Autonomic, Cardiovascular & Sudomotor Screening

Done-for-You, In-Office

Same-day results • Retain diagnostic revenue • Faster specialty referrals

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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.

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

  • Trained technician provided as frequently as your volume requires
  • Studies typically 10–20 minutes per patient
  • Quality-checked results 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 Measured

Sudomotor function — small-fiber/sweat gland nerve activity as an early marker of neuropathic change
Cardiovascular status — peripheral circulation and hemodynamic responses
Autonomic function — indicators of sympathetic/parasympathetic balance (e.g., HRV-based responses)

Common use cases: diabetes & metabolic risk, dysautonomia symptoms (fatigue, orthostasis), small-fiber neuropathy suspicion, autonomic contribution to pain, and general cardiometabolic risk stratification.

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

  • Frequency: from ad-hoc days to weekly standing clinics—we match demand
  • Throughput: ~3–5 patients/hour depending on protocol
  • Footprint: small mobile cart; standard exam room acceptable

Reimbursement

When medically necessary and properly documented, these services are commonly reimbursed. We provide a documentation checklist to support clean claims.