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Frequently Asked Questions

How does the TM Flow device enhance patient care for older adults and those with a history of smoking or circulation problems?2024-06-26T20:24:37+00:00

For older adults and individuals with a history of smoking or circulation problems, the TM Flow device is particularly beneficial. It performs the ankle-brachial index (ABI) test, which is recommended by the American Heart Association for adults aged 50+ with such histories and all adults over 70 years old. This test helps in the early detection of peripheral artery disease (PAD), enabling timely management and treatment. The TM Flow device’s comprehensive assessments ensure that patients receive accurate diagnoses and appropriate care, improving overall health outcome.

What are the benefits of using the TM Flow device in a medical practice?2024-06-26T20:24:23+00:00

The TM Flow device offers numerous benefits for medical practices, including non-invasive and accurate testing, early detection of autonomic and arterial dysfunctions, and comprehensive diagnostics that reduce the overall cost of patient care. Additionally, the device’s tests are easy to bill with multi-code diagnostics, making it a valuable investment for enhancing patient care and optimizing practice efficiency. It also supports compliance with standards of care recommended by leading health organizations.

Is the TM Flow device covered by insurance?2024-06-26T20:24:12+00:00

Yes, the TM Flow device is covered by Medicare and most private pay carriers. Specific CPT codes, such as 95921 for cardiovagal innervation and 93923 for ankle-brachial pressure index, ensure that the diagnostics are easy to bill. Coverage and reimbursements may vary depending on the Medicare locality, but the comprehensive diagnostics offered by the TM Flow device are widely recognized and supported by insurance providers.

Why is autonomic nervous system testing important for diabetes and cardiovascular patients?2024-06-26T20:23:56+00:00

Autonomic nervous system testing is crucial for diabetes and cardiovascular patients because it helps in the early detection of autonomic neuropathy, which is a common complication in these conditions. Early detection through ANS testing allows for timely intervention and management, reducing the risk of further complications. The American Diabetes Association recommends ANS testing as a standard of care for patients with Type 1 and Type 2 diabetes, highlighting its importance in effective diabetes management.

What is the TM Flow device and how does it work?2024-06-26T20:23:37+00:00

The TM Flow device is an advanced, non-invasive diagnostic tool designed to perform a series of tests that aid in the identification and early detection of autonomic nervous system (ANS) and arterial dysfunctions. It provides quantitative assessments of the ANS, helping to distinguish between early and late stages of autonomic neuropathy. The TM Flow device is particularly valuable for cardiovascular and diabetic autonomic neuropathy (DAN) testing, making it an essential tool in diabetes management and cardiovascular assessments.

TM Flow in Des Moines

Des Moines is known as being a pretty boring city, but there are plenty of reasons to go there. The biggest reason is that it is home to many diabetics. This may sound strange until you consider that there are over 30 million diabetics in the United States alone! If we look at just Des Moines alone, we can see that its population is roughly 250k people (or about 1% of all Americans with diabetes). That’s not such a small number! However, nerve testing can be very painful for patients and therefore not done too often unless absolutely necessary. Fortunately, technology has changed the way diabetic neuropathy testing occurs: now instead of requiring physical therapists or other clinicians to come into your office building (which costs money), we can now perform this test right at home using our smartphones!

Nerve testing is not only a pain to do, but often times painful itself.

As a physical therapist, I am constantly asked about nerve testing. Nerve testing can be a very important part of your diabetes management. However, it is not always easy to do or get reimbursed for.

The way I see it, there are two main reasons why a patient may want to have nerve testing completed:

  • To determine if they have diabetic neuropathy (nerve damage) or some other type of neuropathy that is not caused by diabetes
  • To know if they have “sub-clinical” (not yet clinically evident but could develop into) diabetic neuropathy

Diabetic neuropathy is very common in the United States.

