TOPDOCDX IS THE MOST ADVANCED AUTONOMIC NERVOUS SYSTEM TESTING TECHNOLOGYÂ FOR YOUR PATIENTS.
Includes Sudomotor function tests, cardiac autonomic reflex tests (EWING), Ankle Brachial Index (ABI) Testing.
If you are a private medical practice and you’re looking to generate additional revenue that’s completely reimbursed by Medicare and other top insurance providers click below to learn more
TOPDOCDX IS THE MOST ADVANCED AUTONOMIC NERVOUS SYSTEM TESTING TECHNOLOGYÂ FOR YOUR PATIENTS.
Includes Sudomotor function tests, cardiac autonomic reflex tests (EWING), Ankle Brachial Index (ABI) Testing.
If you are a private medical practice and you’re looking to generate additional revenue that’s completely reimbursed by Medicare and other top insurance providers click below to learn more.
Below you will find some of the things that are included in our Topdocdx program.
MEDICAL DEVICE
State-of-the-art diagnostic medical device testing the  cardiovascular and autonomic nervous system
FDA Cleared
Small office footprint
Portable mobile cart
MEDICAL REPORT
Physician portal for immediate results
Instant easy-to-interpret 4-page report
Secure cloud-based database
40-Page archive report
MEDICAL TECHNICIAN
Onsite technician
Employed by P4P
Screens patients
Schedules patients
Conducts Tests
BILLING
Determine insurance eligibility
Submit claims
Resolve disputes
Over 200 million people worldwide have Peripheral Arterial Disease and most go undiagnosed until it’s too late
It’s a startling fact that 3 out of 4 PAD patients are asymptomatic. And while it would be better to treat PAD preemptively, many patients don’t realize something is wrong until it’s too late.
With TopDocDX testing you can detect the warning signs of PAD up to 10 years earlier than traditional testing
In our Topdocdx program, we include everything you need to provide advanced cardiovascular testing in your practice
The complete TopDocDX system includes the following.
All testing equipment, supplies, and questionnaires.
A trained medical technician to perform the tests in your office so there’s no disruption to your staff.
Billing services to submit claims each day so your team are never burdened by additional paperwork.
An experienced coder to submit all sudomotor, ANS, and ABI codes for Medicare and commercial insurance
A clear, effective summary document, with treatment plan, to help you improve patient outcomes.
A secure database where you can track the results of serial tests and Pulse Wave Forms.
Our Get Back to Walk Program to help your patients take ownership of improving their health.
Differenciating the patient symptom causes.
Early detection of chronic metabolic diseases, such as type 2 diabetes and vascular disease.
Early detection is ANS and vascular complications.
Treatment management of type 2 diabetes using scores, Cardiovascular and hypoglycemia risk markers.
8 in 10 people have cardiovascular disease and don’t detect it until it’s too late.
UNCOVER THE RISK OF PATIENTS’ HEART PROBLEMS TO AVOID DANGEROUS PERIPHERAL ARTERY DISEASE.
With a simple, non-invasive screening that takes place right in the medical provider’s office and is covered by Medicare and top insurance providers
3 of the 4 patients who develop Peripheral Artery Disease do not show symptoms. Our easy, non-invasive screening test can detect the signs up to 10 years earlier than traditional methods, so you can take preventive action.
Peripheral Artery Disease is more commonly known as hardening of the arteries. It’s a condition in which the large and medium arteries that supply blood to your legs become narrow or clogged, constricting the flow of blood. Left untreated it puts you at a higher risk of stroke, heart attack, ischemic attack, painful diabetic neuropathy, pain with walking, and amputations.
3 ways that you can serve your clients better while creating a 6 figure revenue stream for your business.
TopDocDX non-invasive testing can detect the warning signs of PAD up to 10 years earlier than traditional testing
We have the most advanced testing. Your clients should only take 15 minutes in your physician’s office
TopDocDX is a trusted technology that is supported and reimbursed by Medicare and most private health plans
COULD YOU BE AT RISK OF DEVELOPING PERIPHERAL ARTERY DISEASE?
If you have any of these health issues then you could be at a higher risk of heart disease.Â
Do you have diabetes?
Have you experienced erectile dysfunction?
Do you have high blood pressure?
Do you have chronic kidney disease?
Do you have high cholesterol?
Did you have COVID-19 or do you think you were exposed?
Do you have heart disease?
Do you experience sleep apnea?
Have you ever been a smoker?
Do you suffer from pain or numbness in your fingers, hands, toes, or feet?
Do you experience pain in your legs when walking?
HERE’S HOW IT WORKS…
TopDocDX testing is quick, painless & non-invasive
You’ll be asked to complete a quick screening questionnaire in your doctor’s office to check if you are eligible for TopDocDX testing.
Once we know you’re eligible our medical assistant will guide you through the non-invasive test right in your doctor’s office to make it quick and convenient for you.
Your results and recommendations are immediately shared with your doctor so they can review them.
Your doctor will discuss the findings and recommendations with you and explain your best course of action.
