2009 Technical Reimbursement Rate

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Anonymous said:
Even LW and CN had problems with patients not being covered by 93237. You will soon find out, life is going to get rough for you, very very rough.
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The reason CN and LW had problems was the products do not meet the criteria for billing that code. Plus the fact that some companies still consider it expermental and will not pay for it. As stated before, the eVolution meets the criteria to bill 93237 and we are getting paid. ACCEPT IT!!!!!
 






Anonymous said:
You can believe any thing you want, you are always right and have to end every post with "what are you smoking or pull your head out." The fact is; the eCardio eVolution meets the criteria to bill 93237, accept it. It is not the same as the Braemar unit and you do "select" your codes. Read the Instructions for use of the CPT codebook.
I find it very funny that it was OK for Cardionet to bill 93237 last year to private insurance companies, but now that you have a different code that "best describes your service", it is not OK for eCardio. Remember, MCT never met the criteria to bill 93237, eVolution does. The code clearly states non-continuous recording yet representitives of Cardionet told accounts to bill for its service when MCT records for how long? (96 hours) If anyone has misinformed customers about billing it is Cardionet reps not eCardio.
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It is a holter code. What do you not understand. If you built your unit around this code, you really screwed up.
 






Anonymous said:
It is a holter code. What do you not understand. If you built your unit around this code, you really screwed up.
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It is a cardiac code. What holter has non-continuous recording. A 24 hour holter provides 24 hours of continuous EKG. Again, you are always right, so as a Cardionet rep you instructed your accounts to bill a holter code for MCT. Nice try!!!
 






Just look it up, easy enough to do.
CardioNet actually went to insurance companies with new technology and signed contracts. Face it, you have an event monitor. Easiest thing to sell against.
 






Anonymous said:
It is a cardiac code. What holter has non-continuous recording. A 24 hour holter provides 24 hours of continuous EKG. Again, you are always right, so as a Cardionet rep you instructed your accounts to bill a holter code for MCT. Nice try!!!
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So, the powers that be with all their wisdom, knew 15 years ago that Braemar would design a device to meet this code? Field of Dreams if I ever saw it. What cardiac device did this code support 15 years ago? Maybe a holter!!!!! Accounts are already seeing eCardio for what they are. What did the name of your company use to be? That's what I thought.
 






Anonymous said:
So, the powers that be with all their wisdom, knew 15 years ago that Braemar would design a device to meet this code? Field of Dreams if I ever saw it. What cardiac device did this code support 15 years ago? Maybe a holter!!!!! Accounts are already seeing eCardio for what they are. What did the name of your company use to be? That's what I thought.
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WOW!!! I see no point in going on any further with this discussion. You are obviously a small minded individual, who can not accept anything that is different in your world. You have proven your stupidity on numerous posts with comments like this. This code has been around for years, eCardio made the eVolution fit this code and it works. It had nothing to do with "powers that be." Accounts are happy and getting paid. I am sorry you can not accept it.
The facts are that the eVolution is not the same as the Braemar unit, so stop comparing the two. eCardio is growing at a rapid rate by taking away hook ups that belonged to Cardionet. I personally have taken away over 150 hook ups that belonged to Cardionet just last month. The Cardionet rep in part of my area has tried to tell my accounts anything to keep the business, just like you are here. (it may be you for all I know) They see right through it because for every accusation you make, I come in with facts and proof that we meet the code and are different than Braemar. This just makes Cardionet lose creditability, so save face and give up.
 






ER920W = evolution Nothing different. Strange that you do not believe it is a holter code. Just look it up.
Out of your 150 I will guess 25 will not get paid. You will see, time will tell.
 






