Telehealth with Asha Gummadi

Telehealth with Asha Gummadi

Ray Berardinelli: Welcome to the PT Business Builders group -- where we believe EMRs suck; that systems and software should actually improve your life and your practice, not consume it; and here, the only measure of success is systems and software that allows you the time to enjoy your life and the financial freedom to do that.

Today we have Asha Gummadi here. Asha has a program called Therex Portal. It started out as a therapeutic exercise thing, but now it has kind of moved. You've also added telehealth into your platform here, and you're going to kind of walk us through that and kind of show us exactly how that works, correct? 

Asha Gummadi: That's right, Ray. Thank you for having me, my friend. And yes, we started off as a therapeutic exercise platform, which is multilingual. And then, we also saw the need for clinician shortage and telehealth to be addressed. 

We initially went with a third party software called doxy. But then we also saw that it needs certain more customization so we built our own from the ground up. 

I'm just going to show you the platform. And to start off this conversation, I want to let you know that, I am a physical therapist, just like Ray, and we feel deeply connected to other physical therapists. 

And the lack of EMRs that consume our time and how much more time we spend at home, like documenting and all those things. 

I know you have to practice physical distancing right now with your patients. But that also takes a toll on your revenue stream and financial independence. I'm going to show you a way to overcome that and keep you afloat with telehealth. 

Even though you're practicing digital, social distancing, try to stay digitally connected with your patients, so they see the value in you and then they feel connected with you and all these patients would be your lifelong customers. 

Ray Berardinelli: Right. 

Asha Gummadi: That's right. 

Mother Teresa hugely inspires me. So I'm going to take a quote from her “together, we can do great things.” 

As a result of my vision to this platform, we are going to give you a free demo, free trial to everybody during this call without pay. 

Ray Berardinelli: That's awesome. 

Asha Gummadi: You can use the code THEREXTELEHEALTH in all uppercase letters, and we'll post it in the Facebook group.

Ray Berardinelli: I'll post it right now -- THEREXTELEHEALTH.

Okay, I'll get that right now. I'm going to put that in for everybody.

You can go ahead and keep going there.

Asha Gummadi: This webinar, we are going to show you how to use the platform. So this is the infographic of how Therex Portal works. 

As a therapist, you will first share the link with your patients through a text message or through email. A patient clicks the link on their tablet, phone or computer and then they open and initiate a consent form and then they hop on a call with you. 

You are evaluating the patient live, one on one, and then while you're evaluating them, you can also do a screen share -- give them Therex demonstrate the exercises and prescribe them as a treatment. 

So when you prescribe them, the beauty of this platform is it tracks the patient's adherence beyond the visit. And it allows the patient to communicate with you through a secure chat window so they can leave feedback and post them. 

We use Wong-Baker faces’ pain scale, so they can also record their pain on that and you will have access to all that information on this secure HIPAA compliant platform.

The reason why I started this whole thing is because my mother speaks an Indian language called Telugu. And when I was treating her for vestibular migraine, I had huge difficulty communicating or getting my message across because all the exercises were in English.

I started off as a Home exercise program with multilingual instructions. And then I also realized that there was a shortage of vestibular therapists in the place that my mom resides. 

So we built the telehealth platform to add on to that, so therapists can reach out to a wider audience.

Ray Berardinelli: That's great. Hey, everybody, I'm sorry if you hear any background I’m in my home right now because everybody's here. So it's a little bit noisy at times and I apologize for that.

Asha Gummadi: That's okay. It's the same with me, like I had to stay home. My son may be interrupting and I apologize for that, too. 

With this vision, we won the National Geographic Chasing Genius Award. Out of 1,050 applicants in the entire country, we won the first place.

Ray Berardinelli: That's great! 

Asha Gummadi: Thank you, Ray. 

And if at any point of time you have any questions, there's my email ID: ashagummadi@therexportal.com. Please feel free to reach out to me. 

(And this is the CTO of our application.)

Our chief technology officer is Mr. Kamalakar Thota. 

He has 20 years of experience in the healthcare domain. And he led the project of telehealth with Intermountain Healthcare, which is a huge hospital network in Utah. He also won the award in the entire state of Utah for his product that was developed. 

And we are glad that he is the CTO and he takes care of the HIPAA compliance, the technology requirements and all that fun stuff. 

Today we are just going to talk about telehealth. I'll show you the Therex Portal exercise program. And we'll also touch briefly on marketing tips. 

