOR IMMUNOTHERAPY.

Spring Summer Fall

FoodPollen Pets Insects Mold

OtherNo Yes Dog Cat

No Yes

Yes No

Yes No

Yes No

Yes No

Yes No

N/A

N/A

YOUR TOTAL SCORE:

ALLERGYPROTM SYMPTOM SCOREPlease check the following symptoms; ranking them from 0 (none) to 5 (severe).

Headache

Asthma

Wheezing

Pink eye

Ear infection

Runny nose

Nasal congestion

Sneezing

Sinus infection

Post-nasal drip

Bronchitis

Coughing

Pneumonia

Sore throat

Strep throat

Laryngitis

Eczema

Hives

Diaper Rash

Gastroenteritis

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0 1 2 3 4 5

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0 1 2 3 4 5

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0 1 2 3 4 5

0 1 2 3 4 5

Page 13: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Option 1: Simple, Micro-testing fingerstick & Immunotherapy *Targeted for doctors or specialties who:

1. Have a low patient volume (less than 1 per day)

2. Do not see “allergy” routinely

3. Are not interested in additional revenue (only want to bill foroffice visits)

4. Could be a “secondary specialty”• Gastroenterology (abdominal pain)• Ophthalmology (eye infections)• Sleep Studies (rule out allergy)• Dermatology (eczema)

5. Want to add to current testing options• ENT (blood cards for non-inhalant)

6. No volume requirements or contracts required

7. IgE Cards, posters and patient handouts are provided at nocharge to the doctor.

*REP IS RESPONSIBLE FOR CUSTOMER INSERVICE

Option 1: Cards & Rx

Page 14: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Option 1: Cards & Rx

Only company to use the same proteins for blood testing, scratch testing and immunotherapy in the world.

*Consistency in accuracy

*Consistency in production

*Consistency in results!

One patient,

120 proteins

Page 15: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

IgE Blood-Drop TestCards (Environmental, Food, Total IgE)

Page 16: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

IgE Blood-Drop TestCards (Environmental, Food, Total IgE)

Raw data from laser scanner before quantification report. All allergens & controls reacted simultaneously. No variability, no false positives or negatives. No enzymes quantitative fluorescent detection

Page 17: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

IgE Blood-Drop Test Card

Non-Inhalant Allergen Panel with Total IgE

Environmental Inhalant Allergen Panel

Patient ID:_________________________

Date of Birth:______________________

Date of Collection:_________________

IgE Blood-Drop TestCards (Environmental, Food, Total IgE)

Page 18: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

IgE Blood-Drop TestCards (Environmental, Food, Total IgE)

Page 19: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

IgE Blood-Drop TestCards (Environmental, Food, Total IgE)

1. Complete RequisitionForm

Include your AllergyPro™ account number

Place one barcode on collection card

2. CollectionPreparation

Thoroughly wash hands

Clean finger with alcohol pad

3. Collection Process

Use lancet to nick finger

“Drop” blood (do not dab) to fully saturate andfill past each circle

Let card dry for 15 minutes

4. Mail Back in EnvelopeProvided

Include completed requisition and blood collection card

• For Retail• Include insurance card

(front & back)• Provide credit card

information for MaxPay

Rejected Sample Best SampleThe key to accurate testing is a fully saturated blood sample. Observe the tests to the right as to what a poor or great sample would look like.

Page 20: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

IgE Blood-Drop TestCards (Environmental, Food, Total IgE)

Formulate an appropriate treatmentplan based on objective evidenceand decide if the patient requires

AllergyProTM immunotherapy.

www.allergypro.us

BLOOD DROP TESTKIT Differentiate the diagnosis

and target treatment.

TESTING CHOICES:50 Allergen Non-Inhalant Panel plus T-IgE

(foods, stinging insects, penicillin, latex)

70 Allergen Environmental Inhalant Panel(tree, grass, and weed pollens,

molds, fungi, animals and insects)

The Value of Positive

Identify allergic triggers and determine the course of treatment.

The Value of Negative

Rule out allergies and get to the underlying cause.

