Frequently Asked Questions:
How can an Ambulatory Video EEG help your patients?
EEG-video monitoring is considered the gold standard for accurate diagnosis of seizures and seizure-like episodes. It should be performed for any patient whose seizures continue despite medications. In-home Video EEG can help you make a more accurate assessment for:
- Patients with serial inconclusive EEG's
- Patients with confirmed epilepsy who are experiencing suspected non-epileptic events
- Differentiating between neurologic and cardiac events
- Localizing and characterizing seizures
- Patients experiencing episodic events in which seizures are suspected
- Documentation of seizure and seizure type, frequency and severity
- Documentation and identification of sub-clinical seizures
- Differential diagnosis of seizure vs. syncope
- Differential diagnosis of seizure vs. pseudo seizure
- Differential diagnosis of seizure vs. behavior manifestations
- Differential diagnosis in psychiatric disorders
- Evaluation of efficacy of anticonvulsant therapy
- Evaluation of efficacy of ketogenic diet therapy
- Pre-screening prior to removal from anticonvulsants
- Pre and post-surgical screening of Vagal Nerve Stimulator
Why would you need Video combined with Ambulatory EEG?
- To clinically see what the patient is doing at the time of an event
- Zoom-in on the patient after the recording is finished
- Observe potential movement disorder while awake or sleep
- Listen to your patient before, during and after an event
- Eliminate the guesswork when evaluating non-epileptic events
- Assist your patients in avoiding the inconvenience of lengthy hospital stays
What are the advantages of using In-home Video EEG?
Our lightweight, wireless equipment allows patients to move about at home and be more comfortable during the study.
- Regular environment and stress where episodes spontaneously occur
- Home comfort and no need to travel for patient and family
- In-home Video EEG saves 50-60% in healthcare dollars over inpatient stays for similar service.
- Availability with little or no wait time, including for patients who cluster and may not be able to wait days or weeks to undergo monitoring
- Patients are free to leave their house if needed while capturing the EEG recording continuously
- Increased diagnostic yield to identify seizure and seizure-like activity
What are the disadvantages to inpatient Video EEG?
Removing a patient from their normal living environment can lead to poor diagnostic yield and lower patient satisfaction.
- Inpatient setting is an artificial environment with little stress, and daily activities that are not “real-life”, so at times nothing happens in this setting.
- Inconvenience of admission to hospital, which may not be feasible due to home or family obligations, distance, time off work, and having an accompanying person.
- Availability and wait time: many epilepsy centers have a significant waiting period of weeks to months.
- Travel for patients to the closest monitoring unit may be inconvenient.
- Much higher cost compared to in-home EEG-video monitoring.
How good is the quality of In-home Video AEEGs?
The quality of our AEEGs are comparable to that of an EMU stay. The wires are affixed with Collodion, our Monitor Technicians log into the study twice a day to check on the quality of the video and leads, and our technologists are on stand-by 24/7 to do return visits to the patient's home, if needed.
Can quality be assured during an In-home Video EEG study?
RSC strives to produce studies that are comparable to that of an EMU stay by:
- Using technology with real time assessment to preserve study integrity.
- Identifying issues and correcting them before study completion.
- Utilizing highly trained Technologists that are required to provide exceptional patient care, support, and data analysis.
- Securing the wires with Collodion.
- Instructing set-up Technician to stay local and to be on-call 24/7 for the duration of the study to help with any patient discomfort or technical malfunctions.
- Requiring a CLMT to log-in to a study at regular intervals to check on the patient and the data acquisition of waveforms/video/sound at regular intervals for quality assurance.
How long does it take to get a completed study back to the Physician?
RSC is committed to completing a patient study within 3 business days. Faster if need be. If an RSC recommended epileptoplogist is conducting the interpretation, the turnaround time can take 3-5 business days.
What duration of AEEG's does RSC offer?
RSC provides At-Home Video EEG monitoring at 24, 48, 72, 96, and 120 hour lengths.
Who dictates the final study that is ordered?
Referring physicians can elect to read their own studies, have a neurologist of their choice read the studies, or have an epileptologist recommended by RSC read the studies.
How do we view the finished study?
RSC downloads our iEEG program onto your personal and work computers and provides you with a login name and password. Once logged onto iEEG, you will see a list of all patient studies completed in the last 4 months. iEEG is a very user-friendly, intuitive software. We provide you with a iEEG in-service and “How To use iEEG guide” for your easy reference at anytime.
Can we view the whole study, or just the pruned portion?
Yes, physicians will have access to both the master study as well as the shortened "pruned" study. General time for master study length and pruned study length are:
|Length of Study
||Length of Pruned Study
How long are studies visible for reading access?
About 3-4 months. If a study has been archived, it takes 30 minutes to restore a study to a physician’s iEEG folder, per request of the ordering physician.
Can I re-montage the EEG during review?
Yes. RSC has 10+ montages already set up as options in a drop down box for your ease during editing/scanning. We can also add a customized montage for your specific needs or preferences.
Do you accept all local insurance providers?
Yes. We provide services to most insurance providers including Medicaid and Medicare. If we are not contracted with a particular provider, we have a DSA so that every patient can complete the study.
Who does the VOB and preauthorization of a patient’s ordered EEG?
Our Scheduling & Billing Specialist begins the VOB and pre-authorization (if needed) upon receipt of the order. RSC will contact your patient for any necessary co-payments or payment arrangements.
Do we need to sign a contract with RSC Diagnostic Services?
Absolutely not. You can order your first patient study today without problem. We can work with your billing department to find a DSA that works best for your practice if you have special requests.
How soon is a patient’s study scheduled after it is ordered?
Usually 24-48 hours as long as nothing goes wrong with the patient’s insurance and if we can get in touch with your patient via the contact information you provide to us.
How do I order a study?
Find out on our How It Works page.