Medical Billing Companies & Consultants in Middlebury, CT

Pulse 4 Pulse LLC is a Middlebury, Connecticut company that places diagnostic testing inside physician offices and handles the related reimbursement work. Its main focus is early detection of hidden chronic conditions. For buyers comparing medical billing providers, its billing capabilities are the relevant part: the firm manages coding, claims and payer follow-up for the specific tests it performs, so practices can add a new diagnostic service without building internal reimbursement expertise.

Billing and Reimbursement Support

The company employs a billing team of certified coders with experience in the procedure codes tied to its testing protocol. According to the site, Medicare, Medicaid and most major commercial carriers accept these services. Up to five diagnostic codes may be billable:

• Ankle brachial testing (93922)
• Autonomic function testing (95921)
• Sudomotor testing (95923)
• Electrocardiogram (93040)
• Pulse oximetry (94761)

A follow-up office visit (99214) may also be billed. Pulse 4 Pulse checks patient coverage before testing, files claims for the physician and works through payer disputes. Its stated goal is to keep denials low.

How Practices Work With Them

Clients can choose between two billing arrangements:

• Billing liaison. The practice keeps billing through its current system, and Pulse 4 Pulse assigns a liaison who consolidates and streamlines the process.
• Full billing service. The Pulse 4 Pulse team handles the billing itself on the national AdvancedMD platform.

The typical workflow runs as follows. A patient fills out a questionnaire, a technician employed by Pulse 4 Pulse runs the tests, and a follow-up visit is booked. The company then files the claim. Every insurance payment goes straight to the practice, and Pulse 4 Pulse later invoices the practice for its service.

Diagnostic Products and Clinical Services

The testing equipment is an FDA-cleared device that assesses cardiovascular and autonomic nervous system function. It sits on a portable cart that needs little floor space. Physicians see results through an online portal, which delivers a short four-page summary and a longer 40-page archive report stored in a secure cloud database. The three core tests are:

• A sudomotor test of sweat gland response
• An autonomic assessment based on heart-rate variability and beat-to-beat blood pressure
• An ankle-brachial index measurement

These tests help detect conditions such as peripheral artery disease, diabetic neuropathy, sleep apnea and hypertension.

Specialties and Organizations Served

The firm serves a wide range of specialties, including:

• Cardiology, endocrinology and diabetic medicine
• Internal medicine, general practice and geriatrics
• Neurology, nephrology and pain management
• Podiatry, wound care, orthopedics and urology
• Pulmonology, OBGYN and weight management

Its clients range from solo practices and IPAs or MSOs to multi-specialty groups and hospital systems.

Leadership

Krista Mowad serves as President and COO, and Bill Van Faasen is CEO. The broader team includes a Director of Revenue Cycle, Alycen Wright, along with leaders in clinical operations, implementation, account management and business development. A clinical board, including podiatrist David B. Alper and internist Akua Sam, advises the company.