Cardionet 1007 Manual De Usuario

6

SERVICE OVERVIEW

First, the prescribing physician is registered in the CardioNet service. All
applicable contact and demographic data is collected and inputted into
the CardioNet Patient Enrollment and Management System (PEMS) by a
CardioNet representative. When a physician identifies a patient who is
appropriate for CardioNet services, a patient enrollment is initiated by
his/her office, included is patient demographics, insurance information,
indications for usage, duration, thresholds, and medical necessity where
applicable. Upon completion, the enrollment form is submitted to the
Patient Service Center – either by fax or Internet.

For non Medicare patients, the physician practice may utilize the CPT
code 93799-26 when billing for the professional interpretation,
including the narrative description “ECG arrhythmia detection and alarm
system.”  An individual payor may establish or recommend alternative
codes to be used to reflect the professional interpretation for CardioNet
related services. The physician practice may wish to contact their
provider representative to establish the appropriate billing requirements
for CardioNet.

Additionally, if you are currently required  by the payor to provide a
referral through the payor system you should continue to follow that
procedure.  Also if you are required to  contact the payor for pre-
authorization/authorization to provide professional interpretation for
diagnostic services continue to do so, this will also apply to CardioNet.
When speaking to a payor or claims representative, it is important to
note that CardioNet is not a Holter or event monitor.  CardioNet mobile
telemetry is a unique, proprietary technology and service offering, and
is not the equivalent of any other monitoring technology or service.

CardioNet will provide an in-home patient educator to train the patient
on the use of the CardioNet System. CardioNet has a wealth of
resources including in-home educators and print and video training
tools to insure the highest level of patient confidence and compliance.

Important

CardioNet outpatient telemetry is a diagnostic service, not an
emergency response service. It is possible, however, that a patient may
develop a life-threatening arrhythmia while on our service. If we detect
such an event, CardioNet will attempt to assist the patient in accessing
EMS services. Physicians should be aware that our ability to assist
ambulatory patients is limited by many factors including cell phone
coverage, the inherent limitations of GPS locating technology and local
EMS policies.