Test Kit Details:

• 25 Tests per Box• AllergyPro Postcard (left)• IgE Blood Drop Card• Requisition Form• Lancet• Bandaid• Alcohol Prep• Sterile 2x2 gauze• Self addressed envelope

Page 21: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

IgE Blood-Drop TestCards (Environmental, Food, Total IgE)

Test Kit Details:

• 25 Tests per Box• AllergyPro Postcard (left)• IgE Blood Drop Card• Requisition Form• Lancet• Bandaid• Alcohol Prep• Sterile 2x2 gauze• Self addressed envelope

Complete Requisition Form

Lancet Patient Finger

Mail to AllergyPro’s Lab with Envelope Provided

1

2

3

4

Saturate All Four Spots on the Blood Card

4 EASY STEPS

Page 22: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

IgE Blood-Drop TestCards (Non-Inhalant Allergen Panel)

50-Test Non-Inhalant PanelTotal IgE Panel (82785)

Grain (8)

Fruit/Veggies (9)

Nuts & Seeds (6)

Protein (17)

Stinging Insects (7)

Wheat Apple Almond Beef Fire antBarley Banana Brazil nut Chicken Mosquito

Buckwheat Carrot Sesame Seed Clam Honey BeeCorn Celery Mustard seed Crab Yellow jacketOat Garlic Peanut Codfish Yellow hornet

Rye Green pea Walnut Egg White White Faced HornetSoybean Peach Egg Yolk Wasp

Yeast Strawberry FlounderTomato Halibut Bonus (2)

Lobster Penicillin

Oyster LatexMilkCasein Additional (1)Pork Total IgESalmon CPT 82785Shrimp

49 Tests, 86003 Tuna

Food IgE Panel (86003) Stinging Insects IgE Panel (86003)

Penicillin Sensitivity (86003) Latex Sensitivity (86003)

Page 23: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

IgE Blood-Drop TestCards (Environmental Inhalant Panel)

70-Test Environmental Inhalant Panel

Grass Pollen (7)

Weed Pollen (15)

Tree Pollen (15)

Tree Pollen (14)

Mold & Fungi (13)

Animal & Insect (8)

bahia grass bayberry (wax myrtle) alder california live oak alternaria cat hair

bermuda grass cocklebur white ash virginia live oak aspergillus cattle hair

johnson grass english planain birch, white white oak candida albicans cockroach mix

june grass kochia red birch red oak acremonium dog hair

perennial ryegrass lamb's quarters box elder olive, russian cladosporium, (f) horse hair

timothy grass rough marsh elder cedar red queen palm curvularia mite pteronyssinus

alfalfa pollen mugwort cedar, moutain pecan pollen drechslera mite farinae

rough pigweed cottonwood pine, white Epicoccum mouse hair

tall ragweed bald cypress australian pine fusarium

ragweed, false elm, american poplar, white mucor plumbeus

short ragweed elm, chinese privet mixed pencillium

ragweed, western shagbark hickory sycamore, american phoma herbarum

russian thistle juniper walnut, black pollen aureobasidum

sheep sorrel maple pollen willow, black

70 Tests, 86003 sagebrush red mulberry

Grass IgE Panel (86003 x 7) Weed IgE Panel (86003 x 15)

Same as AllergyPro Skin Test Panel

Tree Pollen Panel (86003 x 29) Indoor Allergen Panel (86003 x 21)

Page 24: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

IgE Report: Option 1

Total IgE on top of the report.

How is it used? The total IgE test may be used to help screen for and detect allergic diseases. It measures the overall quantity of immunoglobulin E in the blood. It may be ordered by itself, before, or along with allergen-specific IgE tests, depending upon whether or not a person or healthcare practitioner has identified potential substances to which the person may be allergic.

What does the result mean? Immunoglobulin E (IgE) is an antibody that is produced by the body's immune system in response to a perceived threat. It is one of five classes of immunoglobulins and is normally present in the blood in very small amounts. IgE is associated with allergic responses, including asthma, and to a lesser degree with immunity to parasites.

An increased total IgE level indicates that it is likely that a person has one or more allergies. Allergen-specific IgE levels will increase after anexposure and then decline over time, thus affecting the total IgE level. If a person is allergic to a seasonal substance, such as pollen, then both the specific IgE and total IgE would be expected to increase during the time of year when the allergen is present. If someone has one or more food allergies, then the total IgE level would mirror exposures to these foods. If someone is allergic to something that they are constantly around, such as mold in a house or cat dander, then the total IgE level may be persistently increased.

An elevated level of total IgE indicates an allergic process is likely present,but it will not indicate what a person is allergic to. In general, the greater the number of things a person is allergic to, the higher the total IgE level may be.

