What are the Benefits of Remote Enhanced Holter Monitoring Services?

COVID-19 has had an extraordinary impact on medicine at all levels.  Waiting rooms are empty.  Surgeries are postponed unless absolutely necessary.  The transition to telemedicine has accelerated.  Doctors struggle to maintain proper levels of patient care.  Patients worry about the potential for exposure and possible deterioration of conditions.  In addition to clinical issues, from hospitals, to clinics, to local medical groups and individual practitioners, revenues have declined precipitously, leading to various fiscal stability challenges, some worse than others, but all seriously stressing the delivery of care and operational capability as rent, utilities, personnel, and vendor invoices need to be paid.

Addressing Fiscal Challenges

In the temporary absence of patient volume, one way to meet the fiscal challenge is to maximize the potential of Medicare and private insurance reimbursements.  For example, cardiac care can produce more revenue if Enhanced Holter monitoring is used instead of patch devices or event monitors.  All the hospital, clinic, group or independent practitioner needs to do in order to very substantially increase revenues for services that are always necessary and certain to be employed anyway, is find a device and service (data capture/report preparation) provider that has FDA-approved equipment and experienced technical staff capable of assembling reports and delivering to the doctor within 24 hours of data submission.

Naturally, the provider would have to render the service in such a way that the practice could bill globally in order to increase revenues, capturing not just the usual professional component of the bill, but the technical component that generally escapes to the device provider as well.  Upgrading operational procedures in such a way would go a long way toward restoring fiscal stability at this critical time.

How Does Enhanced Holter Monitoring Play a Role?

Enhanced Holter monitoring is a 72-hour data capture procedure in which every beat of the heart is recorded, virtually ensuring that no potential anomaly escapes detection.  This method produces by far the most clinical value, in which case, the physician is able to make the highest quality diagnosis and select the most appropriate treatment plan, which is obviously what the patient wants and deserves as well.

There are 37 ICD-10 diagnostic codes that justify Enhanced Holter monitoring.  The billing code is 0295T.  The path to much-needed revenue is basically as simple as that, switching from use of patch devices or event monitors provided by suppliers who generally bill an amount many times more than the practice bills for the professional component, to this method of data capture. 

Remote Enhanced Holter Monitoring Services Complements Telemedicine

Enhanced Holter service can be accomplished remotely as well.  A doctor conducting a telemedicine examination can simply send patient contact information to the Enhanced Holter provider and the provider can take over from there, overnighting the device, Zoom supervising DIY installation the next day, demonstrating telephone data download to the patient, and instructing the patient in return of the equipment in a pre-addressed carton.  This is a perfect complement to telemedicine.

24 hours after the download, the doctor receives his comprehensive, 76-field report, with a time-saving, one-paragraph summary by a board-certified cardiologist.

The data MUST be collected and analyzed before a doctor can make a diagnosis.  It may as well be done in such a way that maximum clinical value is obtained and revenues adjust upward by multiples.

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