So now, my friend, I want you to take the lead on. I'm going to stop my screen share here. I want to show you how easy the platform is to use. 

Ray, my friend has never used the platform here. So what we'll do is we'll have Ray take the lead, and we'll have him register and demo the platform. And I'll just talk him through it.

So please open Chrome browser. Go to therexportal.com. Now click telerehab.

This takes you to telerehab. Go ahead, click register on the bottom.

As a first user, you need to register so we'll have to fill this information out and credentials physical therapists, PT. And our password needs to be a HIPAA secure requirement -- minimum eight letters, one uppercase letter, one special case letter, and a number. 

And you could select a room name here. If you want your patients to identify you with their business name, you could select that here.

It would come up as Bella Care rehab is inviting you. It's all uppercase letter -- THEREXTELEHEALTH. 

Perfect. Okay. And then pick the country -- USA.

You agree, you're not a robot?

Ray Berardinelli: I'm not sure sometimes.

Asha Gummadi: We'll you didn't re-enter the password.

Ray Berardinelli: Okay. I had us over top of it. I didn't see it there.

Asha Gummadi: That's okay.

Ray Berardinelli:  Okay, let's go. Password does not match.

There we are.

Asha Gummadi: That's it. So your registration is successful. 

If you remember that login id (your email) and that you used in the password that you just used.

Asha Gummadi: You could also go click forgot password. That could also help if it didn't load in this time, so click “Forgot Password.”

So we tend to use so many passwords that if you click your email there would be a verification 

No, go ahead “Use a new password.” You will also get a secret code on your email.

Ray Berardinelli: It's not very secret if I share it on Facebook Live. 

Asha Gummadi: But we don't know your password, we can still not see it. And that's unique to you.

Yeah, so just copied 581668, I’ll remember it for you.

Ray Berardinelli: I'm too lazy to remember.

Asha Gummadi: Okay. Yeah, you got it. 

Are you hitting the same password?

Ray Berardinelli: Let me try it again.

Okay, let's give one more go. I think I got it this time, Asha, hopefully.

Asha Gummadi: It's all very difficult to remember.

Ray Berardinelli: Here we are.

Asha Gummadi: This is the first step you have to do which is signing a business associate agreement, which is part of HIPAA compliance. So now, as you scroll down to the bottom, you would see Bella Care automatically and here's the founder. 

So click founder or director, whatever you want to see.

And now your business associate agreement is initiated and you will find it in the account settings. Go to the account settings, on the left hand corner, and here if you click “BA” on the top.

This is where you'll find your business associate agreement and profile if we go back to the profile. So you have all these information here, we are not going to share it now, for the purpose of demo.

NPI tax ID. And the reason why this is important is when you first invite a patient, the patient will know which state you're licensed in. 

When you're trying to issue them a super bill. This information gets auto populated in your super bill, so you don't have to fill it for each patient. So that's why we collect that information. 

The first step is you fill the profile information and then go to payment settings. On the left hand corner, and this is where you would establish your business with stripe. 

If you establish your business, go ahead, click there. 

We are not going to do it now but I just want them to see how it looks. 

Here, if you look at the form that's going to open up, you'll scroll down.

Down the form you can select your business address, what kind of business it is. And in the business description you will also see a telehealth business description.

You will see telemedicine and telehealth services in the medical services. So click medical services and you'd see telemedicine. 

There you go, you just try that. 

Ray Berardinelli: I go right over top of it.

Asha Gummadi: There it is, you choose that. And then as you give this information to your patient, you will be able to charge your patients directly. 

Ray Berardinelli: Okay, great. 

Asha Gummadi: Billing is included into the system, payments are included into the system, super bill, and scheduling is included into the system. 

And we also can treat the patient directly through the video call. 

Let's go back to the application here. So let's go to the dashboard and go ahead click invite on the top. 

Here, when you click on schedule, a schedule opens up. I'm going to have Ray invite me. So just click Set.

Ray Berardinelli: Okay, I was changing the time three, I'm busy.

Asha Gummadi: Of course, man.

So say Asha and you can give my email ashagummadi@therexportal.com .

And in the mobile number you have to give the area code which 1. And my number is 312-420-1654. 

And since Ray hasn't set up a payment system, we will select zero. So, can you select zero? 

And if you want to say the patient that you know fill the consent form, you can say that and you can see a free consultation.

