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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 Helena

Neuropathy is a general term for damage to the nerves of the body. Damage may occur to individual nerves, groups of nerves or to nerve bundles. This damage can be caused by either trauma, infection or disease.

Tilt Table Test

The tilt table test is a test in which you are placed on a table that can be tilted at different angles while you are monitored by medical staff. The purpose of the test is to determine whether blood pooling (also known as postural hypotension) is taking place in your body and if so, how severe it might be.

The tilt table test starts with you lying flat on your back on top of the table for about 20 minutes without moving or talking. This allows your blood pressure readings to stabilize and allows time for any possible side effects from medications or anesthesia that may have been used prior to this test (if applicable). Once complete, the medical staff will begin inclining the table from horizontal toward vertical using hydraulics until it reaches an angle of 70 degrees (or higher depending on your condition).

There are several risks associated with this procedure such as dizziness, fainting spells and heart arrhythmias but these side effects should not occur unless there is something more serious going on with your health status which would require additional testing procedures beyond just this one particular test itself

Sudomotor Testing

Sudomotor testing is a method to evaluate sweat gland function. It can be used to diagnose problems with the autonomic nervous system, such as diabetes mellitus, obesity and idiopathic hyperhidrosis.

The test is done by placing a drop of water on the skin. If you have normal sudomotor function then the area of skin will become wet within 3 minutes and then dry off again after 10-15 minutes if you sit still in a cool room (68 degrees F). If there is a problem with your autonomic nervous system then you may have trouble sweating when there is no stress from exercise or heat (so called “dry” sweat). This means that it takes longer for your skin to become wet (more than 5 minutes) or does not get any wet at all if sitting still for 20-30 minutes after being exposed to room temperature air conditioner air stream for 30 min before doing this test

CPT CODE

The CPT code for a tilt table test is 98852.

A E/M service may or may not be separately payable from diagnostic services, depending on the circumstances of the encounter. The level of complexity as determined by its place on this list can be used to determine whether an E/M service is payable separately from another procedure or service. A modifier 59 should always be appended to this code if the patient has not been complaining of pain at rest (0), but does have some pain relief from movement or positioning that is unrelated to the condition being studied (1 or 2).

Neuropathy Patients

People with diabetes may experience diabetic neuropathy, which is nerve damage caused by high blood sugar levels. Peripheral neuropathy can be caused by a number of factors, including vitamin deficiency or alcoholism.

People suffering from diabetic or peripheral neuropathy often experience pain in their feet and legs. Other symptoms include numbness in the hands or feet and loss of balance. If you have any of these symptoms, it’s important to see your doctor as soon as possible so that you can get treatment for your condition.

The tilt table test is used to evaluate the cause of unexplained fainting. It is often used to diagnose neurocardiogenic syncope or vasovagal syncope.

The tilt table test is used to evaluate the cause of unexplained fainting. It is often used to diagnose neurocardiogenic syncope or vasovagal syncope.

Neurocardiogenic syncope occurs when the heart rate slows down, causing blood to pool in your legs and lower body. This can lead to a sudden loss of blood pressure, which in turn causes you to faint. Vasovagal syncope is a form of neurocardiogenic syncope that occurs when there is a sudden drop in blood pressure caused by an over-stimulation of your nervous system’s parasympathetic branch (the branch responsible for slowing down your heartbeat). These two conditions are similar but not identical; vasovagal syncope generally occurs after physical activity or stress (like standing up quickly), while neurocardiogenic syncope may not be preceded by any specific event at all. They’re both treated with medications and lifestyle changes such as avoiding triggers like long periods without food or sleep, standing up too quickly from sitting down, excessive amounts of exercise without adequate rest between workouts, hot showers/baths/saunas etc., or encountering situations such as having dental work done where there might be pain involved during treatment

Conclusion

Nerve conduction studies are used to assess the function of peripheral nerves or muscle cells. Electromyography is used to assess nerve and muscle activity in response to electrical stimulation of a nerve, muscle or tendon (twitch). These tests may be used in patients with suspected neuropathy from multiple causes. Patients who are suspected of having neurologic symptoms due to alcohol abuse should be evaluated by a neurologist before proceeding with these tests because they may not respond appropriately due to alcohol-induced changes in their nervous system.”

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