As the adoption of telehealth, remote monitoring, and connected care technologies continues to increase, it’s important for healthcare leaders to stay on top of the latest updates in telehealth reimbursement. 

Some of the most significant updates come from the Centers for Medicare & Medicaid Services (CMS), which released its final rule for Medicare payments under the Physician Fee Schedule (PFS) in 2024. Let’s delve into the eight key updates impacting telehealth and remote patient monitoring (RPM) services:

1. Established Patient Requirement: A fundamental change concerns new patients seeking RPM services. Before initiating these services, a new patient evaluation and management (E/M) or similar service is now mandatory. This ensures a clear care plan is established during an in-person visit. However, exceptions exist for patients who utilized RPM during the Public Health Emergency (PHE) as they already have an established patient-provider relationship. Additionally, this established patient rule doesn’t apply to remote therapeutic monitoring (RTM) reimbursement.

2. 16-Day Data Collection for RPM: The billing guidelines for RPM data collection have been revised. Now, healthcare providers need to collect data for at least 16 of the 30-day episode of care period, excluding calendar month days, for CPT codes 99453 and 99454. This clarifies the data collection requirements for accurate reimbursement of these specific codes.

3. Clarity on RPM/RTM “Time Spent”: CMS has provided further clarity regarding time spent billing guidelines for specific CPT codes. Codes 99457, 99458, 98980, and 98981, representing “time spent” for treatment management, are not subject to the 16-day data collection requirement. They maintain their existing billing guideline of a 30-day calendar month.

4. One Provider for RPM/RTM Billing: A significant update concerns the number of providers permitted to bill for RPM and RTM services. According to the new guidelines, only one provider can bill for either RPM device codes (99453 and 99454) or RTM codes (98976, 98977, 98980, and 98981) within a 30-day episode of care. This means the provider who submits the claim first will be reimbursed, whereas subsequent claims from other providers for the same patient during that period will be denied.

5. Concurrent Billing with Other Services: Reimbursement for RPM and RTM cannot be combined with similar services within the same month. However, specific services like Chronic Care Management (CCM), Transition Care Management (TCM), Behavioral Health Integration (BHI), Principal Care Management (PCM), and Chronic Pain Management (CPM) can be billed concurrently with either RPM or RTM.

6. Billing During Global Surgery Periods: The 2024 Physician Fee Schedule clarifies the permissible timeframe for billing RPM/RTM services during a surgical global period, defined as the time during which a physician cannot bill for related office visits. Now, if the billing provider for RPM or RTM services is different from the provider receiving the global payment, these services can be billed. Additionally, if RPM or RTM services were already in place before the surgery, CMS allows payment outside the surgical global period.

7. FQHCs and RHCs Gain Reimbursement: This update presents new opportunities for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). They can now receive reimbursement from CMS for either RPM or RTM services (not both) when billed alongside Care Management CPT code G0511. This code can be billed multiple times per calendar month, offering additional financial support for these healthcare facilities.

8. New Cost Fee Structure: The final update concerns changes to the cost fee structure. While the specific details are outside the scope of this article, it’s important to be aware that individual CPT code reimbursement rates for RPM, CCM, and RTM have been slightly adjusted.

These updates highlight the ongoing evolution of telehealth and remote patient monitoring regulations. By staying informed about these changes, healthcare providers and facilities can ensure they are delivering compliant and reimbursable care to patients while optimizing their practice efficiency.

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If you are a medical professional interested in leveraging remote technology to optimize patient health, this guide outlines remote therapeutic monitoring codes for 2024 and how to bill using RTM CPT codes. Remote therapeutic monitoring (RTM) is similar to remote patient monitoring. However, RTM is used to acquire non-physiological patient data for the respiratory and musculoskeletal systems.

This data can monitor medication and exercise adherence, functional status, response to therapy, and musculoskeletal and respiratory activity. Patients use RTM devices to collect health data for musculoskeletal and respiratory system status, therapy, and medication response and adherence. Unlike in remote patient monitoring CPT Codes, the RTM patient data is self-reported and communicated to their physician. 

Remote Therapeutic Monitoring Codes

Healthcare providers can improve patient outcomes while establishing additional revenue streams with an established and efficient remote therapeutic monitoring service model. However, it is essential to note that regulations exist regarding which remote therapeutic monitoring codes can be billed together with remote patient monitoring. Providers are not allowed to double bill for RTM and RPM.