Ray Berardinelli: Okay, there you go. We're doing this, we just wanted to show everybody how easy it is to actually get into this. 

Even with something that is like a professional level kind of platform so you guys can see what this looks like, how easy it is to get this done.

Asha Gummadi: Yes. So now know that Ray has filled that form out. I immediately get the email.

Ray Berardinelli: Yeah, and I can also copy the link if I want to send it to you somewhere else like in Facebook Messenger or something like that. I'm sure I could just drop that in.

Asha Gummadi: Can you share that link to me?

Ray Berardinelli: Yeah, I did. I just shared it.

Asha Gummadi: I'm going to open my… Oh, did you share it in Facebook?

Ray Berardinelli: Yeah, share it on Facebook. 

Asha Gummadi: Can you share it on the zoom, please?

Ray Berardinelli: Sure. Why is my thing not popping up from the bottom?

I don't know why it's not pooping in the bottom 

Asha Gummadi: It’s Okay. I have my...

Ray Berardinelli: Must because we're live on Facebook.

Asha Gummadi: Maybe. Yeah.

Ray Berardinelli: I think I'd have to stop my share.

Asha Gummadi: Oh, okay. So let me show you how it looks like from my end. 

Ray Berardinelli: Okay. I'll stop my share, then you can just share yours.

Asha Gummadi: Yes, yes.

Can you see my screen guys?

Ray Berardinelli: Right now my job is to click on the bottom of the zoom and click “Share.” 

Asha Gummadi: Oh yes, yes.

Ray Berardinelli: So Asha, how long did it take you to get all this done?

Asha Gummadi: The Therex Portal platform took me five years.

However, the telehealth, it took us lesser time -- maybe six months.

Ray Berardinelli: Great. 

Asha Gummadi: So you know people always ask, I am very surprised, with this question from people they say, “Oh, can I build my own?”

Ray Berardinelli: Sure you can.

Asha Gummadi: I would hate to say that, but it does involve a lot of things. 

When we first started out, it was difficult for us. And we encountered a lot of navigation that we had to go through. Because my friend, like you, have traveled this road with me.

Just like me, so you will know, like, how much time it takes to build a software, and how many alterations you have to go through? Right? 

Ray Berardinelli: Yeah, six and a half years in on my end.

Asha Gummadi: Yeah. Let me open my email.

Ray Berardinelli: When people want to build stuff, I always say that to them. I said, “Well, you better be ready because this is gonna be a long process and it's gonna cost way more than you ever anticipated.” 

You're gonna walk in, you're gonna talk to the first person, and they're gonna tell you, “oh, that's going to cost you, blah, blah, blah…” Just take that multiply by four.

Asha Gummadi: And that's true. You see, I invited myself, and this is the link. 

This is how the consent form looks on the patient. And so let's say I just chose an arbitrary date. And here the beauty of this is the state of residence of this patient, you're verifying it and you already know the therapist is licensed in Pennsylvania. 

Here you're not breaking any guidelines, physical therapy guidelines. And so every part of the compliance is built into the system so you don't have to worry about it going. 

And then your patient agrees, checks that box which makes it a digital signature. Then, here it is so you and now you have this option to join the call. 

Now as I joined the call, this is how the call looks like. Of course I didn't join because there is nobody on the other end.

You can share the screen just like we did on zoom. You can also mute yourself and hide the video hide, mute yourself, unmute yourself, and you could end the call. 

Let me show you the therapist end of it. 

Ray Berardinelli: I probably screwed you out by putting the time and it's three o'clock instead of now, huh?

Asha Gummadi: I think so. I think.

Ray Berardinelli: Sorry about that.

Asha Gummadi: No, that's okay. That's okay. 

So in the status, you see that it's a free session. And you can see your patient consent sign right there. Even before you see the patient, you have all this information right there, so you're not breaking any law. 

And if the patient does not, let's say, if you're charging the patient $5, if the patient does not pay the money, or whatever that is, then the call doesn't activate. If they do not sign the consent, the call doesn't activate. 

You can see you can validate that here, the patient has consented and paid, and the appointment is scheduled, and so and so time. You can copy the link, you can share it on, wherever you want to share.

The patient also gets a text message. But if you'd like to share it in future, you can do that as well. Now I'm going to show you the super bill. So let's say we give an arbitrary number, okay. 

