The Boston Cognitive Assessment (BoCA™) is an online tool that evaluates global cognition through tasks spanning eight cognitive domains, such as word list learning, delayed recall, numerical sequences, executive functioning, mental arithmetic, visuospatial reasoning, language, and orientation.

Is BoCA™ a validated cognitive assessment?

Yes, BoCA™ has been validated in multiple studies. Participants with cognitive disorders scored significantly lower on both BoCA™ and the Montreal Cognitive Assessment (MoCA) compared to controls, and similar results were seen with the Telephone Interview for Cognitive Status (TICS). BoCA™ results align closely with MoCA (r = 0.85, p < 0.01) and TICS (r = 0.80, p < 0.01), and it showed strong test–retest reliability (r = 0.89, p < 0.001) one week after administration.

Which provider specialties can order and bill for BoCA™?

BoCA™ can be ordered by licensed healthcare professionals including Medical Doctors (MDs), Doctors of Osteopathic Medicine (DOs), Nurse Practitioners (NPs), Physician Assistants (PAs), and psychology professionals such as PhDs and PsyDs. Eligibility depends on holding the required licensure and training per state regulations and insurer policies.

Should BoCA™ be used for a one-time assessment or longitudinal monitoring?

BoCA™ is suitable for both one-time assessments and repeated use for longitudinal monitoring. A study demonstrated a strong correlation between BoCA™ and MoCA (R = 0.90, p < 0.001) when administered once, and repeated administrations showed no significant practice effect (β=0.03, SE=0.07, p = 0.68).

What data is included in a BoCA™ report?

BoCA™ results are presented in a PDF report that includes the patient’s raw score, standard score, percentile, a visual bell-curve display of each domain, and longitudinal changes over time. The clinical trial cut point for normal cognition was a raw score of 26 and above.

Does BoCA™ provide a diagnosis or medical opinion?

No, BoCA™ is not designed to diagnose cognitive conditions or replace professional medical advice. Although it is an FDA Class II Exempt medical device, results must be interpreted by a qualified healthcare professional as part of a comprehensive evaluation.

What does the standard score mean?

A standard score shows how your performance compares to others of the same age and gender. A score of 100 indicates average performance, with most scores ranging between 85 and 115.

What does it mean to be in a certain percentile?

Percentile ranking indicates how a test-taker’s performance compares to peers. For example, the 99th percentile means you outperformed 99% of test-takers, while the 50th percentile represents median performance.

Can I use BoCA™ with children?

BoCA™ has been validated for individuals 21 years of age and older.

What is a Cognitive Care Plan?

A Cognitive Care Plan involves an independent historian, multidimensional assessments of cognition, function, and safety, neuropsychiatric and behavioral evaluations, medication review, and caregiver needs assessment, culminating in a written care plan. Eligible providers include physicians, physician assistants, nurse practitioners, and clinical nurse specialists.

Is the Boston Cognitive Care Plan™ a validated assessment tool?

While Medicare prefers standardized, validated tools, not all domains of cognitive care planning have such instruments. Boston Cognitive incorporates validated assessments where available and secures permissions to use them.

Can you bill for Boston Cognitive Care Plan™ assessments under CPT 99483?

Boston Cognitive Care Plan™ assessments compile the data required to bill CPT 99483. Providers must complete a portion of the work and apply high-complexity medical decision-making to finalize and share the care plan with patients and caregivers.

How can I access information about reimbursement for Boston Cognitive services?

You can download detailed reimbursement guides (PDFs) for BoCA™ (CPT 96132/96138) and Boston Cognitive Care Plan™ (CPT 99483), which include billing codes, documentation requirements, and best practices.

How does the Boston Cognitive platform ensure HIPAA compliance for Covered Entities?

The platform uses encryption, secure access controls, regular audits, and a Business Associate Agreement (BAA) to protect PHI and support HIPAA compliance for Covered Entities.

What are the system requirements to run assessments on the platform?

The platform is device-agnostic and runs on any internet-connected device across major browsers; the latest browser version is recommended for optimal performance.

Can assessments be run on mobile devices, and are there specific device requirements?

