Autonomic, Cardiovascular & Sudomotor Screening — Done-for-You, In-Office
KOSMD Consulting implements reimbursable, in-office autonomic, cardiovascular, and sudomotor screening that allows physicians to evaluate patients during a single visit rather than sending them out for external testing. Same-day screening and immediate results enable clinicians to retain diagnostic revenue while initiating earlier clinical decision-making. When abnormalities are identified, the objective, multisystem data supports faster, more targeted referrals to appropriate specialists—reducing delays, improving care coordination, and allowing patients to be worked up and treated more efficiently. This model preserves in-office screening while enhancing the quality and speed of downstream specialty care through a turnkey implementation managed by KOSMD Consulting.
We bring the device and the staff. Your team schedules patients; we run the studies on site; you receive same-day, usable results so you can bill the service and act on findings immediately—no waiting for outside consult reports.
Why practices choose this model
• Zero build-out, zero equipment purchase.
Mobile cart; small footprint.
• Staffing included.
Trained technician provided as frequently as your volume requires.
• Same-day summaries for clinical action.
Clear, clinician-ready reports.
• Efficient revenue capture
Documentation packaged for clean claims when medically necessary.
• Predictable scheduling.
Half-day, full-day, or recurring on-site blocks.
What’s measured (at a glance)
- Autonomic function — indicators of sympathetic/parasympathetic balance (e.g., HRV-based responses).
- Cardiovascular status — peripheral circulation and hemodynamic responses.
- Sudomotor function — small-fiber/sweat gland nerve activity as an early marker of neuropathic change.
Common use cases: diabetes & metabolic risk, dysautonomia symptoms (fatigue, orthostasis), small-fiber neuropathy suspicion, autonomic contribution to pain, and general cardiometabolic risk stratification.
How it works
- You book patients (we share inclusion criteria & a quick prep sheet).
- We arrive on site with device + technician; studies typically 10–20 minutes per patient.
- Quality-checked results are delivered same day (portal/PDF) with concise flags and guidance language.
- You treat now (medication adjustments, referrals, lifestyle orders) and bill with our documentation checklist.
What’s included
Device, disposables, calibration & maintenance
On-site technician(s) and workflow management
EHR-friendly PDF results + data archiving
Billing pack: medical-necessity pointers, sample templates, and documentation checklist
Ongoing education for your staff (ordering, scheduling, patient prep)
Throughput & logistics
- Footprint: small mobile cart; standard exam room acceptable
- Throughput: ~3–5 patients/hour depending on protocol
- Frequency: from ad-hoc days to weekly standing clinics—we match demand
FAQs
Do we need to hire staff or buy equipment?
No. We supply both device and technician.
How fast are results?
Same day—structured for immediate clinical decisions.
What about reimbursement?
When medically necessary and properly documented, these services are commonly reimbursed. We provide a documentation checklist to support clean claims. (We don’t guarantee coverage.)
Can this integrate with our EHR?
Yes—PDF summaries and data files are delivered in an EHR-friendly format.