And nothing is true here. I'm just going to make it up.

Ray Berardinelli: That's what I do most of the time. 

This has changed since last time I saw that show you've been busy.

Asha Gummadi: Yes, I've been busy.

What happens, Ray, people ask questions -- they want this feature. You know me, I cannot sit still until it's completed. So that's what happens. 

Now the super bill is sent to the patient. So, see there's my ringer there. So here is the super bill. 

You can see the super bill right here and none of this information is true here. So you would enter your true tax ID through NPI and your license number and all that. 

And then the patient can submit this to claims, if they have a flexible spending account, they can do that. And if their insurance does not cover it, or if it covers it in the future, then they could submit it again. 

So you can also do that. And we also have a feature of provider search. If you list yourself as a telehealth provider, and your patient is looking you up by zip code, you will pop up on the search provider list. 

A big part of us is we need to let patients know what we actually are here for them. And here I listed down my certifications, my accomplishments, what kind of treatments I do, and a little bit about me.

Patients can look you up, and then they can feel comfortable. That's up to you. 

And we also have a blog, where we feature physical therapists. I know most of you are private practice owners. If you set up your own clinic, I know how confident you are and how much skilled you would be like to get to where you are. 

If you write a blog post and send it to us, we will feature you. 

And I want to show you a magic here, you can see Asha Gummadi. And in the clinician list, so this is called beauty of SEO. I'm typing my name, and you can see me pop up, right. 

These are all the things that I have done. But you can also see that the blog has popped up here. 

Ray Berardinelli: It's going to help your SEO because you have a blog that's tagged to you.

Asha Gummadi: Yes, exactly. 

We will make that happen for you. And this is a big part, advertising is a big part of making this successful. 

Ray Berardinelli: For sure. 

Asha Gummadi: This is what we can do. And let me just quickly show you how easy the home exercise program platform is. 

You log in as a clinician, and this is where you would add your patient, their mobile number, their email id.

Ray Berardinelli: Okay, so would the patient then be logged in in here? So I could just select them and send them the exercise?

Asha Gummadi: Yes, that's right. That's right. 

You can create your own patient database and the patient will get a unique access key that's true to them. And it will be shared to their email as well as their mobile number. 

The patient can just click that link at the access key that you need to them, and they will see their own exercises that you have shared with them.

Ray Berardinelli: I've seen this part of it.

Asha Gummadi: What we do here is we shared the screen and if you are treating a patient for concussion or for some kind of neck pain, you want to show them in suboccipital release. 

You cannot, like step away from the video, find a map, bring the tennis ball, lie on it and show them this, you know what I mean? 

It's so much easier for you to treat your patients, train them on line, demonstrate the exercises and just correct them while they're doing it. And you share these exercises to them. 

And you can see how detailed our exercises are, they do that in three dimensional view and any patient who does not...it's easy to follow in a simple nutshell. 

We have exercises for neuro, ortho, geriatrics, vestibular. And we cover back, shoulder, hip knees, and neck, too. 

Ray Berardinelli: I know that neuro is incredibly extensive on it because that's your thing.

Asha Gummadi: Yes, absolutely. That's my thing. 

And ortho, I've reached out to people, which is their thing. It's awesome and phenomenal. 

You can still see my screen, right? 

Ray Berardinelli: Yes. 

Asha Gummadi: Do you see the slides back?

Ray Berardinelli: Yes, ma'am. 

Asha Gummadi: Okay. So that's basically the demo of the application. And you can see it took us less than 10 minutes to set it up. 

And with the HIPAA policies, you must sign a business associate agreement and all data should be encrypted, which we’ll take care of it. You have to explain the benefits and risks of telehealth, you need to seek that informed consent and the therapist must be licensed in the same state as the patient. 

And you have to provide the patient the means to validate you. So we also add a link in our blog post about APTA search provided list like APTA, verify the license of a therapist so the patient can verify your truly license.

All these clinical practice guidelines that we need to follow. And Therex Portal sneaks in the compliance without you making any effort on it.

This is a huge area that we could talk on for hours and hours. Because the rules keep changing day by day. 

But this is the chain of command, the center of connected health, issues a policy, APTA updates it and then the state licensing board adapts it or does not adapt it whatever it chooses us to do. 

We have information about e-visit and people confuse e-visit to telehealth visit. E-visit is just 21 minutes in a seven day period, which is very minimum and you talk to your patient and you give them maybe one exercise program but you cannot treat them, you cannot do an evaluation. It is only for current patients.