Yes, assessments are compatible with smartphones and tablets and have been validated on devices with screens of 4 inches or larger.

Are there specific internet speed requirements to run assessments smoothly?

A minimum internet speed of 5 Mbps is recommended to ensure smooth operation and fast result access.

Rethink Cognitive Care with Boston Cognitive™

Q: Which provider specialties can order and bill for BoCA™?

BoCA™ can be ordered by licensed healthcare professionals including Medical Doctors (MDs), Doctors of Osteopathic Medicine (DOs), Nurse Practitioners (NPs), Physician Assistants (PAs), and psychology professionals such as PhDs and PsyDs. Eligibility depends on holding the required licensure and training per state regulations and insurer policies.

Q: Should BoCA™ be used for a one-time assessment or longitudinal monitoring?

BoCA™ is suitable for both one-time assessments and repeated use for longitudinal monitoring. A study demonstrated a strong correlation between BoCA™ and MoCA (R = 0.90, p < 0.001) when administered once, and repeated administrations showed no significant practice effect (β=0.03, SE=0.07, p = 0.68).

Q: What data is included in a BoCA™ report?

BoCA™ results are presented in a PDF report that includes the patient’s raw score, standard score, percentile, a visual bell-curve display of each domain, and longitudinal changes over time. The clinical trial cut point for normal cognition was a raw score of 26 and above.

Q: Does BoCA™ provide a diagnosis or medical opinion?

No, BoCA™ is not designed to diagnose cognitive conditions or replace professional medical advice. Although it is an FDA Class II Exempt medical device, results must be interpreted by a qualified healthcare professional as part of a comprehensive evaluation.

Q: What does the standard score mean?

A standard score shows how your performance compares to others of the same age and gender. A score of 100 indicates average performance, with most scores ranging between 85 and 115.

Q: What does it mean to be in a certain percentile?

Percentile ranking indicates how a test-taker’s performance compares to peers. For example, the 99th percentile means you outperformed 99% of test-takers, while the 50th percentile represents median performance.

Q: Can I use BoCA™ with children?

BoCA™ has been validated for individuals 21 years of age and older.

Q: What is a Cognitive Care Plan?

A Cognitive Care Plan involves an independent historian, multidimensional assessments of cognition, function, and safety, neuropsychiatric and behavioral evaluations, medication review, and caregiver needs assessment, culminating in a written care plan. Eligible providers include physicians, physician assistants, nurse practitioners, and clinical nurse specialists.

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Screen Assessment Care Plan

A Comprehensive Digital Platform to Screen, Measure, and Manage Cognitive Function

Better Care, Better Revenue

Your complete pathway to cognitive care excellence

Screen

Quickly screen patients for cognitive impairment symptoms in under 2 minutes using the Boston Cognitive Screen™

Measure

Digitally assess and objectively evaluate patients’ cognitive concerns with the Boston Cognitive Assessment™(BoCA™)

Manage

Develop personalized care plans for patients with cognitive impairment and their caregivers leveraging the Boston Cognitive Care Plan™

Our Digital Toolkit

Explore digital cognitive health solutions for early detection, assessment, and ongoing care management.

Boston Cognitive Screen™

The Boston Cognitive Screening Tool is designed to efficiently screen patients for cognitive impairment in under 2 minutes. This tool allows for in-clinic self-administration, making it a versatile choice for healthcare providers looking to integrate quick cognitive assessments into their practice.

Boston Cognitive Assessment™

The Boston Cognitive Assessment™(BoCA™) provides a comprehensive validated digital evaluation of patients’ cognitive concerns.

	MMSE, Mini-Cog	BoCA™
Brief, under 10 minutes
Cost Effective
Clinically Validated
Reimbursable
Self-administered by Patient
Longitudinal Results
Provides normal ranges for age & sex
Randomized to avoid learning effect
Evaluates 8 domains of cognitive function

Boston Cognitive Care Plan™

The Boston Cognitive Care Plan™ provides a personalized approach to managing cognitive impairment in patients and supporting their caregivers. This tool identifies cognitive, functional, and behavioral issues, saving time for healthcare providers while ensuring comprehensive care management.

