Amniotic Wound Healing
Autonomic CNS Analysis
ANS testing, or autonomic nervous system testing, is a diagnostic procedure used to assess the functioning of the autonomic nervous system (ANS), which controls involuntary bodily functions such as heart rate, blood pressure, digestion, and temperature regulation. A doctor may order ANS testing for a Medicare patient to evaluate symptoms such as dizziness, fainting, abnormal heart rate, or blood pressure fluctuations, which could indicate autonomic dysfunction. This testing can help in diagnosing conditions like autonomic neuropathy, which is particularly common in individuals with diabetes. By determining the extent and nature of ANS impairment, the doctor can develop an appropriate treatment strategy tailored to the patient's needs, contributing to improved management of their health conditions and overall well-being. For Medicare patients, ANS testing serves as a crucial tool in identifying and addressing autonomic disorders, aiming to enhance the quality of care and optimize health outcomes.
ANS testing plays a crucial role in the evaluation of patients presenting with symptoms related to autonomic dysfunction, such as unexplained dizziness, syncope, orthostatic intolerance, and changes in heart rate or blood pressure. Given the prevalence of conditions affecting the autonomic nervous system, there is a growing need for accurate assessment and diagnosis, making ANS testing an essential service for physician's practices.
ANS testing is particularly important for patients with conditions such as diabetic neuropathy, Parkinson's disease, multiple system atrophy, pure autonomic failure, autoimmune autonomic ganglionopathy, and certain forms of dysautonomia. Symptoms that may prompt the need for ANS testing include unexplained fainting, abnormal heart rate variability, blood pressure fluctuations, gastrointestinal motility issues, and impaired thermoregulation.
ANS testing provides valuable insights into the integrity of the autonomic nervous system, aiding in the diagnosis and management of autonomic disorders. It helps physicians tailor individualized treatment strategies, optimize symptom management, and improve the overall quality of care for patients with autonomic dysfunction.
Reimbursements for ANS testing services are typically determined by various factors, including the specific tests performed, the complexity of the evaluation, and the applicable billing and coding guidelines. Physicians may receive reimbursements from Medicare, Medicaid, and private insurance providers for ANS testing procedures, with reimbursement rates varying based on the specific testing methods and the healthcare setting.
To optimize reimbursements for ANS testing, physician's practices should ensure accurate documentation of test results, adherence to billing and coding regulations, and proactive management of claims and denials. Additionally, staying informed about the latest reimbursement policies and coding updates is essential for maximizing financial returns for ANS testing services.
ANS Diabetic Testing
The ANS System for detection of DAN or CAN – Diabetic or Cardiac Autonomic Neuropathy. The system is assessing cardiometabolic risk (including insulin resistance with 90% specificity to the gold standard – Euglycemic Clamp), and autonomic neuropathy risk through the tests of sudomotor function – galvanic skin response, sympathetic and parasympathetic function via the Ewing Test/Stress Test – Valsalva, Change in Posture, and Deep Breathing. Finally we are checking for endothelial function – arterial vasomotor function. Diabetics experience PAD (peripheral artery disease). This device also helps in the treatment management of the diabetic patient by regularly evaluating the patients ANS response to medications – insulin, vasoactive drugs, etc, and to the doctor’s recommendations relative to lifestyle and diet modification.
Making the Most from the Medicare Annual Wellness Visit
Core Care Wellness is the innovative system that makes performing Annual Wellness Visits (AWV) easy, efficient, and effective. The system is a turnkey solution addressing the three components of the AWV – the health risk assessment, the doctor consultation, and the patient’s Personalized Prevention Plan. The system can be seamlessly integrated into any workflow scenario, adjusting to fit the specific needs of your practice.