Ray Berardinelli: If anybody is on here. I'm curious. I see some people on here.

If you've done a telehealth visit (at all) please let us know below like just say “telehealth visit.” If you've done a telehealth visit, if not just say “no.” 

Because this is if you're looking to get into it and you're looking to use something naturally, something that's HIPAA compliant and is free right now would be kind of an ideal way to do it. 

If you want to try it, you've already got a walk through here. So it's already done for you.

You've already got something that you can review and see exactly how to get through this. So if you say “no”, then this might be a great option for you.

Asha Gummadi: If you're a mobile practice, then you use this place of service called S12. 

And what the guidelines say is that if you have a HIPAA compliant platform accessible to you, please use it. If you do not have it, the HHS has waived the HIPAA policies or HIPAA penalties but that doesn't mean if you have access to it, you shouldn't be using it.

Ray Berardinelli: Richard had a question or he wants to know about custom exercises, he says, are we able to upload?

Asha Gummadi: Yes, of course, you can upload your own exercise.

You can create your own database and it lives in the My Therex tab (in your left) and you can create your own database of exercises. 

And it's very easy and I will take you through it. 

We'll finish this like in five minutes and we'll go back there, we'll jump there, okay. 

Ray Berardinelli: Okay.

Asha Gummadi: This is the payment policies and all. And what it is? It is which I am sure (like you) understood by this time. 

And a way to do your own telehealth practice with Medicare patients is you explain to them and maybe an advanced beneficiary notice.

You document that in your documentation system, and then you treat them through telehealth and not through e-visit because if you want to evaluate a patient, you want to follow a plan of care that e-visit does not allow you to do so. And you charge them to cash pay, give them a super bill.

Ray Berardinelli: We've got a question here. We've said it's going to be free for now.

How long is it going to be free for? And so what's the cost?

Asha Gummadi: Yes, it would be free until the covid outbreak is clear. 

Many of my friends are private practice owners and they are the primary sole breadwinners of their family and it's very stressful on them to not be able to see patients so I want to help our profession, since I'm a physical therapist. 

So until you get afloat until you get financially independent with the covid, it would be free -- two months, whatever it takes.

And when you start making revenue, you feel the value of it, it would be $15 for the home exercise program (alone) and with telehealth and everything we are planning to keep it under $50 per month subscription. 

Ray Berardinelli: Great. So I was saying thanks. And that was very generous for you to do that for everybody to let them use it for free. So then they don't have to worry about it -- you're covered, you're HIPAA compliant.

Asha Gummadi: You're covered. You're HIPAA compliant. You have all the policies in place. 

If you get audited, you can show them the BAA. Sometimes people do get audited now. 

Now is not the time to get audited, but you're doing the right thing. You're giving your patients a chance to succeed with both Home Exercise Program and telehealth. 

You can later adapt it into your practice and your patients would love you for that. 

Ray Berardinelli: Great. 

Asha Gummadi: Anytime we reach out to people in a time of need, people really appreciate it. 

Ray Berardinelli: For sure. Me too. That's why we're here. 

I work here. I don't do telehealth. I'm just trying to help everybody in the group that's probably out there. A bit of a rough way right now.

Asha Gummadi: Yes. I’m a physical therapist, so I feel very connected to my own people. 

We are a family. So let's help each other out.

Ray Berardinelli: Amen.

Asha Gummadi: These are the service codes, revenue codes, procedure codes, and I have showed you how to write up your own blog and you can also do a free discovery visit to the patients. 

Ray was telling he gives the first call out for free. He talks to the patients, ask them if they want to be treated through telehealth and then he approaches the insurance he takes the consent to talk to insurance. 

He approaches the insurance and then sees if telehealth is covered in their health insurance plan.

Ray Berardinelli: I think that's a really important point. You've got to call that individual plan number one, and the APTA and PTS have basically put this out through the resource page. 

You have to, number one, make sure that there's telehealth coverage on their specific plan. That's number one. 

Number two, you have to make sure physical therapy, physical medicine (whatever might be) is also covered under that plan in order for you to be able to be paid because I don't want people to find out the hard way that a lot of these visits aren't covered.

Asha Gummadi: Right, right. And also, Ray, do you want to explain your scenario, the example where on the PPTA board, it says, a particular insurance is not covered, but you had better luck by calling them and you got a letter of approval, right?