Page 25: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

NON-INHALANT PANEL

PATIENT: Doe, JohnAGE: 38 DOB: 01/08/1955GENDER: MSPECIMEN #: 08082291 PHYSICIAN: Dr. Parker COLLECTED: 08/01/2016 RECIEVED: 08/08/2016PROCESSED: 08/15/2016REPORT STATUS: CompletePHYSICIAN: Ray Bines, NP

Low High1 100 200 300 400 500 600 700 800 900 1000

Very low Low Moderate High Severe

TOTAL IgE: 488 ASU

SEVERE

HIGH

MODERATE

Almond 46035 9

Benzylpenicilloy 64298 10

Crab 64351 10

Shrimp 56272 9

Barley 26357 8

Buckwheat 28127 8

Garlic 25308 8

Tomato 3805 5

Wheat Grain 3128 6

Allergens

Allergens

Allergens

ASU

ASU

ASU

CLASS

CLASS

CLASS

*This report is not a diagnosis, A diagnosis is only made by a clinician in cunjuction with a physical examination and medial history

LOW

VERY LOW

NON REACTIVE

Brazil nut 1208 4

Mosquito 1202 4

Oyster 677 3

Casien 260 2

Oat GRain 137 1

Tuna 464 2

Yellow Hornet 110 1

Apple 0 N/A

Banana 0 N/A

Beef 0 N/A

Carrot 0 N/A

Celery 0 N/A

Chicken 0 N/A

Clam 0 N/A

Corn 0 N/A

Pork 0 N/A

Rye 0 N/A

Salmon 0 N/A

Allergens

Allergens

Allergens

ASU

ASU

ASU

CLASS

CLASS

CLASS

NON-INHALANT PANEL Very low Mild Moderate High Severe

*This report is not a diagnosis, A diagnosis is only made by a clinician in cunjuction with a physical examination and medial history

IgE Report: Option 2

Page 26: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Option 1: Cards & Rx

Office visit revenue (MC): $360/patient

1

Rx

Cards

No cost to clinic

No contracts

Office Visits Only

In-Network

Visit 3-7: 99212. (National MC 2016: $43.10)*Immunotherapy Follow Up. Option to ship to practice or home

*Patient visit required to:• Pick up prescription & confirm compliance of therapy• Make sure patient is improving (symptom score)• Make sure there are no side effects

Option 1: ProtocolVisit 1: 99213. (National MC 2016: $72.70)

*Identify Patient as potential allergy candidate (patient survey)

*Do AllergyPro Fingerstick IgE Blood Drop Card

Visit 2: 99213. (National MC 2016: $72.70)*Follow up consultation. Review test results with patient.

*Determine is Immunotherapy is a good therapy option.

*Prescribe Drops. Patient is charged $74.95 per month

Page 27: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Option 2: Protocol for Skin Testing.

Visit 1: 99213. (National MC 2016: $72.70) Initial exam to identify patient aspotentially allergic, then confirm or rule out allergies as the cause. Fingerstick IgE Card is used for non-inhalant panels only.

Visit 2: 99213. (National MC 2016: $72.70) Follow up consultation. Review testresults with patient. If immunotherapy drops are prescribed, patient is billed from the pharmacy with a choice to ship to the patient’s home or the clinic for a pickup and follow up visits.

NOTE: Add skin Testing for a separate visit or add to this visit with a modifier 25.Client bills 95004 x 72 = $450-650/patient (pending location, payor and patient plan). See next page for analysis.

Visit 3-7: 99212. (National MC 2016: $43.10) Immunotherapy Follow Up. Patientis taught how to dose the drops with instructions, and given a symptom score for therapy tracking and effectiveness. Dropper prescription is sent to the doctor for patient compliance and follow up throughout build up phase (months 1-5). Once compliance has been established, droppers will be shipped to patient’s home.

Option 2: Cards, Skin, Rx

Office visit revenue (MC): $810-$1010/patient

2

Rx

Cards

Skin

No contracts

Practice Revenue

Easy to implement

Page 28: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Option 2: Simple, Non-Invasive (needle free) *Targeted for doctors or specialties who:

1. Have a good “allergy” volume (1-5 per day)2. See “allergy” routinely in their practice3. Want a complete solution for patients4. Don't want to refer to a specialist5. Want to generate significant revenue6. Want to keep control of own patients7. Want to build better “Patient Value”8. Want to expand their practice.9. Want to attract more patients10. Lead by example (early adopters)

Option 2: Cards, Skin & Rx

Page 29: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Panel A: Grass (Summer)

Panel B: Weeds (Fall)