Identifies cognitive, functional, and behavioral issues through validated assessments
Caregiver free text input provides detailed insight and explanation on the patient’s condition, saving up to 45 minutes compared to patient/caregiver interviews by the provider
Ensures billing compliance for a complex medical service
Identifies caregiver needs for education and referrals to community resources like support groups or adult day care

Who We Serve

Our cognitive health solutions are designed to support a variety of stakeholders in the healthcare ecosystem, each with unique needs and goals.

Healthcare Providers

Healthcare providers need a cost-effective and efficient solution to evaluate cognitive function, whether for forensic assessments or establishing a baseline to monitor cognitive function longitudinally. This is especially important as the population ages and new treatments become available.

Value-Based Providers

If your organization is driven by improving quality of care, creating cost savings, improving patient satisfaction, and identifying unrealized HCC RAF, your organization will benefit significantly from our cognitive software solutions.

Health IT Vendors

In today’s competitive RPM, CCM, and EHR software market, having distinctive features is essential to stand out from competitors and provide added value to your customers.

Healthcare Payors

Your mission is to improve the quality of healthcare, create cost savings, increase patient satisfaction, and identify unrealized HCC RAF. Boston Cognitive can help you achieve all of these goals.

Medical Sales Consultants

Boston Cognitive offers the most-desired attributes medical sales consultants look  for in a new product line. Reach out to learn how you can qualify to become a distributor!

Clinically Validated Results

Backed by Science

Boston cognitive assessment (BoCA) — a comprehensive self-administered smartphone- and computer-based at-home test for longitudinal tracking of cognitive performance

Longitudinal cognitive testing is essential for developing novel preventive interventions for dementia and Alzheimer’s disease. The few available tools, such as MOCA, MMSE, and Mini-Cog, have significant practice effect and depend on an external evaluator. This study validates a self-administered 10-min at-home test intended for longitudinal cognitive monitoring, Boston Cognitive Assessment or BOCA

The Boston cognitive assessment: Psychometric foundations of a self-administered measure of global cognition

In this study the BoCA demonstrated good internal consistency (α = 0.79) and strong correlations (r = 0.80, p < 0.01) with the TICS; as well as a strong (r = 0.89, p < 0.001) test–retest reliability of the total BoCA score one week after participants’initial administration. BoCA was found it to possess equal or better sensitivity (79%) and specificity (90%) to mild cognitive impairment relative to other global screening tests.

Preliminary Analysis of the Influence of Age and Education on the Boston Cognitive Assessment (BoCA)

This study yielded a model with age being a significant predictor of total BoCA scores. Education did not contribute significantly

Preliminary Analysis of the Influence of Age and Education on the Boston Cognitive Assessment (BoCA)

This study yielded a model with age being a significant predictor of total BoCA scores. Education did not contribute significantly

The Boston cognitive assessment: Psychometric foundations of a self-administered measure of global cognition

Boston cognitive assessment (BoCA) — a comprehensive self-administered smartphone- and computer-based at-home test for longitudinal tracking of cognitive performance

A real game-changer! Their customer service is fantastic - they are always ready to help with a smile. It's super easy to learn and even easier to administer, whether you're doing a quick assessment or integrating it into long-term care. With BoCA, you get a seamless, visually intuitive measure that covers multiple cognitive domains, making collaborative care a breeze for both providers and patients.

As a researcher, I believe BOCA represents a significant advancement in Alzheimer’s care; possibly, it will help enhance both clinical decision-making and patient outcomes. Its integration into everyday practice could revolutionize how we manage and understand Alzheimer’s disease and other associated disorders.

We chose the BoCA platform for the Futurizing Brain Health Monitoring Platform study, as it offers an easy-to-use platform with a quick cognitive test that participants can complete in a matter of minutes. It also provides the lab staff with a simple platform that makes the test distribution process quick and easy.

As a Clinical Neuropsychologist, the ability to administer a repeatable, psychometrically sound cognitive screener from a patient's home is invaluable. Not only does this save time during the first appointment, it allows me to begin tailoring my assessment approach and conceptualizing clinical presentations before patients even enter the office.

Rethink Cognitive Care with Boston Cognitive™

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