Anonymous said:
WOW!!! I see no point in going on any further with this discussion. You are obviously a small minded individual, who can not accept anything that is different in your world. You have proven your stupidity on numerous posts with comments like this. This code has been around for years, eCardio made the eVolution fit this code and it works. It had nothing to do with "powers that be." Accounts are happy and getting paid. I am sorry you can not accept it.
The facts are that the eVolution is not the same as the Braemar unit, so stop comparing the two. eCardio is growing at a rapid rate by taking away hook ups that belonged to Cardionet. I personally have taken away over 150 hook ups that belonged to Cardionet just last month. The Cardionet rep in part of my area has tried to tell my accounts anything to keep the business, just like you are here. (it may be you for all I know) They see right through it because for every accusation you make, I come in with facts and proof that we meet the code and are different than Braemar. This just makes Cardionet lose creditability, so save face and give up.
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Ecardio....I hear footsteps.....tick...tock.....tick.....tock
 












Anonymous said:
ER920W = evolution Nothing different. Strange that you do not believe it is a holter code. Just look it up.
Out of your 150 I will guess 25 will not get paid. You will see, time will tell.
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Well thank you, even if 25 do not get paid the accounts will still make much more revenue using ecardio. it is all about revenue.
 












I have to agree that 93237 is a cardiac code. The code book lists all the codes as Cardiology. This code says nothing about it being a holter. I think it was designed as a hospital code of some sort.
 






Anonymous said:
WOW!!! I see no point in going on any further with this discussion. You are obviously a small minded individual, who can not accept anything that is different in your world. You have proven your stupidity on numerous posts with comments like this. This code has been around for years, eCardio made the eVolution fit this code and it works. It had nothing to do with "powers that be." Accounts are happy and getting paid. I am sorry you can not accept it.
The facts are that the eVolution is not the same as the Braemar unit, so stop comparing the two. eCardio is growing at a rapid rate by taking away hook ups that belonged to Cardionet. I personally have taken away over 150 hook ups that belonged to Cardionet just last month. The Cardionet rep in part of my area has tried to tell my accounts anything to keep the business, just like you are here. (it may be you for all I know) They see right through it because for every accusation you make, I come in with facts and proof that we meet the code and are different than Braemar. This just makes Cardionet lose creditability, so save face and give up.
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You are most certainly smoking something, no way you took 150 hook ups last month. Tell what area you are in and I will provide proof that there was no way that many hook ups were lost. You must be the one who claims to make 30k per month in commission. You just proved your stupidity with that comment. You are not different than Braemar, you are Braemar. I can name several small event monitor companies who Braemar has offered the same device to. You see what Braemar does at ACC this month. They will be telling everyone that it is the SAME device. Your company just got an exclusive for a few months.
All the device is, is an autotrigger event recorder with an auto send feature. Post your 510k or quit claiming eCardio is a manufacturer.

By the way I never promote this type of diagnostic monitoring as a profit center. I never promoted the daily reimbursement. The amount would add up to more than the doctor gets for implanting a pacemaker, implantable loop or performing a cath. You promote on the diagnostic yield and the service you provide.

I understand that with the economy the way it is everyone needs a break from reality, looks like you are an extended vacation. Enjoy it all the way to the bank studly.
 


















Anonymous said:
You are most certainly smoking something, no way you took 150 hook ups last month. Tell what area you are in and I will provide proof that there was no way that many hook ups were lost. You must be the one who claims to make 30k per month in commission. You just proved your stupidity with that comment. You are not different than Braemar, you are Braemar. I can name several small event monitor companies who Braemar has offered the same device to. You see what Braemar does at ACC this month. They will be telling everyone that it is the SAME device. Your company just got an exclusive for a few months.
All the device is, is an autotrigger event recorder with an auto send feature. Post your 510k or quit claiming eCardio is a manufacturer.

By the way I never promote this type of diagnostic monitoring as a profit center. I never promoted the daily reimbursement. The amount would add up to more than the doctor gets for implanting a pacemaker, implantable loop or performing a cath. You promote on the diagnostic yield and the service you provide.

I understand that with the economy the way it is everyone needs a break from reality, looks like you are an extended vacation. Enjoy it all the way to the bank studly.
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OMG, You are an idiot. I do not have to prove anything to you. I know what I can do and what my numbers are. Keep telling investors that you are not losing hook ups, that will come back to bite you in the you know what. Doctors are really going to keep reading all the crap you fax them for less than a dollar a day. They can switch to a traditional CEM and make more on the hook up and professional fee. If you think doctors were using MCOT for the 3X flawed diagnostic yield, then you are drinking the company Kool aid buddy. The majority of docs used MCOT because they made more money and you know it.