Panel D: Trees (Spring)

Panel G: Molds (Annual)

Panel H: Fungi(Annual)

Tray 1: Panel A: Grass Season: Late spring, Summer

Tray 1: Panel B & C: Weeds Season: Late Summer, Fall

Tray 2: Panel C, D, E: Trees Season: Late Winter, Spring

Tray 3: Panel G: Molds Year round household allergies

Tray 3: Panel H: Fungi Year round household allergies

National EnviroTest Kit

Panel I: Animals/Insects

Tray 3: Panel I: Animals/Insects Year round household allergies

Panel C: Weeds (Fall)

Panel E: Trees (Spring)

Panel F: Trees (Spring)

Highly Confidential Trade Secret

Page 30: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Tray 1: Panel A: Grass Season: Late spring, Summer

Tray 1: Panel B & C: Weeds Season: Late Summer, Fall

Tray 2: Panel C, D, E: Trees Season: Late Winter, Spring

Tray 3: Panel G: Molds Year round household allergies

Tray 3: Panel H: Fungi Year round household allergies

Sample Test

Tray 3: Panel I: Animals/Insects Year round household allergies

Highly Confidential Trade Secret

Page 31: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Tray 1: Panel A: Grass Season: Late spring, Summer

Tray 1: Panel B & C: Weeds Season: Late Summer, Fall

Tray 2: Panel C, D, E: Trees Season: Late Winter, Spring

Tray 3: Panel G: Molds Year round household allergies

Tray 3: Panel H: Fungi Year round household allergies

Sample Test

Tray 3: Panel I: Animals/Insects Year round household allergies

Highly Confidential Trade Secret

Page 32: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Tray 1: Panel A: Grass Season: Late spring, Summer

Tray 1: Panel B & C: Weeds Season: Late Summer, Fall

Tray 2: Panel C, D, E: Trees Season: Late Winter, Spring

Tray 3: Panel G: Molds Year round household allergies

Tray 3: Panel H: Fungi Year round household allergies

Sample Test

Tray 3: Panel I: Animals/Insects Year round household allergies

Highly Confidential Trade Secret

Page 33: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Highly Confidential Trade Secret

How To Calculate Feasibility

Head Ears Eyes Nose Throat: [ ] Malaise or Fatigue (R53.8) [ ] Migraine (G43.*) [ ] Conjunctivitis (H10.*) [ ] Otitis Media (H65-H70) [ ] Rhinitis (J30.9) [ ] Tonsils/Adenoids (J0390) [ ] Postnasal Drip (R09.8)

Q1: How many times a day do you see the following patients? Q2: Treatment Options?Symptomatic Approach [ ] Antihistamine [ ] Steroid shot [ ] Nasal steroid spray [ ] Nasal Decongestant [ ] Refer to allergist Evidence-Based Approach [ ] Blood allergy testing [ ] Skin Testing [ ] Sublingual IT [ ] Subcutaneous IT

An example of how to calculate feasibility analysis for AllergyPro TestKits

Gastrointestinal: [ ] Allergic Gastroenteritis (K52.2) [ ] Celiac (K90.0) [ ] Vomiting, Persistent (R11.10) [ ] Diarrhea (R19.7) [ ] Allergic Colitis

Upper Respiratory: [ ] Asthma (J45.909) [ ] Bronchitis (J40) [ ] Cough (R05.*) [ ] Upper Respiratory Infection (J069) [ ] Pneumonia (J15.9) [ ] Acute Sinusitis (J01.00) [ ] Influenza with Pneumonia (J11.00) [ ] Laryngitis (J04.0) [ ] Wheezing (R062)

Dermatological: [ ] Atopic Dermatitis (L20.90) [ ] Diaper Dermatitis (L22) [ ] Urticaria (Hives) (L50.*)

#Patients seen per day:__________

Calculations are based on national average of 95004 and assuming the volumes remain consistent throughout the year on a daily basis. Reimbursements may vary based on insurance carrier, reimbursement region, and patient’s insurance plan. This is a calculation and not a guarantee of reimbursement.