Ray Berardinelli: Yes, yes. On it said that, I believe, it was UPMC wasn't covered. Then I got a letter in the mail from UPMC saying that it was covered.

So I called, confirmed, then they're actually paying for it. They're doing all kinds of awesome stuff. They're waiving the deductible, they're waiving the co-pay of the patient. 

So now, it's really advantageous. They're really encouraging patients to use you that way.

Asha Gummadi: And Ray has done his due diligence, like as a private practice owner, he just didn't rely on the information that's posted. 

He took the initiative and called the insurance himself. And that's how he was able to understand and he could serve the patients that have that insurance from moving forward. 

Please do your due diligence because these rules, these policies keep changing by the minute by the hour. So what we say today could not be trusted tomorrow,

Ray Berardinelli:  Right. It's moving very fast.

Asha Gummadi: It's moving very fast. And my goal was to address the global clinician shortage. 

So if you raise could be really good with orthopedic skills and manual therapy. I'm a good balance therapist, you could also reach out to caregivers -- patients to set up a free training program or to maintenance with it and and you could also reach out to patients who are in need and who could really utilize your services. 

Home Exercise Program is multilingual. So if the patient speaks a different language, you can still issue them exercises and talk to them. 

That's our mission to not restrain ourselves to a box but to expand our horizon to see at a global perspective. 

See health as a global perspective and see rehabilitation on a global perspective. 

And that being said, I will go to the place where you could create your own exercises.

Ray Berardinelli: Great. I got one quick question here. 

“Ray, can you touch base on how to bill insurance directly? We are hybrid and insurance providers are asking for our platform.”

Yeah, so this would you know cover you as far as the platform login portal, all of that stuff. 

The billing insurance, Ashla went through, I don't know if you were here previously, she went through a super bill. If you're doing cash, so that portion your hybrid, this will take care of it. 

It's integrated with stripe issue showed. You can set up your stripe account, directly bill through that. She makes it really easy on that front. 

If you want to bill it as a regular visit, naturally you're going to have to use (if you're using your HIPAA 1500) whatever you're billing on. There's a bunch of different ways, different codes that you can use as insurance by insurance. 

Some states like mine have a parody thing and yours were in the same state. 

I have a parody of pay, so with the parody of pay, they're going to pay the same amount. You change the location services from 11 to I believe it's box 24, you'll have to look on the 1500. 

But there's an 11 for the Location Code, you change that to 02 -- that's a telehealth visit. 

And then you can just build it that way. But honestly, it's insurance by insurance, you're going to have to kind of go through talk, do the legwork with each insurance plan and insurance provider to find out exactly how they want it. 

I wish I could give you something better than that right now. It's a moving target. 

The insurance companies are different in different ways. There's no blanket like this is how to do it. 

“Does anyone know when there's a co-pay etc is waived by insurance? Does the insurance reimbursement negotiate the rate? Or does your practice have to take a hit on the reimbursement?”

If it's waived by them, it's probably not going to appear. You're going to bill it the same way. You're going to get denials, you're going to get all kinds of stuff and it's like any other time you're gonna have to fight for your money. 

They're not going to make this easy for us just because there's a crisis going on. They're going to continue their practices, I would assume, as usual, so you're going to have your denials. 

There's going to be misunderstandings. We’re going to have to bill it, make a mistake, rebill it to get it right. 

Unfortunately, that's still going to be the process.

Asha Gummadi: So sorry. Can you see my screen? 

I'll just show this and then we'll take more questions. 

So what I did was like I clicked the, let me go back to... I'm in the HEP builder page, right? 

So you see on the left (or underneath all these fields), there is “upload exercise,” the one that's highlighted in green.

You click that button that takes you to this page. And here, I'm going to add an exercise. 

And then this is the name that I gave it. And you can create your own category. 

Let's say, I want this to be under stretches. And you want either yourself to see it, your clinic to see it or all Therex users to see -- you could do that. 

And within the Therex portal application, you could also set up “Registration as a clinic.”

Now I gave it a name. The key word is for you to identify in the search keyboard. You can pick your own name to it that you would recognize it through. 

I'm going to now use this exercise. So in this exercise, you can see that the exercise is uploading. But the cool thing is it also takes snapshots of that exercise. 

Let's say this is step two. This is step one, and then this is step three, you let go of your hand. 

