MedCBO, Inc.

• Establish, review, and approve TMS clinical protocols consistent with applicable standards of care, payer requirements, and Colorado and federal law. • Evaluate and confirm patient eligibility for TMS treatment, including treatment-resistant depression criteria where applicable. • Authorize initial TMS treatment plans and provide periodic review of active TMS cases in accordance with clinical standards and payer requirements. • Remain reasonably available during normal business hours for TMS-related consultation and psychiatric oversight questions. • Participate in TMS-specific quality assurance and improvement activities, including chart review, documentation review, risk-based case selection, and corrective action planning when indicated. • Exercise authority to suspend, modify, or discontinue TMS services when clinically or legally necessary to protect patient safety or maintain regulatory compliance. • Ensure TMS ordering and approval processes are consistent with payer credentialing, supervision, and rendering-provider rules, and that claims are not submitted in a manner that misrepresents specialty, supervision, or provider identity. • Review prescribing related to TMS protocols only to the extent required for clinical appropriateness, payer compliance, or regulatory requirements. • Provide consultative input for emergency escalation questions when available, while recognizing that emergency activation and transfer to higher-acuity care must not be delayed pending physician contact. • Participate in periodic quality, compliance, and oversight meetings and maintain appropriate documentation of findings, reviewed cases, and recommended corrective actions. • Promptly notify the Practice of any licensure issue, investigation, discipline, restriction, DEA action, loss of board certification, exclusion, or other adverse event that could affect the ability to perform the role.