Diabetic neuropathy is a common and serious complication of diabetes. It affects up to 50% of people with diabetes. It can be painful, debilitating and sometimes fatal. People with diabetic neuropathy may experience numbness in the feet, hands or other areas, muscle weakness and pain in the extremities, erectile dysfunction or impotence, urinary incontinence (lack of control over bladder muscles), loss of sensation in the feet that causes walking difficulties or falls due to unawareness of things like stepping on an object or uneven ground, burning sensation in the feet when wearing socks or shoes without socks; painful erection during sexual intercourse due to dry skin from lack of sensation.

Diabetic neuropathy is caused by high blood sugar levels damaging nerve fibers in your body resulting in “electric shock” like sensations that some describe as “energy zapping through their body” but others describe as feeling like “needles pricking their skin all over their body”

Nerve testing can be time consuming and inaccurate.

Nerve testing can be time consuming and inaccurate. Nerve testing allows your doctor to see how insulin is affecting your body by measuring glucose levels in the blood.

It takes about an hour, but it’s limited by technology as well as being traditionally done in an office setting.

The test still requires a finger prick for each sample, which means patients have to stick themselves multiple times throughout the process and then fill out paperwork afterward. Many insurance companies won’t cover this test because it takes too long and doesn’t always provide accurate results.

Often times nerve testing is not reimbursed by insurance companies.

Often times, nerve testing is not reimbursed by insurance companies. The reimbursement rates are low and can’t justify the time and effort it takes for a test.

Typically, you’re going to be reimbursed $15-20 per test, depending on whether or not your patient was already diagnosed with diabetes. Because of this, many people don’t perform these tests because they feel that it’s not worth their time or money when there are patients who could benefit from the information being gathered through this type of testing.

Many insurance companies also don’t cover blood glucose monitoring supplies like strips (which can cost anywhere between $0-$200 per month). This means that if you’re diabetic and use them regularly (as most diabetics do), then you may have to pay out of pocket for them until your health care provider gets approval from your insurance company before they’ll reimburse what has been spent on these items thus far.

Currently, nerve testing is limited by technology.

Nerve testing is a painless, noninvasive procedure that can be done in the office. It’s also very accurate, with results available instantly and repeatable for follow-up care. Currently, the technology to perform this test is limited by the size of the nerve and its distance from the skin surface. In other words, we can’t test nerves that are too deep or too far away from your feet to get accurate readings (yet!).

Traditionally, nerve testing has been completed by physical therapists in an office setting.

Traditionally, nerve testing has been completed by physical therapists in an office setting. This is because a person with diabetes may have decreased sensation in their feet or other parts of the body which make it uncomfortable to receive the needle, and this is easily accomplished when they are at home.

Diabetic neuropathy can become very dangerous if not treated immediately and properly.

The good news is that there are many treatments for diabetic neuropathy, including medications, surgery and physical therapy. Lifestyle changes can also be very effective in managing the condition.

The key to treating diabetic neuropathy is making sure you get it treated as soon as possible. If left untreated for too long, your symptoms will worsen and become dangerous to yourself and others around you.

There are a lot of diabetics in Des Moines (and the US for that matter), but there’s a very quick and easy way to test their nerves with no pain involved at all!

There is a lot of diabetes in Des Moines. This means there are also a lot of people with diabetic neuropathy. And if you have diabetic neuropathy, you know that it can be difficult to live your life without pain. Your feet may feel like they’re on fire, or your hands may feel numb and tingly.

But what if there was an easy way to test the nerve function in these areas? What if that test could be done in an office setting and didn’t involve any needles at all? Well, there is such a thing! It’s called Nerve Conduction Velocity (NCV) testing and it allows us to detect how fast information travels along certain nerves in your body. When these nerves don’t work properly because of damage from diabetes or another cause (such as chemotherapy), NCV can tell us exactly where those problems lie so we can treat them accordingly!

Conclusion

Nerve testing is important for diabetics, but it can be time consuming, painful and even inaccurate. It’s time to think outside the box when it comes to nerve testing!

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