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Introduction
TTM - Trans-Telephonic Monitoring is designed to
monitor and evaluate your heart rate. Your physician
will inform you of symptoms to watch for. These may
include:
Chest Pain,
Palpitations,
shortness of breath and
dizziness.
The results of your monitoring will help your physician
with important diagnostic and prognostic information
necessary to determine an appropriate plan of treatment.
Note: Your monitor is not an emergency device. In case
of a medical emergency contact your local emergency
medical services.
How does TTM work?
The monitor records your heart beat. The TTM takes an
electrical signal (your heart-beat) and converts it to a
noise. This process is called frequency modulation. You
transmit this noise to a lab that is on-call 24 hours a
day. You send (transmit) this “noise” through any
standard telephone. This “noise” goes directly to a
special computer called an “FM demodulator” that
reverses the noise back to its original signal and
graphs it on an ECG.
This is the information that your physician receives and
evaluates. In effect, you have just transmitted your
ECG over the
telephone.
How does TTM differ from
Holter monitoring?
A Holter monitor constantly records your heart rate
for a shorter period of time than TTM, usually 24-48
hours. During this period of time you might not
experience the symptoms which your physician would like
to examine. By utilizing an event monitor, the only
information that gets stored in the monitor is data from
the time of the event.
For how long does will be
monitored ?
Your physician will determine the amount of time you
should be monitored. This could vary from 1 to 3 weeks
depending on the frequency of your symptoms. The longer
you are on the monitoring service, the more likely it is
to capture a true “event”.
Is TTM really necessary?
These tests are optional and you may choose not to
have your physician perform them. However, by enrolling
on the TTM services you circumvent the need for hospital
monitoring - a significant savings in medical bills.
Furthermore, you can continue your normal daily
activities. If an abnormal
ECG rhythm is
captured, your physician will make a decision about
further plan of treatment.
Will my insurance carrier pay
for this procedure?
If your physician has prescribed this procedure as a
diagnostic tool in the evaluation of your heart’s
performance - your insurance carrier should cover it.
TTM is covered by most insurance policies, including
medicare, and third party insurance carriers. The
company will accept your policy’s usual and customary
rates for your geographical location.
Contact MSO for more information.
Visit the following insurance carrirers' websites for
information about their coverage policies for TTM
(sometimes termed as "cardiac event monitors")
Aetna
Coverage bulletin 0073: Cardiac Event Monitors
Empire Medicare (NJ)
Medical Policy Bulletin : Transtelephonic ECG (M-12B)
Empire Medicare (NY)
Medical Policy Bulleting : Cardiac Event Detection
What do the monitors look
like?
MSO will provide your physician with the equipment
necessary to perform TTM monitoring. We can arrange for
a hook up at your home (not available in all areas) or
at your physician's office. Here are a few examples of
our heart monitors. Please note: we carry many types of
monitors from various manufacturers and continuously
expand our service offerings.
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