In 2022, The Center for Medicaid and Medicare (CMS) established remote therapeutic monitoring codes to help make billing for physical, occupational, and speech-language pathologists more accessible. Before 2022, these qualified healthcare professionals were not reimbursed for collecting data and educating patients using remote health devices. These new RTM CPT codes allow healthcare systems to increase revenue while improving patient outcomes and recovery programs.

RTM CPT codes are general management codes that qualified healthcare professionals, like physical and occupational therapists, can use to bill for their services, unlike RPM codes. The most commonly used RTM devices are a scale and spirometer. The 2024 RTM CPT codes, descriptions, payment rates, and billing frequency are listed below. 

2024 Remote Therapeutic Monitoring Codes

In this section, you will find a quick overview of remote therapeutic monitoring codes for 2024. All remote therapeutic monitoring services can be provided under general supervision. Physical therapists (PTs), occupational therapists (OTs), and speech-language pathologists (SLPs) can provide RTM services. RTM CPT codes can be used for “sometimes therapy,” allowing physicians, nurse practitioners, physician assistants, and clinical nurse specialists to perform RTM. 

CPT Code 98975

This code covers initial setup and patient education on the use of equipment. It can be billed once by one practitioner only when at least 16 days of data have been collected on at least one medical device. The average national payment rate for CPT 98975 is $19.65.

Respiratory CPT Code 98976

Billing CPT code 98976 pays for respiratory devices supplied with daily scheduled recordings and programmed alerts and transmission for monitoring the respiratory system. The code can be used every 30 days by one practitioner only when at least 16 days of data have been collected on at least one medical device. The average national payment rate for CPT code 98976 is $46.83.

Musculoskeletal CPT Code 98977

Code 98977 reimburses musculoskeletal devices supplied with daily scheduled recordings and programmed alerts and transmission for monitoring the musculoskeletal system. This can be billed once every 30 days by one practitioner only when at least 16 days of data have been collected on at least one medical device. The average national payment rate for CPT code 98977 is $55.72.

CPT Code 98980

RTM CPT code 98980 bills for the initial 20 minutes of treatment time per calendar month. Time must include at least one interactive communication via phone or video with the patient during the month. New in 2023, CPT 98980 can be billed “incident to” or under general supervision. CPT 99457 is billed every 30 days. The average national payment rate for CPT 98980 is $49.78.

CPT Code 98981

In 2024, CPT 98981 covers each additional 20 minutes of treatment time per calendar month. It requires at least one interactive communication during the calendar month. This code has the exact requirements as CPT 98980.  The average national payment rate for CPT 98981 is $39.30.

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February 15, 2024 Anne Dwyer

This month, CMS released an updated State Medicaid and CHIP Telehealth Toolkit consolidating information from previous toolkits and providing additional guidance – as required by the Bipartisan Safer Communities Act – on issues from billing best practices to strategies for using telehealth in schools.

In addition to FAQs on issues such as benefit flexibility, financing, workforce, managed care, and quality reporting, the comprehensive updated toolkit also includes information on strategies for delivering specific services via telehealth to different populations. This includes employing telehealth to improve health equity, delivering services to specific populations, including children and youth, and using telehealth to deliver maternal and behavioral health services.

Highlighted state best practices from the toolkit related to telehealth and behavioral health include:

• Colorado, which has a dedicated website for school-based services that includes procedure codes for telehealth, and allows for the telehealth delivery of certain services including behavioral health.
• Iowa, which has employed targeted promotion of telehealth to members and providers in counties with lower utilization of behavioral health care, including utilization by geography and race/ethnicity to identify and address barriers.
• North Carolina, which during the COVID-19 public health emergency temporarily permitted Medicaid providers to provide perinatal care, maternal support services, and postpartum depression screening via telehealth and in 2023 permanently permitted the use of telehealth for prenatal and postpartum visits.
• Oregon, which leveraged the State Directed Payments Option under managed care to create an enhanced payment rate increase for behavioral health services delivered by culturally- and/or linguistically-specific behavioral health providers, including services delivered via telehealth.

The toolkit also includes strategies for delivering services via telehealth to address behavioral health provider shortages including leveraging Certified Community Behavioral Health Clinics, community-based mobile crisis units, and the Collaborative Care Model with telepsychiatry. For example, the toolkit notes that states may submit a request for a 90/10 enhanced Medicaid match for a number of IT initiatives to support mobile crisis units, including the provision of cell phones or iPads to state-staffed mobile crisis teams to facilitate telehealth with a clinic at another location during a crisis intervention.