So in step one, you say, place the hand on your waist. And then place opposite hand on your head. Bring your ear towards your shoulder.

And then you say, let go of the hand and relax.

What we want to do is you don't want to upload patient’s information. You want to make a video of yourself.

Ray Berardinelli: That’s just saying that you're not violating HIPAA here.

Asha Gummadi: You are not uploading patients. That's what it says. 

And then you upload the exercise. As the exercise is uploaded, it will stay in My Therex folder or if you want to see how many exercises you upload, it would stay there. 

Now I upload it to exercises. Now if I go to HEP builder, and I click My Therex, these are all the exercises that I have uploaded. 

You can create your own database of exercises. You can also choose specific templates for yourself. And we also have uploaded a specific template. 

If you see the same kind of patients over and over, you can create specific templates. You can also give them educational handouts.

And you can also track their compliance to the exercise program. And if the patient leaves any feedback, it would be listed here. 

This application is like, really, it encompasses the whole view of rehabilitation.

Ray Berardinelli: Yeah. That's pretty cool. And then you could just share that after your visit.

Asha Gummadi: You just drag and drop them, save it, and then you can email it, text it or print it.

Ray Berardinelli: Great. Very cool.

Asha Gummadi: And everything is white label for you, If you want to feature -- you can feature it here on the header, and it updates on the header. 

This information is you, your clinician, and this is the patient's unique access key that I mentioned about. 

If you want to reach out, this is where they will reach out. And all this here. 

Ray Berardinelli: Excellent.

Asha Gummadi: And we have multiple languages here. And if you choose the language, it will be available in that language already for you.

In case you're treating global patients.

Ray Berardinelli: Excellent. 

I was just looking. I think we've got through all the questions unless anybody has anything else? 

This is awesome, last I saw one was it May/June of last year? It's come a long way.

The platform's come a long way. So kudos to you. I mean, that's pretty, pretty amazing. 

Thank you so much for sharing for everyone. Thank you for the kind offer of the free telehealth, letting them use the platform during the crisis for free. 

That will really allow, God willing, a lot of people to provide something pretty easily to their customers. So thank you for that. That's so kind of you. 

I really appreciate you doing that and sharing it with everyone in the group so they can kind of see what it looks like to log into a telehealth platform. That is HIPAA compliant, how that goes, what it looks like from the patient end. 

Richard if you want to, when this is done and uploaded she walks you like Asha walks you directly through it. I logged on to the portal. 

You can go through, you can see everything. So whenever this is done and it uploads within a couple of minutes and you should be able to watch it go live through it. 

She did an excellent job. It'll make it very easy for you. 

If you have any questions or anything after that just put them underneath then Asha and I can either hop in to answer your questions.

If you need to reach out to either of us directly through Facebook Messenger, feel free to do that. 

Again, Asha, thank you. 

Anything, any parting suggestions, comments, anything you would like to share with anyone before we...

Asha Gummadi: Sure. I'm here for you. I'm a physical therapist just like you.

Feel free to use this. And don't worry about how much does it cost and all that just get comfortable with the application.

Use it on your patients, treat them and then when you start making money, you can worry about the subscription cost and we'll still keep it affordable and within the market price. 

We are not the company that would make it difficult for therapists. I want an excellent physical therapy telehealth program. And most of the applications out there are telehealth -- telehealth practices but are not so uniquely for physical therapists. 

I saw the need, like I see the need needs to be addressed. And that's my vision for it. So let's just build an awesome product. 

And you can always reach me at ashagummadi@therexportal.com 

My vision right now is to help you and also grow with you to make it a better platform for all of us. And then we'll worry about it later. 

And as I promised, it would still stay within $50 even after the trial period ends and use the code:THEREXTELEHEALTH

Ray Berardinelli: Excellent. Again, thank you so much for doing this for everybody.

Thank you for tuning in and participating. 

And thank you for coming to the PT Business Builders show and group where we believe EMRs suck. Systems and software should actually, like yours, improve your practice and your life not consume it. 

And here our only measure of success is systems and software that gives you the time to enjoy your life and the financial freedom to do that as well as help our patients. 

So thank you again, Asha. Thank you, everyone and have a great day. 

Feel free to comment below, question below. Reach out to us.

Asha Gummadi: Thank you for having me. Thank you my friend.

Ray Berardinelli: Thank you for sharing.

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