Xpress ECG is an online order mail delivery ECG service.  You create an online account with no cost and no obligations.  Place the order online, QT Medical will deliver.  Upon completion, the ECG is sent to the cloud, and the recorder is mailed back.  Simple as
Physician orders ECG through
Xpress ECG Kit is mailed directly to the patient's home
Patient records a 12-lead ECG in the comfort of his/her home
Results instantly uploaded to the cloud for remote review
Patient returns the kit to QT Medical
1 x PCA 500 ECG recorder
1 x Prepositioned electrode strip
Prepaid envelope for easy return
CPT Code 99091 may be used for Xpress ECG service, with $66 reimbursement by Medicare. In some patients, CPT Code 99490 (Chronic Care Management, $48) may be billed together with Code 99091
CPT Code 99091 Description:
Collection and interpretation of physiologic data (e.g., ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified health care professional, qualified by education, training, licensure/regulation (when applicable) requiring a minimum of 30 minutes of time.
Note: Code 99091 should be billed no more than once in a 30-day period. The practitioner must obtain advance patient consent for the service and document this in the patient’s medical record.
CPT Code 99490 Description:
Chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month, with the following required elements:
PCA 500 is the first FDA-cleared hospital-quality 12-lead ECG designed for personal use. Its patented, proprietary electrodes streamline ECG procedures and reduce errors. With its simplicity, ease of use, mobile technology and cloud management, PCA 500 brings hospital ECG to homes.
Patients record an ECG
You create a free online Dashboard account and order an ECG when needed. QT Medical receives the order and ships out an Xpress ECG kit to the patient. The patient completes the ECG test, then mails PCA 500 back to QT Medical. The recorded ECG is automatically uploaded to the cloud and you will instantly receive an email notification to review the ECG on the Dashboard. The turnaround time is typically 2-4 days.
There are two common clinical scenarios to use Xpress ECG. First of all, Xpress ECG can be used as a non-urgent standard resting 12-lead ECG for screening, diagnosis and follow up. To be used on patients who need pre-op clearance, routine physical, weight loss program enrollment, have cardiac symptoms (palpitation, fatigue, etc.), to rule out cardiac conditions, and under surveillance of medication side effects (most notably psychiatric, antibiotic and oncological medications). Secondly, Xpress ECG can be used for monthly Remote Patient Monitoring (RPM) of patients with chronic medical conditions. This can be patients with intermittent arrhythmias, stable angina on medical therapy, congestive heart failure, diabetes and hypertension.
Yes. The Xpress ECG kit includes a PCA 500 recorder, a prepositioned electrode strip, instructions, and a postage paid return envelope. PCA 500 is cleared by the FDA for patients' use at home. A clinical trial showed that over 95% patients could use PCA 500 to complete a 12-lead ECG test based on simple instructions; video instructions and FAQs are available. Our customer service can provide further assistance over the phone when needed.
Yes. PCA 500 is cleared by the FDA for patients and professional use. The electrode placements follow the American Heart Association guidelines. A clinical trial showed that PCA 500 is equivalent, as a diagnostic 12-lead ECG, to the market leader Philips PageWriter TC70, used in hospitals. In fact, the ECG signal quality from patients’ use of PCA 500 at home is often better than ones done by technicians in the hospital.
No. Registering an online Dashboard account with QT Medical is absolutely FREE. There is no commitment and no obligations to keep an account. When you have a patient who needs an ECG test, you will be ready to order from the dashboard in just 1-2 min. If you register your Dashboard account before July 15, you will receive TWO complimentary Xpress ECG tests.
Absolutely! Reimbursement rates for telehealth services are now on par with the rate for in person visits. Many new codes for Remote Patient Monitoring (RPM) can be used for home testing services. In fact, Xpress ECG at home can be reimbursed 300% the rate of a resting 12-lead ECG performed by a technician in your office!
The cost of an Xpress ECG test is $30, paid by your office at the time of ordering. Your office can bill CPT code 99091 (Medicare reimbursement $66), and possibly add code 99490 ($49). When used as monthly RPM, you can also bill code 99457 ($61). Reimbursement Guide can be requested from QT Medical for more details.
Once your Organization has created a Dashboard account, an email is automatically sent containing an activation link and your temporary password. Click on the link to activate your Administrator account.
First, register for a free online Dashboard account from QT Medical then log in. Click on “Xpress ECG” on the left hand side on the Dashboard, select the electrode size and “Add to cart.” During the checkout process, please input your patient’s information (address and phone number) and complete the payment. Please note, you will have to create an account to checkout for the first time from our shopping cart.
Once you have successfully enrolled, your Account Manager will contact you with a “Welcome Email” containing important documents for Xpress ECG. You may reference the document titled, “How to Determine the Size of Electrode Strip.” This document contains various methods for sizing patients for their electrode strip.
When an order is placed, QT Medical will ship the Xpress ECG kit the next business day by USPS Priority Mail, which typically takes 1 to 3 days to arrive.
Your office can bill CPT code 99091 (Medicare reimbursement $66), and possibly add code 99490 ($49). When Xpress ECG is used as a monthly RPM, you can also bill code 99457 ($61). You can refer to the document “Reimbursement Guide” in your Welcome Email for details.
When ordering an Xpress ECG test, please make sure the email, address and phone number of the patient are all accurate. We will verify the order and provide the information and assistance needed for the patient to complete the test.
You should receive your username and password along with your kit. Simply login with the info, follow in-app instructions and record an ECG.
Our Customer Service team is available for calls and emails regarding Xpress ECG. We want to ensure anyone who orders an Xpress ECG at home or in a clinic will receive the assistance necessary to complete an ECG.
Any patient can call QT Medical Customer Service anytime for help at +1 855 722 6006 or write us at firstname.lastname@example.org.
We are compatible with most iPhone, iPad, Android devices. For more information on compatibility, please visit: https://www.qtmedical.com/compatibility
Make sure you are connected by locating the “Tap to Connect” button on the top left corner. Once correctly connected, your ECG will stream.
When you have completed your ECG test, simply discard the electrode strip and place the compact ECG recorder into the prepaid USPS envelope for free return. You can place the envelope in your Outbox or drop it off at your local USPS store.