Used MyoVision- SOLD!!

MYOVISION - M8000 Static and Includes FREE $1495 optional Dynamic Unit as well

MyoVision Features!

Designed to perform standing neutral tests, using a button press probe to gather data. Comprehensive 3 year warranty covers all components with exception of user serviceable parts such as electrodes and cables. Expect 5-10 more new patients from screenings. Simple, fast and accurate due to 13 years of continued R&D which has perfected MyoVision's signal processing scheme. Known for clear, clean graphics and simple to understand reports, allows patients to quickly get the point. Allows you to quickly assess the muscle-tension state of the patient, without requiring exercise or strenuous activity which may be harmful.     Static Semg Training Video Click Here Static And Thermo Traning Click Here Free Demo Kit If you would like a Demo Kit (including literature, and a video tape), give us a call at 1-(888)-463-1381,email us directly sales@chirocity.com   Want to View A Narrated Presentation On The Validity Of Surface EMG? The slide presentation is 5 minutes long, and is narrated by David Marcarian, the designer of the MyoVision system.

New Features Included With Your MyoVision Myovision ROM Graphic Report… Input data from your own ROM device, and your MyoVision software will print a color graphic for each patient, including AMA standards for each motion (see graphic inside). Myovision Business Card Labels… You can now print each patient backgraph in the size of a business card on a label. Myovision is Great for marketing, or to place on to patient files. Myovision Pre-Post Review… With each patient, you can take any 2 exams (ie., comparing an exam 2 months ago versus today), and view them side by side, or as an overlay. (Note-with side by side exams, you can compare up to 9 exams at a time!). Myovision Included all this in Price. Myovision End of Day Printing… Rather than printing each graphic at the time of the exam, you can now print the entire days exam at the end of the day. With Myovision You can also pick a day on the calendar and print that days exams. Included in Price. Myovision Multiple Person Dyanamic Report… As an example, if you are seeing 4 people involved in the same auto accident, you can now print all for different graphics side by side. Myovision is A great way to analyze the result of an accident with each occupant. Included in Price.

Since it's beginnings in 1989, MyoVision's premier static surface EMG system is known for providing the cleanest, most reproducible signal available to date. Designed with the everyday practitioner in mind, MyoVision is not only simple to use, but reliable beyond expectation.

Tomorrow's Technology Today: Using revolutionary computer technology, we can detect minor problems now before they become big ones tomorrow. The InsightSystem is a series of computer tests to assess spinal function and health. It can accurately detect and document problems with the muscles, nerves and joints to prove your injury and document your progress in color! The graphic below depicts a patient with severe muscle spasms detected by the MYOVISION InsightSystem Surface EMG test protocol.

 

 

"What is a MYOVISION 'Surface EMG' test?"

A Surface EMG test is similar to an "EKG" for the heart. It uses hand held electrodes that are placed over the muscles of the neck and back to identify the exact location of abnormal muscle activity. The benefit of this test is that it is painless, quick and most importantly, it helps us determine what further evaluations or tests may or may not be necessary! Discover how you "measure up" to normal! The Patient will get to take a copy of thier neck and back "Picture" home with them! It is the ultimate referal tool.

MYOVISION Key Benefits

	Designed to perform standing neutral tests, using a button press probe to gather data.
	Comprehensive 3 year warranty covers all components with exception of user serviceable parts such as electrodes and cables.
	Expect 5-10 more new patients from screenings.
	Simple, fast and accurate due to 13 years of continued R&D which has perfected MyoVision's signal processing scheme.
	Known for clear, clean graphics and simple to understand reports, allows patients to quickly get the point.
	Allows you to quickly assess the muscle-tension state of the patient, without requiring exercise or strenuous activity which may be harmful.

MYOVISION Surface Electromyography (SEMG)

MYOVISION DESCRIPTION

Surface electromyography (SEMG) is a non-invasive procedure involving the detection, recording and interpretation of the electric activity of groups of muscles at rest and during activity. The procedure is performed using a single or an array of electrodes placed on the skin surface over the muscles to be tested. Recording can also be made using a hand-held device, which is applied to the skin surface at different sites. Electrical activity is assessed by computer analysis of the frequency spectrum, amplitude, or root mean square of the electrical action potential. Needle electromyography is an invasive procedure that records the electrical activity of individual muscles and is considered a more reliable technology.

Surface electromyography is occasionally used as an aid to diagnose neuromuscular disorders, determine the need for surgery in individuals with low back pain, and assist in evaluating the prognosis of disorders involving muscle lesions. The technology has also been utilized to monitor the effects of rehabilitation programs and evaluate muscular function in occupational and sports programs

CODING OPTIONS

ICD-9 Code 781, Symptoms Involving Nervous and Musculoskeletal Systems

781.92 Abnormal Posture

CPT Codes

Codes that apply (usually, this Report must be given on a different day
than the X-ray Report of Findings to justify a separate billing):

1) EM Counseling: 99211-25 (5 min) = Report of Findings = service
doc-patient face to face counseling; (in Nevada, the relative value unit
is RVU = 0.59) = [Discussion with patient about one of more of "Diagnostic
Results, Impressions, Prognosis, Risks/Benefits of management,
instructions for management, and or follow-up]. The modifier -25 means that this code
is a separate service, i.e. a Report of findings. So if the DC went through
the Postural Report and then showed them the exercises, it would be
an approximate 15 minute service.