Follow your doctor’s recommendations and if necessary you can schedule a follow-up test to monitor any changes.
You’ll be asked to complete a quick screening questionnaire in your doctor’s office to check if you are eligible for TopDocDX testing.
Once we know you’re eligible our medical assistant will guide you through the non-invasive test right in your doctor’s office to make it quick and convenient for you.
Your results and recommendations are immediately shared with your doctor so they can review them.
Your doctor will discuss the findings and recommendations with you and explain your best course of action.
Follow your doctor’s recommendations and if necessary you can schedule a follow-up test to monitor any changes.
“PEACE OF MIND IS A GIFT TO YOURSELF AND YOUR FAMILY”
Book with your TopDocDX provider today and in 15 minutes you’ll have answers and a unique, personalized plan to help you take the best care of your health.
Discover the science behind topdocdx with our chief medical officer
Provide Better Patient Care by:
Early Detection of Chronic Disease in Asymptomatic Patients
Diagnose Complex Symptoms
Increase Patient Compliance with Treatments
3 Main Tests to Identify Asymptomatic Diseases
SUDOMOTOR TEST
Results for this test help the physician determine if the patient is going to be at risk of vascular disease or neuropathy.
The device stimulates the patient’s sweat glands by emitting a low voltage current through a glass plate.
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 baseline.
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 baseline.
Many diseases of the nervous system are 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.
Increase Practice Revenue
$160-170 Net Revenue per Screening
Increase office Visits by 15-20%
Downstream Revenue for Multi-Specialty Groups
Medical Fields that use Topdocdx Program
Cardiology
Our tests help diagnose patients with known CAD/hypercholesterolemia/hypertension especially with those of smoking and stroke history.
OBGYN
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.
Diabetic Medicine
Our protocol helps to diagnose diabetes as well as other hidden diseases associated with diabetes including neuropathies and PAD.
Ophthalmalogy
Our service is a good wellness tool for ophthalmologists, especially in diabetes detection.
Endocrinology
Our test provides a good wellness tool for all patients with diabetes/thyroid/
cholesterol issues.
Orthopedic
The Topdocdx 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. Â
Gastroenterologist
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.
Pain Management
Pain management encompasses treating patients with pain and correctly identifying the pathology of that pain. Â 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.Â
General Practice
Good wellness tool for testing asymptomatic diseases in asymptomatic patients, 60% of adult patients qualify.
Podiatry
Good wellness tool especially due to lower leg issues and large number of diabetic patients;Â pre-surgery tool.
Geriatric Medicine
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.
Pulmonology, to incl. Sleep Disorders
The link between COPD and autonomic dysfunction and heart disease makes our service a useful diagnostic screening tool.
Integrative Practice
Our service is a complete wellness tool that can easily be implemented into integrative practices
Surgery
TopDocDXÂ is a good screening/wellness tool pre-surgery for detecting peripheral vascular disease and cardio risk assessments.Â
Internal Medicine
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 systems. 60% of adult patients qualify.
Urology
TopDocDX helps rule out vascular causes of Erectile Dysfunction.
Nephrology (Kidney)
All patients with Stage III kidney disease qualify – the link is they have a higher risk for PVD.
Weight Management
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.
Neurology
All patients with neuropathies qualify for our service. Our service helps the Neurologist objectively quantify the neuropathy.
Wound Care
Excellent screening tool to determine arterial causes of lower extremity ulcers/wounds.
Don't see Your specialty?
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Applicable Types of Medical Organizations
Solo Medical Practices
Better patient care and additional revenue to remain independent in a competitive market.
Multi-Specialty Groups
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).
IPAs/MSOs
Our service helps independent physician groups remain competitive with general preventative diagnostic assessments that lead to intra-IPA referrals (cardiology, endocrinology, 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 less 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. Â
$0 Start-up Costs
No Training of Clinical Staff
No Capital Expenditure
No Burden for Billing Staff
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 the 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.
How to get started with Topdocdx.
Patient Completes Questionnaire
Our medical technician conducts tests.
Patient follow-up appointment scheduled
Topdocdx submits claim on behalf of the physician.
Physician receives all remittances.
Topdocdx Invoices Practice for Service.
Early detection is the key to successful treatment
billing and insurance
Our service is accepted by Medicare, Medicaid, and most major private insurance carriers.
We offer two options for billing:
OPTION 1
Billing provided by Topdocdx team via national platform Advance MD.
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
OPTION 2
While we prefer to do the billing because of our experience with these specific codes we do let clients who request it do their own billing. In this case, the practice bills through their existing system and Topdocdx provides expert billing liaison.
BILLING CODES
There are up to 5 Billable Diagnostic Codes approved by Medicare, Medicaid, and most private players.
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Ankle Brachial Test (93923)
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Autonomic Function Test (95921)
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Sudomotor Test (95923)
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Electrocardiogram (93040)
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Pulse Oximetry (94761)
Additional Billing Code
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Follow-up Office Visit (99214)