I never claimed that eCardio was a manufacturer, we add an exclusive feature that makes it meet all the criteria to bill 93237. NO 510K needed. How many times do we have to tell you. Go ask your management, you moron. The flyer you guys are passing around is not true and your company has been notified. Braemar will offer the monitor to other companies and they will not be able to bill 93237, because it will not meet the criteria. It is all in black and white, read it if you can.

I am not the guy who had the 30K commission check, but we just had a meeting and there are a few reps making that kind of cash. My 150 hook ups will get me a nice check, which I deserve for out selling you.
 






Anonymous said:
OMG, You are an idiot. I do not have to prove anything to you. I know what I can do and what my numbers are. Keep telling investors that you are not losing hook ups, that will come back to bite you in the you know what. Doctors are really going to keep reading all the crap you fax them for less than a dollar a day. They can switch to a traditional CEM and make more on the hook up and professional fee. If you think doctors were using MCOT for the 3X flawed diagnostic yield, then you are drinking the company Kool aid buddy. The majority of docs used MCOT because they made more money and you know it.

I never claimed that eCardio was a manufacturer, we add an exclusive feature that makes it meet all the criteria to bill 93237. NO 510K needed. How many times do we have to tell you. Go ask your management, you moron. The flyer you guys are passing around is not true and your company has been notified. Braemar will offer the monitor to other companies and they will not be able to bill 93237, because it will not meet the criteria. It is all in black and white, read it if you can.

I am not the guy who had the 30K commission check, but we just had a meeting and there are a few reps making that kind of cash. My 150 hook ups will get me a nice check, which I deserve for out selling you.
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Dude you can not just add things to a device and call it whatever you want without a FDA clearnence, dumb #$%! This is Medicine and lives you are #@$%^*# with!
MARK my words, you will not be around in 2 months, Trust me! Does HMS sound familiar to you? Same team you have now ran that company, read the monitoring history books. They are stocking away the money so when things get tight they will close shop and disapear in less then a day. I look forward to talking to you further on this board in 2 months, can not WAIT!
 






Anonymous said:
Dude you can not just add things to a device and call it whatever you want without a FDA clearnence, dumb #$%! This is Medicine and lives you are #@$%^*# with!
MARK my words, you will not be around in 2 months, Trust me! Does HMS sound familiar to you? Same team you have now ran that company, read the monitoring history books. They are stocking away the money so when things get tight they will close shop and disapear in less then a day. I look forward to talking to you further on this board in 2 months, can not WAIT!
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Exactly what I was about to say. If you added anything to the device you must submit a 510K, that is the law. It's not like selling uniforms. And the other poster is also right, HMS, what a storied past they have. What did you guys add to the Braemar auto trigger in order to rename it the Etrigger? Hey, I have an idea why don't you just add something to a Medtronic ICD and just resell that? By the way, no need to inform the FDA of that. I'm telling you, just wait until ACC and see what Braemar is telling everyone. When the other little services get their hands on the Braemar device you will have to disclose what " you added to it" to make it "different".
 






Nothing in Braemar/Biotel's 510K for the Fusion platform and/or ER920W which classifies it as MCOT. Even Harry Strandquist in all his market launch quotes says it is just the next step in cardiac event monitoring. The FDA has nothing in its database pertaining to eCardio and/or the seceret formula.

The 510K is pretty standard and just as many state this device is "equivalent" to what is on the market in regards to cardiac event monitoring.

The other posters are correct, you submit a 510k, you can not just "add" features to fit your billing philosophy without going through the proper channels.

The study is not flawed, it compares MCOT to standard loop event recorders. It doesn't say that MCOT is 3x better than autotriggers. It was not compared to autotriggers. Physicians are capable of reading a study, they know this.
 












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