P COG + is a computer based expert system to obtain a history, perform a cognitive test, and record a management plan for patients with cognitive complaints.
P COG + has 3 parts.
1. Initially, the system collects historical information directly from caregivers or informants, In an intuitive and non-threatening manner, the application asks the caregivers about neuropsychiatric symptoms (depression, anxiety, agitation, psychosis); about day to day struggles (doing finances, keeping appointments, driving, and preparing food); and about future planning and needs (living will, decision making, home support or placement).
2. The app proceeds to a previously validated cognitive exam. This is a 30 point test, takes 4 minutes, and can be performed by office staff.
3. This is followed by a summary of the information and a menu for physician recommendations, which is tailored based on the scoring from the cognitive exam.
PCOG+ meets documentation criteria for billing under CPT code 99483. It is efficient and intuitive.
By taking care of the documentation, it allows a doctor to take care of their patient.