Supporting Prevention with Objective Physiology
Annual Wellness Visits are designed to identify early signs of disease and promote preventive care. For many adults—particularly those with diabetes, hypertension, or metabolic syndrome—vascular and autonomic dysfunction develop silently, often before symptoms emerge. The TM Flow System provides a practical, in-office way to measure these changes and translate preventive care into quantifiable, actionable data.
How the TM Flow System Adds Value to Annual Wellness Visits
The TM Flow System integrates three FDA-cleared, noninvasive tests into a single 10-minute session:
- Ankle-Brachial Index (ABI) assesses large-vessel perfusion to screen for peripheral arterial disease.
- Autonomic Function Testing evaluates parasympathetic and sympathetic balance through heart rate variability and cardiac reflexes.
- Sudomotor Function Testing measures small fiber nerve activity by analyzing sweat gland response, reflecting early autonomic involvement in metabolic disease.
By combining these parameters, the TM Flow System delivers a snapshot of both vascular and autonomic health that fits directly into preventive workflows without disrupting patient flow or requiring specialized staff.
Identifying Early Risk Before Symptoms Occur
Patients with metabolic risk factors often experience microvascular and autonomic dysfunction years before overt symptoms develop. A normal lipid panel or A1c does not rule out early pathophysiologic change. TM Flow testing detects patterns that may indicate early neuropathy, impaired perfusion, or autonomic imbalance—conditions linked to increased cardiovascular risk. Identifying these patterns during the Annual Wellness Visit allows clinicians to implement earlier interventions such as tighter glycemic control, blood pressure optimization, or lifestyle counseling.
Practical Integration into Existing Workflows
The TM Flow System is designed for efficient in-office use. Setup typically takes less than five minutes, and testing can be performed by trained staff between routine wellness evaluations. Reports are generated immediately and can be inserted into the chart before the patient leaves. This real-time availability supports same-day counseling, care planning, and documentation for quality metrics.
Because the testing is noninvasive and requires no physician presence during acquisition, it complements other wellness services such as ECG, diabetic foot exams, or cognitive screening, maximizing the value of a single visit.
Reimbursement and Quality Incentives
The TM Flow System supports multiple reimbursable CPT codes, including 95921 for autonomic function testing, 95923 for sudomotor assessment, and 93922 for ankle-brachial index measurement. These codes are recognized under Medicare and private payer preventive frameworks. When applied during Annual Wellness Visits, they help offset program costs while improving the quality and depth of clinical documentation.
By incorporating physiologic data into wellness documentation, practices strengthen their ability to track outcomes, meet performance benchmarks, and substantiate care decisions with objective findings.
Strengthening Preventive Care Documentation
The TM Flow System produces standardized, color-coded reports that display vascular, autonomic, and sudomotor findings in an interpretable format. These results provide clinicians with clear evidence to discuss risk reduction strategies with patients, justify medication adjustments, and demonstrate clinical diligence in follow-up. Over time, repeat testing allows trends to be documented for quality reporting, patient education, and care coordination with cardiology or endocrinology.
Advancing Preventive Medicine in Primary Care
Integrating the TM Flow System into Annual Wellness Visits turns routine preventive care into a data-driven process. Clinicians gain immediate physiologic insights into the patient’s cardiovascular and autonomic status, enabling early intervention, improved documentation, and stronger engagement. It helps identify high-risk patients before irreversible complications develop and positions the practice as proactive in cardiometabolic management.
To learn more about how the TM Flow System supports preventive and cardiovascular assessment, call (731) 234-5095 or (423) 914-2986 today.