Feasibility Study for Starter Kit: Return on Investment

A. # Allergy patients per/day: ________ X 21 days = ___________pt/mo

B. Choose your Starter Kit:

[ ] 25pt/kit @ $160/pt [ ] 50pt/kit @ $110/pt [ ] 75pt/kit @ $93/pt

C. CPT 95004: ($______________) x 72 units = $________________/test

D. Take (C) $___________ - (B) $___________cost/pt = $______________

E. Take (D) $______________net/pt x (B) ______________# pt/kit

F: Estimated Starter Kit ROI :___________________________

Annual Feasibility Study for Refill Kits (Over 12 months)

G. Choose your Refill Kit:

[ ] 25pt @ $120/pt [ ] 50pt @ $90/pt [ ] 75pt @ $80/pt

H. Take (C) $____________/test - (G) $____________cost/pt

I. Take (H) _____________net/pt x (A) ____________pt/mo

J. Answer to ( I ): $_________________GP$/mo

K. Answer to (J): x 12 months: $________________GP$/year

L. Annual Calculation will not include additional office vistas.

# Allergy Patients per day:_______

5

405

105

6.83 491.76

491.76 110 381.76381.76 50

$19,088

491.76 80.00

411.76 10543,234

518,817

Page 34: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Option 3: Full Service Option

*Practice analysis required. (30% qualify)*Volume commitment required (NDA & contract).*Full service model includes all testing, therapy, consultation*No cost to physician*We handle billing. Checks go to the clinic.*We invoice for our fair market (as assessed by an OIGApproved Management Group)

*Multiple revenue sources for the clinics:1. Patient consults2. Skin testing3. Shot mixing4. Therapy: Allergy shots5. Therapy: Allergy drops6. Repeat visits per week (shot only)

Option 3: Full Service

Per Patient Revenues: $3500+/patient

3

Rx

Cards

Skin

Shots

Service

Page 35: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

About Allergy Labs of America

*In business for 8 years*Board certified Allergist*Access to our team of healthcare attorneys and the ability to speak to ourcurrent clients to answer any questions you may have.*ZERO OUT OF POCKET STARTUP! ALA assesses the practice and if qualifiedfor an allergy lab, pays all initial start-up costs & on going costs for the entireterm of the agreement*Covered by all major insurance carriers, including Medicare, Medicaid, Tricare*ALA’s billing department handles all billing and collections on all allergy relatedcodes.*Payments are received by the clinic directly from the insurance providers asusual.*ALA invoices the practice for their fair market value per patient at the end ofeach month

Option 3: Full Service

Page 36: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Option 3: Financial Breakdown of a Single Patient

$500     Testing $2000 SCIT Immunotherapy (or monthly office visits for SLIT: $360) $2500   Total Reimbursements (Not including weekly visits for shots) -$900  Fair Market Value to ALA $1600   Remaining for the Physician on this particular patient

No Cost & No Risk to the doctor

Option 3: Cards, Skin & Rx

Page 37: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Option 3: Assumptions on Revenue Model *Typical practice insurance mix

60% private pay carriers average: $3,500 20% Medicare: $1,100 20% Tricare, Medicaid, cash average: $1,600

Option 3: Cards, Skin & Rx

Description Details Monthly ValuesLab Testing 20 x $400, 20 x $150 $11,000

Average PPO 60%=12 patients, $2000 avg Reimb. $24,000

Medicare Avg Medicare patient: 20% = 4 patients. $4,400

Tricare Medicaid Avg Medicaid/Tricare/Cash patient: 20%=4 patients $8,800

Total Gross Reim Adding up all reimbursement revenues for all allergy patients $48,000

ALA Payment Fair market value: $900 x 12 PPO, $600 x 8 Federal -$15,600

Clinic Monthly $ $32,600

Clinic Annual $ $391,200

*40 patients per day.*5% tested (2 tested/day)*80% for immunotherapy*50 elect immunotherapy (1)*Based on 1 patient per day!

Page 38: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

What is needed to get started 1. Complete the Feasibility Survey

• Identifies allergy patient volume• Identifies what doctor is doing now to treat allergy patients• Identifies hot-buttons to determine doctor interest

2. Complete the Customer Enrollment Form (required for IgE Cards)• Identifies clinic name and doctors credentialing information (in-network)• Identifies representative in charge of the account

3. Complete NDA and Formal Practice Analysis (Option 3 only)• Starts the analysis for a full-service option.

• Upon approval, phone consult to finalize answers/questions.• Review and sign AllergyLabs of America Contracts & Clinic set up• Option 2 & 3 Implementation (2-3 weeks post signature)

Where To Start?

Page 39: New Options for Allergy - Amazon S3 · Sales Training Video New Options for Allergy ... either skin or blood IgE allergy testing, ... of adults and 90%

Congratulations!