• Your “Shelf Stock Level” will be determined by a workflow review session between HRDx and the customer.
• Once the Shelf Stock Level is set, HRDx will ship the specified number of devices to the customer.
• Going forward, HRDx will monitor the number of devices placed on patients by each customer. Once the customer has placed a device on a patient, HRDx will automatically send a new device to the customer to maintain the correct Shelf Stock Level.
• If Shelf Stock Levels need to be adjusted for any reason, simply contact HRDx and we will increase or decrease the number of devices the customer receives.

• Each patient is responsible for taking care of the monitor and returning it after use.
• In the case of the monitor getting lost, the patient needs to contact HRDx for further direction.

HRDx is responsible for fulfilling those requests. The patient or provider can call monitoring support (281-760-0538 option 2) or email HRDx (support@HRDx.com).

• All major insurance providers cover some form of patient monitoring. HRDx can work with you to discuss the payers in your area and which monitoring methods they cover.
• HRDx is committed to ensuring that every provider and patient has access to our monitoring services. When insurance coverage issues come up, HRDx will work diligently with the insurance provider to manage claim processing and reduce the burden on the provider and patient.

• HRDx will verify benefits and coverage. However, HRDx does not execute contracts that require us to obtain pre-authorizations and has no ability to perform the process. Therefore, it would be the practice that must obtain any required authorizations and/or pre-authorization.

• Depending on their plan and benefits, patients may have an out-of-pocket responsibility. The amount owed is determined by the patient’s insurance company and can vary, comprised of a co-pay, co-insurance, or deductible.
• HRDx strives to provide the best clinical care to the patient, irrespective of their ability to pay, and HRDx offers multiple payment options to ease the financial burden on the patient (such as a discounted self-pay price, monthly payment plans, and financial assistance to patients with financial hardship).

• Clear documentation in the medical record of the specific clinical rationale for prescribing ambulatory cardiac monitoring is critical to support the reimbursement process. Documentation of medical necessity should be clearly outlined as per each payer policy may be required for coverage.
•  At minimum, documentation must include the following:                

      – Clinical indication for use (e.g., suspicion of arrhythmias based on certain symptoms or clinical risk factors).

      – Severity, frequency, and duration of patient’s symptoms.

• The ordering provider will need to specify the monitor modality (Holter vs. CEM vs. MCT) and the duration of monitoring and document the rationale of recommending this modality over other options.
• When the provider prescribes extended Holter monitoring, it is important to justify why the extended monitoring duration is important for the diagnosis and management (e.g., symptoms are less frequent, or prior short-term Holter monitoring failed to provide conclusive results).
• When the provider prescribes mobile cardiac telemetry, it is imperative to justify the advantages of this monitoring modality over Holter monitoring for the diagnosis and management. Such indications usually include patients in whom symptoms are severe or disabling, and when the suspected arrhythmia would need prompt attention and treatment. Examples include:

      – Patients with syncope and presyncope.

      – Patients with questionable ability to reliably document timing of symptoms (e.g., memory problems, physical disability, age).

      – Screening for high-risk ventricular arrhythmias.

      – Screening for atrial fibrillation post cryptogenic stroke.

      – Screening for high-grade AV block after TAVR.

      – Previous ambulatory monitoring modalities failed at providing diagnosis or guiding treatment decisions.