For Cardiology Practices

Ankle-brachial index and heart-rate variability, chairside in the cardiology visit.

Cardiology practices use TITN to run ankle-brachial index and heart-rate-variability autonomic testing chairside, in the same visit as the cardiovascular workup, ordered when clinically indicated. TM-Flow captures both in about ten minutes.

TM-Flow Max Pulse
TM-Flow System workstation with the autonomic, sudomotor and vascular modules.
TM-Flow System · autonomic, sudomotor, vascular · about ten minutes
Why cardiology practices work with TITN

Why add autonomic and vascular testing to a cardiology workup?

Because it puts measured numbers next to the exam. Ankle-brachial index supports peripheral arterial disease screening in adults at risk, and heart-rate variability documents autonomic balance, both captured chairside without a vascular lab. The indices are an aid to your judgment, not a diagnosis, and the same protocol at retest makes the change comparable.

01

Measured, not described

Ankle-brachial indices and heart-rate variability recorded on one protocol, so a baseline and a retest compare directly. Max Pulse adds a pulse-wave snapshot at the consult. Your clinician interprets every value.

02

Ordered on indication

Every workflow is set to documented medical necessity. Nothing is run on a schedule or on every patient, and coverage is decided by your payer on the documented indication.

03

Run by a trained tech

Autonomic testing has real preparation, environment, and training requirements. TITN trains your staff on placement, the rest period, and the software before the first patient, then stays on for retests.

Diagnostics that fit cardiology

Which devices fit a cardiology workflow?

Two. TM-Flow is built on three FDA 510(k)-cleared modules (K173696, K152216, K200141) covering autonomic function, sudomotor response, and ankle-brachial index, with coverage decided by your payer on the documented indication. Max Pulse (K110374) is a fingertip pulse-wave cardiovascular screen, not a diagnostic test, billed directly to the patient.

Vascular + Autonomic platform
TM-Flow System workstation, ANS / ABI
ABI · HRV · Autonomic
TM-Flow System
(ANS, SUDO, ABI)

Ankle-brachial index (ABI) for peripheral vascular assessment and heart rate variability (HRV) autonomic testing in one visit. Sudomotor function as needed. Built on three FDA 510(k)-cleared modules, with coverage decided by the payer.

What you look at Ankle-brachial indices from the volume plethysmography analysis, plus the manufacturer's derived arterial stiffness and endothelial function indices. Captured chairside in the same visit as the rest of the cardiovascular workup.
K173696 · K152216 · K200141
LD TechnologyOpen page ›
Max Pulse cardiovascular screening device
Cardiovascular · Screening
Max Pulse

Pulse-wave cardiovascular screening in about one to three minutes at the consult. A fast measured snapshot alongside the vascular and autonomic workup, not a replacement for a formal cardiac evaluation.

Positioning Cash pay offered at the visit, with pricing set by your practice.
FDA 510(k) K110374 No insurance claim filed
Medicore Co., Ltd.Open page ›
Coverage

Is it covered, and how is it billed?

Medical necessity comes first. Every test in this table is for use when it is clinically indicated and medically necessary for that patient. We set your workflow to that standard and give you the documentation to support it. Coverage and payment are decided by each payer on the documented indication. Nothing here is a guarantee of payment.
Coverage by contractor and plan TM-Flow ankle-brachial (ABI) and autonomic testing modules. Vascular and HRV assessment ordered when medically necessary. No TITN figurecoverage and payment set by your MAC and plan
No claim filed Max Pulse cardiovascular screening, offered at the consult with pricing set by your practice. Set by your practiceno insurance claim filed for the screening
What you get

What comes with a placement?

The reason clinics keep the equipment running is the wrap around it. Here is what comes with a cardiology placement, and how we build the practice around it.

Supported from day one
01

Clinical training

Live sessions, recorded walkthroughs, and interpretation guides. Your team runs real tests; a TITN clinical trainer reviews the reports with them until interpretation sticks.

02

Billing optimization

The coverage checklist per device, your contractor's policy read with you, documentation templates, and your certified coder in the loop.

03

Implementation

On-site or remote setup, calibration, and staff onboarding. A named TITN contact, not a ticket queue.

04

Financing

Flexible financing structures built around your expected reimbursement timeline. Multiple lender and lease pathways with transparent ROI modeling.