The updated toolkit including additional state best practices and strategies as well as other information such as a state checklist, a state Medicaid telehealth assessment/action plan, and telehealth communication strategies can be found here.

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Hospitals across the nation are facing financial constraints and unprecedented staffing shortages. This situation is compounded by the growing need to provide skilled, resource-intensive care for sicker patients being admitted to hospitals’ general care units.

This situation is not only impacting clinical staff, who are overworked, stretched thin and reporting high levels of burnout, but patients, who are more likely to experience a harmful safety event due to inadequate working conditions.

“The intersection of fewer providers and sicker patients is challenging hospitals a great deal,” said Dr. Sam Ajizian, Chief Medical Officer of the Patient Monitoring Operating Unit at Medtronic.

A powerful, impactful strategy to address this challenging landscape is for hospital leaders to leverage technology, specifically remote monitoring, connectivity, and interoperability solutions.

The impact of remote monitoring

Technology — particularly, remote patient monitoring — provides clinical staff with a significant gift: more time with patients.

Right now, clinicians spend far too much of their shift on administrative tasks such as manual charting. They continuously check routine vital signs and manually input the information into the electronic medical record, leading to short, stressful and unsatisfactory interactions with patients.

Remote patient monitoring automates some of this work for caregivers by enabling the continuous capture of vital patient data, which is then uploaded to the EMR and put in the hands of caregivers in the most convenient format for them, such as on a desktop, mobile app or tablet.

As a result, remote patient monitoring can help reduce burnout for clinicians as it decreases the need for manual charting and supports more one-on-one time with patients.

“Remote patient monitoring frees up a lot of nursing hours^3,5 where they can do what they went into the profession for — to talk to patients and give care. No provider went into healthcare to type on a computer,” Ajizian said.

The continuous capture of real-time patient data also allows clinicians to identify adverse patient trends earlier and intervene sooner, helping them improve patient outcomes overall.

In order to gather this data from patients continuously, the monitoring device, such as a wearable, must be comfortable for patients to wear. The BioButton multi-parameter wearable from BioIntellisense, part of Medtronic’s HealthCast portfolio, is small, with a self-adhesive, worn on the patient’s upper left chest, with up to 16 days of battery life. “The BioButton device offers an effortless user experience. Just stick it on and forget it” Ajizian said.   

The important role of connectivity

While the device used to continuously capture patient vital sign information is key to the success of remote patient monitoring programs, so is connectivity. Clinicians must be able to access patient data anytime, anywhere, quickly and easily.

“You can have the best wearable in the world but if the data can’t be displayed where the caregiver wants it and how they want to see it, it’s useless,” Ajizian said.

To achieve this, remote patient monitoring systems should be part of the existing ecosystem of devices and workflows, including the hospital’s EMR.

The HealthCast^TM Vital Sync^TM remote patient monitoring system allows clinicians to remain connected to their patients wherever they are in the hospital. The system is designed to connect to hospitals’ EMRs and existing devices. Additionally, it provides clinicians with actionable insights through near real-time trend and alert data on patients wherever they prefer to see it including via desktop or mobile app.   

The future of remote monitoring

Choosing a remote monitoring platform is a significant financial investment. In addition to considering the product features, hospitals should also factor in the quality of the partnership with the provider.

Hospitals must prioritize finding a partner that will offer long-term clinical, technical, education and maintenance support that puts patients and clinicians first. Medtronic understands the importance of partnering with hospitals to build sustainable remote monitoring programs.

“We meet the customer where they are, we fill in the gaps with the tech and we connect it in the easiest way possible,” Ajizian said.

Learn more about Medtronic’s HealthCast^TM intelligent patient monitoring, a portfolio of remote monitoring, connectivity and interoperable solutions, here.