2) Depending on the time used to explain their posture and exercises, there are increasing RVU amounts possible:

(a) 99212-25 (10 min) = "; (RVU = 1.03)

(b) 99213-25 (15 min) = ", (RVU = 1.42)

(c) 99214-25 (20 min)

(d) 99215-25 (25 min).

3) Code 97750 Physical performance test or measurement complete
with written Report (relative value unit = 0.77). For examples in Nevada,
from low-medium-better, one unit is $56USA; for 99213, we have $56 x 1.42 =
$79.52....and for 97750, we get $56 x 0.77 = $43.12.



Additionally, it appears that:

1) A DC could bill for both codes:

a. 99212 + 97750 = $57.68 + $43.12 = $100.80 OR

b. 99213 + 97750 = $79.52 + $43.12 = $122.64.

2) A DC could bill for both codes because 97750 is posture
evaluation with written report and one of the 9921-* is a face to face report of finding.

3) There is also a code for analysis of information stored in a computer, 99090, average charge is $10

DISCLAIMER: The above information is for reference only. No claim of reimbursement is made or implied.

Surface EMG Rights Restored to Florida DCs

On Jan. 25, 2005, Judge Diane Cleavinger handed down a decision in the case of Richard W. Merritt, DC vs. State of Florida, Department of Health (DOH), heard in a Tallahassee court in July 2004. The case overturned a January 2004 Florida statute that listed surface electromyography (sEMG) as "not medically necessary" as a diagnostic method for evaluating injured persons when subject to reimbursement through personal-injury protection (PIP) insurance, a mandatory coverage under the state's vehicle no-fault insurance law. The impact of this statute on chiropractors throughout Florida caused Dr. Richard Merritt, a Lakeland, Fla., chiropractor, to take action and challenge the ruling. As legal strategies intensified, Dr. Merritt called on David Marcarian of Myovision, a company that provides surface EMG to the chiropractic profession.

"We reached out for help from Marcarian, and others who appear to specialize in sEMG, and the only one up for the challenge was Marcarian," said Dr. Merritt. "I for one am glad [that], as it turns out, that Marcarian's testimony was extremely powerful in court. We also found out that some of the other sEMG companies were actually a large part of the problem by promoting improper use of the technology."

The heated trial lasted two days. Dr. Merritt and Mr. Marcarian were the only ones to testify against the State. The long list of "intervenors" for the State included some of Florida's largest insurers:

• The Florida Insurance Council, Inc.
• The Property Casualty Insurers Association of America
• The American Insurance Association
• The National Association of Mutual Insurance Companies
• The Florida Automobile Insurance Company
• State Farm Mutual Automobile Insurance Company
• Allstate Insurance Company
• Government Employees Insurance Company
• The Florida Farm Bureau Insurance Companies
• Liberty Mutual Insurance Group
• First Floridian Auto and Home Insurance Company
• United Services Automobile Association

This group of insurance organizations joined the Florida DOH in defending the State's decision regarding the medical necessity of surface EMG. The DOH relied upon four expert witnesses, including an MD/PhD with expertise in electrodiagnostic medicine.

Judge Cleavinger's decision was an unprecedented 47 pages long. She found that surface EMG had demonstrated medical value, a level of general acceptance, and was not entirely dependent on subjective patient response. Her findings were based primarily on published studies and journal articles, the Chiropractic Practice Guidelines and Parameters for the State of Florida, and the inclusion of surface EMG in the CPT codes.

Need to know what the research studies show? Need to prepare for utilization of Surface EMG in court? Want sample interpretations of various studies? You will find the relevant papers below.

To download any document below, "right-click" on the document you would like, select "Save Target As" and save to your computer's hard drive at the location of your choice.

High speed access is recommended, as most files are large. The WS2k3 Software update available after December 15th, 2003
described below includes these and many other useful files.

Most documents below require Adobe Acrobat. To download and install the free Adobe Acrobat Reader click the link: http://www.adobe.com/products/acrobat/readstep2.html, or click on the "Get Adobe Acrobat" button below

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Research Studies: Surface Electromyography

1, Complete Research packet (includes most relevant research papers)

2. Low Back Pain Study By Ambroz, et. al (included in #1 above) dial-up OK

3. Review of the literature by Ambroz, et. al. (December 2003) dial-up OK

4. Whiplash Study and Ambroz. et. al. Low Back Pain Study dial-up OK

5. NEW! Paper on Scoliosis published in Spine 2004

6. NEW! Lit