The case for in-office testing

Find the PAD and neuropathy patients your practice is missing.

Two out of three patients with peripheral artery disease or peripheral neuropathy have no symptoms. When you refer out or do not test, they leave undiagnosed, and the missing documentation now costs your practice. Here is what changed in 2026, and what to look for in an in-office test.

What changed in 2026

Referring out, or not testing at all, is getting more expensive in 2026.

Two-thirds of patients with peripheral artery disease or peripheral neuropathy are asymptomatic. Without in-office testing, the window to intervene before amputation, stroke, or readmission closes silently, and the documentation gap has become a financial liability.

Documentation scrutiny

OIG findings released in late 2025 indicate roughly 44% of submitted claims lack adequate supporting documentation. AI-driven prospective review is replacing the old "submit-then-audit-later" model.

Wound-care reimbursement shift

CMS reduced skin-substitute payment from roughly $1,000/cm² to $127/cm² in 2025, and ABI documentation is now a precondition for many dressing claims. Quantitative, audit-defensible ABI is no longer optional.

Value-based-care economics

ACOs and Medicare Advantage plans pay for prevented complications. A practice with no PAD or neuropathy testing is invisible in risk-adjustment data and forfeits chronic-disease revenue.

Why clinicians choose Smart-ABI

Built for the practice, not just the patient.

Five reasons Smart-ABI is the defensible choice for early detection and durable practice revenue.

Only-in-class autonomic testing

Detect PAD and autonomic neuropathy in one seven-minute test. The sudomotor module is unique to the Smart-LEDA+ platform.

A real ABI, not a PPG substitute

True cuff-based, four-limb measurement with VPR waveforms and Doppler-correlated accuracy: the methodology CMS technical requirements are built around.

CPT-compliant by design

Built to qualify for CPT 93922, 93923, and 95923 from the first test, with reports formatted for audit defensibility.

We install, we train, we stay

Reps install the device on-site and train your medical assistants on the Smart-ABI Process, so an MA can run the test before the physician enters the room. Most competitors ship the box.

Documentation that protects revenue

Color-coded ABI/VPR reports with patient trending, signed by qualified specialists and EMR-ready: built to hold up to RAC audits and AI-driven claims review.

Ready to see it in your workflow?

Book a virtual or on-site demo and walk through the five-minute test with a Smart-ABI specialist.

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Reimbursement & ROI

Early detection that pays for itself.

When the MA-driven Smart-ABI Process is followed, a single device can generate substantial CPT-code revenue with comparatively trivial incremental staff time. And the clinical math is even simpler: one avoided amputation alone can repay the capital investment several times over.

  • Designed to meet CMS technical requirements for CPT 93922, 93923, and 95923.
  • Documentation formatted for audit defensibility and clawback protection.
  • Benefits both fee-for-service and managed-care reimbursement.
~$250K
Potential CPT-code revenue across the reimbursable-test life of a single device*
~2,500
Reimbursable tests modeled per device*
5 min
Per test, run by a trained medical assistant
1
Avoided amputation can repay the device several times over

*Illustrative ROI modeling from Hyperion sales materials; actual reimbursement varies by payer, region, patient volume, and documentation. Not a guarantee of revenue.

See the five-minute test in your own workflow.

Book a demo and a Smart-ABI specialist will walk your team through patient selection, the MA-operated workflow, reimbursement, and the report your EMR receives.

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