Footnotes

1. Baker MA, Sands KE, Huang SS, et al. The Impact of Coronavirus Disease 2019 (COVID-19) on Healthcare-Associated Infections. Clin Infect Dis. 2022;74(10):1748-1754.
2. https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel-event/sentinel-event-general-information-and-2021-update.pdf
3. Bellomo R, Ackerman M, Bailey M, et al. A controlled trial of electronic automated advisory vital signs monitoring in general hospital wards. Crit Care Med. Aug 2012;40(8):2349-61.
4. Stellpflug C, Pierson L, Roloff D, et al. Continuous physiological monitoring improves patient outcomes. Am J Nurs. 2021;121(4):40–46.
5. Han WH, Sohn DK, Hwangbo Y, et al. Effect of a Wireless Vital Sign Monitoring System on the Rapid Response System in the General Ward. J Med Syst. 2022;46(10):64. Published 2022 Aug 26.
6. Downey C, Randell R, Brown J, Jayne DG. Continuous versus intermittent vital signs monitoring using a wearable, wireless patch in patients admitted to surgical wards: pilot cluster randomized controlled trial. J Med Internet. Res. 2018;20(12):e10802
7. Eddahchouri Y, Peelen RV, Koeneman M, Touw HRW, van Goor H, BrediS JH. Effect of continuous wireless vital sign monitoring on unplanned ICU admissions and rapid response team calls: a before-and-after study. Br JAnaesth. May 2022;128(5):857-863.
8. Verrillo SC, Cvach M, Hudson KW, Winters BD. Using Continuous Vital Sign Monitoring to Detect Early Deterioration in Adult Postoperative Inpatients.J Nurs Care Qual. Apr/Jun 2019;34(2):107-113.
9. Weller RS, Foard KL, Harwood TN. Evaluation of a wireless, portable, wearable multi-parameter vital signs monitor in hospitalized neurological and neurosurgical patients. J Clin Monit Comput. Oct 2018;32(5):945-951.

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SiPhox Health offers at-home minimally invasive blood tests combined with wearable device data (optional) to provide a comprehensive snapshot of your health and lifestyle.

Read about each health category and the associated biomarkers below.

Blood Biomarkers

Inflammation[1]

Inflammation plays a key role in a healthy immune response. However, during aging, chronic, low-grade inflammation – called inflammaging – develops, which contributes to the pathogenesis of many age-related diseases. Inflammation is also associated with depression and other chronic illnesses.

• hs-CRP
• Homocysteine (high range)
• 25-(OH) Vitamin D
• Ferritin (high range)

Metabolic Fitness[2]

Metabolic fitness is the condition of a robust and healthy set of cellular mechanisms that produce energy from our food and environment to power every process in the human body. Poor Metabolic Fitness is associated with worse brain function, energy, memory, mood, skin health, fertility, and like inflammation, puts us at greater risk for chronic diseases.

• Hemoglobin A1c
• Fasting Insulin
• Trig:HDL Ratio
• 25-(OH) Vitamin D

Balance[3]

Your Balance score includes hormonal and nutritional markers. Balance means maintaining the appropriate amount (not too high or too low) of hormones and critical vitamins/minerals. This is key to keeping our internal environment running at its peak.

• Testosterone (Male) Estradiol (Female)
• Testosterone:Cortisol Ratio (Male)
• DHEA-S (Male)
• Folate
• Ferritin (low range)
• Homocysteine (low range)

Cardiovascular[4]

Your Cardiovascular score includes markers that have the potential to lead to heart disease. Poor Cardiovascular health puts individuals at risk for shortened lifespan and decreased quality of life. Tracking these markers allows you to optimize your diet and lifestyle to stay healthier, longer.

• HDL
• LDL
• Total Cholesterol:HDL Ratio
• Triglycerides
• ApoA1
• ApoB
• ApoB:ApoA Ratio

Wearable Device Data

Activity[5]

Your weekly activity average includes number of steps and minutes spent engaging in different zones of exercise intensity.

• Daily Steps
• Minutes Spent in Medium Intensity Activities
• Minutes Spent in High Intensity Activities

Sleep[6]

Your sleep score reflects your average sleep duration and quality.

• Sleep Total Duration
• REM Sleep
• Deep Sleep
• Sleep Efficiency

Heart Efficiency[7]

Heart Efficiency is a measure of your current heart health and athleticism. Increased heart efficiency is correlated with increased lifespan.

• Resting Heart Rate
• Average Heart Rate Variability

Ready to start testing?

Send My SiPhox Health Kit

References[−]

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Vitamin D is a fat-soluble vitamin that is essential to many of the body’s processes. Whether supporting immune, musculoskeletal, or brain health, Vitamin D is definitely a valuable player in maintaining overall health and wellness.

