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Frequently Asked Questions

Find answers to the most common questions about Tether’s services, from virtual supervision to compliance. Explore detailed insights to help you make informed decisions.

What is Tether Supervision, and how does it work?

Tether Supervision provides virtual and on-site contrast supervision services to healthcare facilities. We connect you with board-certified radiologists who oversee contrast procedures, ensuring compliance with CMS and ACR guidelines while prioritizing patient safety.

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Is virtual contrast supervision compliant with CMS regulations?

Yes, virtual contrast supervision complies with CMS regulations as long as direct supervision requirements are met. According to CMS (42 CFR § 410.32(b)), direct supervision requires the supervising physician to be “immediately available” through real-time audio-visual technology, which our platform facilitates. Tether ensures compliance by providing trained, licensed radiologists who are accessible at all times during procedures.

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What services does Tether Supervision offer?

Tether provides virtual and on-site supervision, contrast reaction training, fully stocked medical kits, and access to our software & Mobile Contrast Units. Our services ensure compliance, improve patient safety, and enhance operational efficiency for imaging centers and healthcare facilities.

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Why should I choose Tether Supervision over other providers?

Tether Supervision combines cutting-edge technology, expert radiologists, and a full suite of services—including Mobile Contrast Units (MCUs), training, and reaction kits—to provide a comprehensive solution. Unlike other providers, we prioritize compliance, safety, and scalability while offering flexible plans tailored to your facility’s needs.

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How does Tether ensure patient safety during contrast procedures?

Tether employs qualified, board-eligible and board-certified radiologists who provide real-time oversight during procedures. Our platform includes tools for immediate communication, emergency protocols, and access to contrast reaction kits containing life-saving medications. All supervising radiologists are trained in Advanced Radiology Life Support (ARLS) to respond effectively to adverse reactions.

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What training and certifications are required for supervising physicians?

Supervising physicians on the Tether platform are required to be board-certified or board-eligible radiologists who meet the qualifications outlined by CMS and ACR for direct and virtual supervision. They must also complete Advanced Cardiac Life Support (ACLS) training and pass a rigorous competency exam to ensure they possess the requisite knowledge and skills to manage contrast reactions effectively. These requirements are designed to maintain the highest standard of care during emergencies. Collectively, Tether’s team of radiologists has over ten thousand hours of contrast supervision experience, reflecting their deep expertise and commitment to patient safety.

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Where does Tether operate?

Tether provides virtual contrast supervision services nationwide, ensuring compliance with federal and state regulations wherever your facility is located. While our services are designed to meet CMS and ACR standards universally, specific state laws may affect the availability or implementation of supervision services. Our team works closely with each facility to navigate state-specific compliance requirements, ensuring a seamless setup and adherence to all applicable regulations. Contact us to confirm service availability in your location and discuss any state-specific considerations.

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How can I get started with Tether Supervision?

Getting started is simple. Contact our team to discuss your facility’s needs and schedule a demo. We’ll guide you through the onboarding process, including equipment setup, training, and integration with your existing workflows.

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Can Tether Supervision support multiple facilities or locations?

Yes, Tether is designed to scale, providing seamless coverage for single facilities or multi-center networks. Our flexible plans and centralized supervision platform make it easy to manage multiple locations.

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What makes Tether different from hiring independent contractors?

Tether Supervision is an all-in-one solution designed to simplify contrast supervision for imaging centers. Managing independent on-site physicians can be complex, involving coordination of onboarding, compliance monitoring, scheduling, and payroll. At Tether, we take care of everything—onboarding, regulatory compliance, supervision logistics, and scheduling—allowing you to focus on delivering exceptional patient care and growing your business.

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How can I request a quote for your services?

To request a quote, contact us through our website or email. We’ll assess your facility’s needs and provide a customized plan tailored to your operations.

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What are the benefits of working with Tether Supervision?

Tether improves patient safety, ensures compliance with CMS and ACR guidelines, reduces operational costs, and provides expert supervision without requiring on-site radiologists. Our scalable services are designed to grow with your facility.

