Concussion Program 

This is the module Kavera was built around, and the one Dr. Abrahams runs on his own patients. A concussion patient used to get one visit, maybe two. The Concussion Program gives them a structured recovery with a touchpoint every week and a documented encounter every month.

The protocol

First visit. Neuropsych battery for concussion symptoms, emotion, sleep and PTSD: PCSS, PHQ-9, GAD-7, PCL-5, PSQI. Cognitive tests: SAC, Digit Span, SDMT, Trail Making. Vestibular exam: VOMS, BESS, King-Devick. Visual field testing where indicated.

Two-week feedback visit. Results reviewed with the patient on one screen. Treatment plan built. Patient enrolled.

Weekly, between visits. PCSS check-in to the patient's phone. Brain training for attention and focus. Guided support for mild anxiety or depression, clinician-gated. At-home vestibular exercises where prescribed.

Monthly. Telehealth or in-office follow-up. Re-evaluation against baseline. Treatment adjusted.

Persistent symptoms. Patients flat at week three or four move to the persistent-symptom pathway: HIT-6 for post-traumatic headache, expanded cognitive testing, referral for formal neuropsych testing, sleep study or EEG as indicated.

What you see

A dashboard with every enrolled patient's symptom trend, mood, sleep, cognitive scores and training completion against the first-visit baseline. Flags for scores moving the wrong way, positive PHQ-9 Item 9, and missed check-ins. Before each visit, one screen.

What gets documented

Enrollment and patient education (98975). Engagement days from check-ins and brain training (98978). Review and patient-contact minutes (98979, 98980/98981). First-visit and re-evaluation testing (96116, 96132, 96136–96139, 96146). See how to bill a concussion follow-up. Educational, not coding advice.

Who runs it

Your staff on Self-Serve. Juliet Mott's team on Managed, including claim submission under your credentials.

FAQ

What instruments does the Concussion Program include?

PCSS, PHQ-9, GAD-7, PCL-5, PSQI, HIT-6, SAC, BESS, VOMS, King-Devick, Digit Span, SDMT, Trail Making A and B, plus brain training and the guided support tool. Instruments are assigned per patient.

Is this a substitute for formal neuropsychological testing?

No. It is the program that tells you when to refer, and it sends the referral with a documented trajectory.

Can concussion monitoring support RTM billing?

Weekly check-ins plus brain training are the cognitive behavioral monitoring device 98978 describes. Review and telehealth time is logged for 98979/98980. Whether a given month qualifies is your billing determination.

How is this different from baseline testing programs?

Baseline programs test before injury. Kavera starts at the first post-injury visit and runs the recovery. See baseline testing programs.

Does the program cover pediatric patients?

Yes, with instruments assigned by the treating clinician and a return-to-learn cadence. See pediatric vs. adult protocols.

See it on your patients

One field. 30 minutes. Live demo with a clinician. Request demo.