The History of Vitamin D

But to really understand Vitamin D, we need to go back to the early 1600s when rickets in children and osteomalacia in adults were first described. Coinciding with the Industrial Revolution, a combination of indoor occupations, smog, and decreased dietary calcium intake may have contributed to Vitamin D deficiency. Without sufficient Vitamin D, calcium is not properly absorbed, and bones become soft, weak, and deformed.

Centuries later in Great Britain, Sir Edward Mellanby, a biochemist, was concerned with the incidence of rickets in the United Kingdom and hypothesized that the disease was caused by a dietary deficiency. To test this, he fed dogs a strict diet of oatmeal (the main diet of Scottish folk who had the highest incidence of rickets at the time) and kept them away from sunlight. Once the dogs developed rickets, he noticed that they could be cured with cod liver oil. To determine whether it was Vitamin A or another vitamin that was responsible, Professor Elmer McCollum of Johns Hopkins University decided to conduct an experiment of his own. By destroying Vitamin A from the cod liver oil, McCollum identified that a new vitamin, which they called Vitamin D, was the true component responsible for curing the disease.

Eventually, dietary supplementation and fortification of food and infant formula led to a decrease in nutritional rickets. However, Vitamin D deficiency prevails. Social and cultural shifts including preferences for fair skin, a sedentary lifestyle, health concerns over skin cancer, time constraints, and many other factors have led to decreased ultraviolet B (UVB) exposure.

Who is susceptible to deficiency?

A few characteristics can make a person more susceptible to deficiency. Living in regions with low sunlight such as northern latitudes, especially during the winter months, can limit the amount of natural Vitamin D that your body synthesizes, even if you spend time outside. People with darker skin tones are prone to being deficient because melanin inhibits Vitamin D synthesis. As people age, the skin becomes less efficient at synthesizing Vitamin D. Additionally, since Vitamin D is a fat-soluble vitamin, people who are overweight or obese may have Vitamin D sequestered in fat cells, which results in lower circulating Vitamin D concentrations. Ultimately, geographic location, melanin levels, age, and obesity status, in addition to diet, disorders, and medication, could all potentially impact Vitamin D availability.

So if Vitamin D is so important, how can we prevent deficiency?

Chances are, when you think about Vitamin D, you think of sunlight. Spending about 10-30 minutes in the sun a few times a week, exposing your skin to the UVB rays, can help your body naturally synthesize Vitamin D. The amount of time needed varies based on factors such as your skin type, geographic location, and UV index. If you live in an area without as much sunlight, you can try a UV lamp. Diet is another way to obtain Vitamin D. Fatty fish such as salmon, mackerel, and trout are excellent sources. Egg yolks and mushrooms also contain some, but many foods nowadays such as milk, orange juice, breakfast cereals, and yogurt are often fortified with Vitamin D. Supplements are a convenient, accessible option if you have dietary restrictions or limited sun exposure. If you are concerned about your Vitamin D levels or have specific health conditions, it is advisable to consult with a healthcare professional. They can assess your Vitamin D status and recommend appropriate treatment options based on your individual needs.

Bibliography

Deluca HF. History of the discovery of vitamin D and its active metabolites. Bonekey Rep. 2014 Jan 8;3:479.

“Vitamin D.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 10 Aug. 2023.

“Vitamin D.” The Nutrition Source, 7 Mar. 2023.

Wheeler BJ, Snoddy AME, Munns C, Simm P, Siafarikas A, Jefferies C. A Brief History of Nutritional Rickets. Front Endocrinol (Lausanne). 2019 Nov 14;10:795.

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What is apolipoprotein B?

Apolipoproteins are proteins that carry lipids in our blood. Apolipoprotein B (ApoB) is insoluble, which means that it cannot exist freely in the plasma. It is always part of a lipoprotein particle. These particles are important for the transportation of “bad” lipids between various tissues. The role of ApoB molecules is to maintain the structure of the atherogenic (artery-clogging) lipoproteins, to enable the transport of lipids in the plasma, and to control lipoprotein metabolism. Every atherogenic particle contains one molecule of apoB, so concentrations of apoB are a direct measure of the total number of lipoproteins causing atherosclerosis (plaque-filled artery). The measurement of apoB is an estimate of low-density lipoprotein (LDL) particle number because more than 90% of ApoB in plasma is associated with LDL.

What is LDL?

