Applicable Medical specialties
Our tests help diagnose patients with known CAD/hypercholesterolemia/hypertension especially with those of smoking and stroke history.
Our protocol helps to diagnose diabetes as well as other hidden diseases associated with diabetes including neuropathies and PAD.
Our test provides a good wellness tool for all patients with diabetes/thyroid/cholesterol issues.
Our service helps the gastroenterologist identify and quantify neuropathies associated with the autonomic nervous system and thus helpful in treating patients with abdominal pain, constipation, diarrhea or symptoms that follow irritable bowel.
Good wellness tool for testing asymptomatic diseases in asymptomatic patients, 60% of adult patients qualify.
Our service is a good wellness tool for the geriatric physician in that all of their patient mix should qualify for testing. Elevated pulse wave pressures in ABI over the age of 70 correlate with increased risk of dementia.
Our service is a complete wellness tool that can easily be implemented into integrative practices.
Our service is a great wellness tool for testing hidden diseases in asymptomatic patients. In addition, we help diagnose the root causes of complex symptomologies related to the cardiovascular and autonomic nervous system. 60% of adult patients qualify.
All patients with Stage III kidney disease qualify - the link is they have a higher risk for PVD.
All patients with neuropathies qualify for our service. Our service helps the Neurologist objectively quantify the neuropathy.
Because OGBYN physicians often act as the primary care physician for women of childbearing age our service is a good wellness platform to help identify hidden disease in asymptomatic patients.
Our service is a good wellness tool for ophthalmologists, especially in diabetes detection.
The P4P testing protocol has clinical relevance in the orthopedic space because it is a good wellness tool used pre-surgery to identify circulatory and diabetic issues.
Pain management encompasses treating patients with pain and correctly identifying the pathology of that pain. Our clinical tool helps to identify whether that pain is vascular or neuropathic, or both allowing the clinician to develop a more personalized approach to the patient's pain management.
Good wellness tool especially due to lower leg issues and large number of diabetic patients; pre-surgery tool.
Pulmonology, to incl. Sleep Disorders
The link between COPD and autonomic dysfunction and heart disease makes our service a useful diagnostic screening tool.
Our service is a good wellness platform for the sports medicine physician.
P4P is a good screening/wellness tool pre-surgery for detecting peripheral vascular disease and cardio risk assessments.
P4P helps rule out vascular causes of Erectile Dysfunction.
Our service is a good wellness tool for weight management physicians. Most patients will likely qualify for our service because of the higher rates of diabetes/ thyroid/ cholesterol issues in overweight patients.
Excellent screening tool to determine arterial causes of lower extremity ulcers/wounds.
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We Work with Organizations of every size
Solo Medical Practices
Better patient care and additional revenue to remain independent in a competitive market.
Our service helps independent physician groups remain competitive with a general preventative diagnostic assessments that leads to intra-IPA referrals (cardiology, endocrinology, CV testing, sleep testing, labs).
Besides offering a preventative diagnostic assessments that generates a new revenue stream with an existing patient base we offer a screening tool that leads to multiple referrals streams (e.g. cardiology, endocrinology, diabetes mgmt., CV testing, sleep testing, labs).
Hospitals and Healthcare Orgs
Reduce hospital subsidies of employed physician groups. Boosts the bottom line with an existing patient base. We provide preventative diagnostic assessments lness platform that creates new downstream revenue for the Hospital in areas like cardiology, sleep centers, labs, other specialties and surgical procedures to name a few.
Provide Better Patient Care
Early Detection of Chronic Disease in Asymptomatic Patients
Diagnose Complex Symptoms
Increase Patient Compliance with Treatments
All-in-One Onsite Service
Patient Completes Questionnaire
Our medical technician conducts tests.
Patient follow-up appointment scheduled
Pulse 4 Pulse submits claim on behalf of physician.
Physician receives all remitances.
Pulse 4 Pulse Invoices Practice for Service.
$0 Start-up Costs
No Capital Expenditure
No Training of Clinical Staff
No Burden for Billing Staff
State-of-the-art diagnostic medical device testing the cardiovascular and autonomic nervous system
Small office footprint
Portable mobile cart
same day results
Physician portal for immediate results
Instant easy-to-interpret 4-page report
Secure cloud-based database
40-Page archive report
Employed by P4P
Increase Practice Revenue
$160-170 Net Revenue per Screening
Increase Office Visits by 15-20%
Downstream Revenue for Multi-Specialty Groups
3 Main Tests to Identify Asymptomatic Diseases
Billing and Insurance
Our service is accepted Medicare, Medicaid, and most major private insurance carriers. We have many years of experience working with insurance companies and have expertise in successfully submitting claims and minimizing denials for the billing codes associated with our service.
We offer two options for billing.
Pulse 4 Pulse provides expert billing liaison to practice that aggregates and simplifies the billing process. The practice bills through their existing system .
Billing provided by Pulse 4 Pulse team via national platform AdvanceMD.
There are up to 5 Billable Diagnostic Codes approved by Medicare, Medicaid, and most private payers.
Ankle Brachial Test (93923)
Autonomic Function Test (95921)
Sudomotor Test (95923)
Pulse Oximetry (94761)
Additional Billing Code
Follow-up Office Visit (99214)
The device stimulates the patient’s sweat glands by emitting a low voltage current through a glass plate.
Results for this test helps the physician determine if the patient is going to be at risk of vascular disease or neuropathy.
Autonomic Nervous System Test
We report the heart-rate variability with beat-to-beat blood pressure in the patient after deep-breathing, head-tilt and Valsalva maneuver tests and compare to base-line.
Many diseases of the nervous system identified.
Ankle-Brachial Index Test
A measurement of the ratio of blood pressure of the upper and lower body.
Results indicate if the patient is suffering from vascular disease.
Ability to test the vascular system at the micro-level.
proven standards of care
Testing of the autonomic nervous system (ANS) is the recommended standard of care by the American Diabetes Association for patients with Type 1 and Type 2 diabetes.
The American Heart Association Practice Guidelines for the management of patients with peripheral artery disease include the measurements of ankle-brachial index (ABI) in adults over 50 years old with a history of smoking, diabetes, or circulation problems, and all adults over 70 years old.