We grow the practice around it
01

Consulting

Workflow design, reimbursement coaching, protocol setup. Practical, billable advice.

02

WordPress Websites

Mobile-first WordPress sites with scheduling baked in. The same aesthetic as this one.

03

Marketing Video

AI-generated brand films or full productions filmed at your clinic. Edited, scored, finished.

04

SEO + CRM

Local SEO, structured data, and CRM lead-intake that routes new-patient inquiries automatically.

Proof

Why cardiology practices choose TITN.

Three cleared modules TM-Flow is built on three FDA 510(k)-cleared modules (K173696, K152216, K200141); Max Pulse is cleared under K110374.
One chairside visit Ankle-brachial index and heart-rate variability are captured in about ten minutes, without a vascular lab.
Trained and supported TITN handles clinical training, implementation, and support from setup through the first retest.
Common questions

Cardiology, answered.

What a cardiology practice asks before ordering.

Which diagnostics fit a cardiology practice?

TM-Flow and Max Pulse. TM-Flow is built on three FDA 510(k)-cleared modules (K173696, K152216, K200141) and captures ankle-brachial index, heart-rate variability, and sudomotor response in about ten minutes chairside. Max Pulse (K110374) is a one to three minute pulse-wave cardiovascular screen, billed directly to the patient. Both are ordered when clinically indicated.

Is cardiology testing covered?

Coverage and coding for TM-Flow are decided by your payer on the documented indication, the equipment used, and the interpreting physician's training. Medicare contractors publish different autonomic policies, and some publish none, so confirm with your own contractor and certified coder. TITN recommends no code. Max Pulse is billed directly to the patient, with no insurance claim filed.

Is heart-rate variability testing clinically useful or a wellness gimmick?

Heart-rate variability has documented roles in cardiovascular and autonomic assessment, but the literature also reports real limits: measurement variability, no cross-study standardization, and only modest added value over established risk factors. Treat it as a screening and monitoring adjunct that adds a measured number to the chart, interpreted alongside the exam and the rest of the workup, not as a stand-alone test.

How long does an in-office ankle-brachial index test take?

TM-Flow captures the ankle-brachial index alongside autonomic and sudomotor data in about ten minutes chairside, with cuffs and probes placed while the patient is seated. Published primary-care work describes ankle-brachial index testing as a minutes-scale office test and reports time, staffing, and training, rather than the validity of the test, as the barriers cited to running it in an office. Confirm the current literature for your own setting.

Does autonomic function testing require special staff training or a controlled environment?

Yes. CMS billing guidance for autonomic function testing describes patient preparation, environmental conditions, and trained-personnel requirements; read your own contractor's article in the CMS Medicare Coverage Database. TM-Flow is run by a trained technician, not the physician. TM-Flow is run by a trained technician, not the physician, and the protocol includes a standard rest period, with a Valsalva maneuver and a tilt for sympathetic adrenergic testing. TITN trains your staff on that protocol before the first patient.

Who reads and signs the results generated in my office?

Your practice captures the data and your clinician interprets it. If you want an outside read, BMTG returns an interpretive report through TITN's HIPAA-compliant portal, and a board-certified neurologist signs the neurologist-read deliverables. That is a separate report product, not something included by default with the device. No report diagnoses a condition; each documents measured data a clinician interprets.

What is the difference between a wellness screening device and an FDA-cleared diagnostic device?

They are different regulatory categories. TM-Flow's three modules and Max Pulse hold FDA 510(k) clearances for specific stated uses; Max Pulse is cleared as a cardiovascular screen, not as a diagnostic test for a named cardiac disease. Hue Light, by contrast, is positioned under FDA General Wellness and is not FDA cleared. TITN states the category for each product rather than blending them.

Start with your cardiology practice.

A short call covers devices, reimbursement, and onboarding for your workflow. No commitment beyond the first conversation.

Prefer email? support@transitionitnow.com  ·  (213) 444-6123  ·  Santa Monica, CA
Sources & verification Every clearance and code on this page traces to a live source. View the sources

FDA 510(k) clearances verified in the openFDA device database. Coverage policies are read in the CMS Medicare Coverage Database. Coverage and payment are decided by each payer on the documented indication; nothing on this site is a guarantee of payment.