The higher the number of LDL particles, the higher the risk of atherosclerosis. If there are high levels of LDL particles in the blood over a long period of time, they may cross the arterial wall in greater amounts than usual. In this way, the LDL particles are exposed to changes, such as oxidation. These oxidized LDL particles induce a local inflammatory and immune response. It leads to the proliferation of the smooth muscle cells in the arterial wall and the formation of the fibrous cap of the atherosclerotic plaque. The plaque is unstable and can rupture easily, which may lead to vascular stenosis. It means that the lumen of the vein is narrowed, so the blood cannot reach the target organs adequately. If the lumen is totally blocked, it may lead to a stroke.

Artery-clogging lipoproteins can cause the build-up of plaques and consequently limit blood flow. This may lead to heart attacks, strokes, and other cardiovascular diseases.

LDL vs ApoB as Biomarkers

Both ApoB levels and LDL levels are used to predict the risk of atherosclerosis. Usually, they correlate with each other. However, in some individuals with normal or even low LDL concentrations, atherosclerotic events occur. ApoB levels are a far better predictor of atherosclerotic risk than LDL concentrations because the cholesterol content in the particles can vary widely between individuals. Small, dense LDL particles contain less cholesterol than larger ones. It means that the apoB levels are high, but the LDL concentration can be normal or even low. It is common in patients with diabetes and metabolic syndrome. Studies have shown that cardiovascular risk is more closely associated with the number of particles than with the mass of cholesterol. Taking this into account, ApoB is widely regarded as a more accurate measurement for identifying individuals with an increased risk of atherosclerosis than LDL.

Sources

Mehta, A., & Shapiro, M.D. (2022). Apolipoproteins in vascular biology and atherosclerotic disease. Nature Reviews Cardiology, 19, 168-179. https://doi.org/10.1038/s41569-021-00613-5

Langlois, M.R., & Sniderman, A.D. (2020). Non-HDL Cholesterol or apoB: Which to Prefer as a Target for the Prevention of Atherosclerotic Cardiovascular Disease?. Current Cardiology Reports, 22, 67. https://doi.org/10.1007/s11886-020-01323-z

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What is the yearly physical blood panel? Why do doctors order those specific tests?

• Complete blood count (CBC) — Measures different cells and parts of your blood, which can help detect infections, anemia, blood clots, immune system disorders and blood cancers.
• Chemistry panel (complete metabolic panel) — Measures the levels of different chemicals in the blood, which can provide detailed information about your bones, muscles and other organs.
  • Calcium, one of the body’s most important minerals. Calcium is essential for proper functioning of your nerves, muscles, and heart.
  • Sodium, potassium, carbon dioxide, and chloride. These are electrolytes, electrically charged minerals that help control the amount of fluids and the balance of acids and bases in your body.
  • Albumin, a protein made in the liver.
  • Total protein, which measures the total amount of protein in the blood.
  • ALP (alkaline phosphatase), ALT (alanine transaminase), and AST (aspartate aminotransferase). These are different enzymes made by the liver.
  • Bilirubin, a waste product made by the liver.
  • BUN (blood urea nitrogen) and creatinine, waste products removed from your blood by your kidneys.
• Lipid panel (cholesterol test) — Measures the different proteins which carry both good and bad cholesterol in the blood, which can help determine your risk for heart disease, heart attack or stroke.
  • Lipids include cholesterol, triglycerides, high-density lipoprotein (HDL), and low-density lipoprotein (LDL).
• Blood sugar screen — Measures your blood sugar levels, which can help in the process of diagnosing diabetes.
  • HbA1c, and fasting glucose
• Thyroid health
  • TSH, Free T3, Free T4
• Micronutrients
  • B12, Vitamin D, minerals

• What essential things we don’t measure
  • Kidney function tests BUN, Creatinine
  • Liver function tests ALT, AST
  • CBC
  • Some Micronutrients
• Is this test a replacement for a yearly physical?
  • No, this is an adjuvant to a yearly physical
  • It’s still important to get your yearly physical in order to monitor liver function, kidney function, and a more comprehensive micronutrient and metabolic overview.
• Why we chose our specific panel
  • The most informative biomarkers that provide a complete picture of your health when combined with a yearly physical
  • The biomarkers we test would be very expensive if done through a lab service like LabCorp
  • We measure things that change rapidly and require testing more than once a year
  • We test things that are rarely tested on the yearly physical test

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