Director, Market Access & Reimbursement
The Advantages of All-Inclusive ECG Diagnostic Testing Capabilities for Patients, Physicians, and Payers
The word is getting out! The Cardiac Insight team is proud to support our growing professional medical customer base of dedicated healthcare providers who include the Cardea SOLO™ Arrhythmia Analysis System in their diagnostic tool kit every day. Cardiac Insight customers deserve enormous credit – they are the pioneers and innovators who have adopted Cardea SOLO’s advances in automated ECG arrhythmia detection to improve healthcare quality and people’s lives.
Cardea SOLO combines a comfortable, unobtrusive, 7-day wearable ECG Sensor with sophisticated MS Windows®-based Arrhythmia Analysis Software for detecting potential cardiac arrhythmias in patients with medically appropriate indications. Cardea SOLO produces the only fully automated draft summary report without human intervention, ready for prescriber reviewer in less than 5 minutes. If needed, every single recorded heartbeat is archived and stored for optional detailed analysis and editing. And, Cardea SOLO is a 100% in-office and provider-owned System. Electrophysiologists, cardiologists and primary care practitioners, along with their expert clinical staff, work together seamlessly to offer their patients an integrated care delivery model, making patient care simpler, more efficient and satisfying.
So, does owning and managing your ECG testing matter? You bet!
The foremost benefit of the in-house diagnostic care model is that it optimizes patient experience and quality of care. Ambulatory ECG recording and analysis managed and owned by the physician practice or clinic can reduce total time to diagnosis, meaning patients don’t have to suffer the anxiety of waiting hours, days or even weeks for outsourced ECG service results to be made available to the front-line clinical practice. More timely diagnosis can result in earlier definitive treatment, especially important for the most common-but often silent-cardiac arrhythmia- atrial fibrillation. Treating and monitoring atrial fibrillation can reduce its life-threatening, life-changing and costly complications: reducing the risk of stroke and heart failure.
All-inclusive in-house arrhythmia detection also can better safeguard patient data privacy and security. Reducing organizational risk of potential HIPAA violations is enhanced because patient data resides only within the physician’s office or health care system network. When a service company, vendor or independent diagnostic testing facility (IDTF) is used, patient data must be transferred multiple times, increasing the risk of a security breach. Patient data may be hacked in transit or otherwise misused or abused. Last but not least, patients never suffer from “surprise” balance billing and disclosure. They’ll receive just one bill from the doctor’s office.
For physicians, the top advantages are enhanced physician accountability for care and positive clinical, operational and economic results. An all inhouse system reinforces the strength and importance of the patient-care team relationship, with the opportunity to improve patient teaching effectiveness and better treatment compliance with the healthcare provider’s plan of care.
Office staff and administrative leadership appreciate simplified billing – including use of a single unified global code (currently 0295T) for Sensor application, Technical Analysis and Professional diagnostic confirmation, versus the “split billing” typically needed when a vendor or service company does some of the work. Multiple codes and split billing create unnecessary and aggravating administrative burdens. There’s also an upside economic advantage of the inhouse ECG recording and analysis model; on average, practices can qualify and bill for up to 4X the revenue compared to outsourcing ECG services and recapture that revenue.
Finally, why should healthcare payers prefer all-inclusive, in-house ECG recording and analysis models of care?
I believe that simplicity, accountability and quality healthcare are more achievable using practice-centric diagnostic care models at the earliest point in the care continuum. The ability of the clinician to perform all aspects of the ECG diagnostic procedure in-house reduces the administrative burden created by fragmented care, including onerous and unnecessary billing claims complexity. Insurees certainly benefit from simplified medical billing and payment. Payers can also save by paying physicians directly rather than having to negotiate rates with Independent Diagnostic Testing Facilities (IDTFs).
No more waiting. No more outsourcing. No more compromises and less fragmented care. Integrating the Cardea SOLO System for ECG Arrhythmia diagnosis is a ‘WIN-WIN-WIN’ for patients, providers and payers.