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What equipment is required to use Tether Supervision?

Facilities only need the Tether Mobile Contrast Unit (MCU) and a reliable high-speed internet connection to use Tether Supervision effectively. The MCU, provided by Tether, includes all necessary hardware and tools for managing contrast procedures, such as communication equipment and emergency response resources. No additional equipment is required, making setup straightforward and cost-effective.

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How many locations can Tether Supervision support simultaneously?

Tether Supervision is designed to support multiple locations efficiently, ensuring seamless coverage while maintaining compliance with CMS and ACR guidelines. This scalability allows facilities of any size—whether single-site or multi-location networks—to benefit from expert supervision tailored to their needs.

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Are there restrictions to the hours of supervision?

Tether Supervision provides flexible coverage that aligns with your facility’s operational hours. Supervising radiologists are available during contracted times, and additional after-hours coverage can be arranged upon request. For optimal service, facilities should provide at least 24 hours notice for any schedule changes.

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Are the coverage plans flexible to fit my facility’s needs?

Yes, Tether offers highly customizable plans designed to meet the unique requirements of each imaging center. Whether you need hourly, daily, or monthly supervision, our services adapt to your patient volumes and operational goals. For multi-location networks or high-volume centers, discounted pricing tiers are available to ensure cost efficiency. Additional services, such as training and contrast reaction kits, can also be tailored to your specific needs.

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What makes Tether’s supervision platform unique compared to competitors?

Tether’s supervision platform stands out by combining state-of-the-art technology with expert oversight, delivering unmatched safety, compliance, and scalability. With real-time supervision, radiologists provide continuous monitoring throughout procedures, not just during emergencies, ensuring patient safety at every step. Proactive support is built into the platform, including emergency readiness tools such as contrast reaction kits and detailed protocols to handle adverse events effectively. Additionally, Tether ensures full alignment with CMS, ACR, and ASRT guidelines, providing imaging centers with the confidence of regulatory compliance and operational excellence.

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What security standards and measures does Tether Supervision provide?

Tether’s platform adheres to strict security protocols to ensure data protection and compliance with healthcare regulations. All data is encrypted in transit and at rest, stored in a HIPAA-compliant system under a signed Business Associate Agreement (BAA). Supervising radiologists connect via a secure platform with end-to-end encryption. Access is restricted to authorized personnel, and all logins require multi-factor authentication (MFA). Tether also has an incident response plan to address and mitigate any potential breaches swiftly.

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Are there contingency plans for dealing with system malfunctions or outages?

Yes, Tether has robust contingency plans to ensure uninterrupted service. Facilities are encouraged to maintain redundant internet connections for optimal reliability. In case of an outage, technologists can connect with supervising radiologists via alternate communication platforms. All critical data is backed up in the cloud, and Tether’s support team is available to resolve issues quickly and minimize downtime.

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Can Tether’s services be customized to align with my facility’s requirements?

Absolutely. Tether works with each facility to design a supervision plan that aligns with their operational goals, regulatory requirements, and patient care priorities. Customization options include flexible supervision hours, bundling services like training and contrast reaction kits, and creating solutions for multi-location networks. Contact Tether to explore a plan tailored specifically to your imaging center.

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What additional tools and resources are included, such as the Mobile Contrast Unit or training?

Tether provides a range of essential tools and resources to support your facility. The Mobile Contrast Unit (MCU) includes communication hardware, emergency response supplies, and tools for seamless virtual supervision. Contrast reaction kits, stocked with life-saving medications, are also provided. In addition, Tether offers comprehensive training programs, including scenario-based in-person sessions and video modules, to ensure your team is fully prepared for compliance and emergency response.

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Does Tether offer emergency support or real-time assistance during procedures?

Yes, Tether prioritizes emergency readiness by providing immediate access to supervising radiologists who can guide technologists through adverse reactions or other urgent situations. Facilities are equipped with contrast reaction kits and step-by-step protocols to address emergencies effectively. Tether also assists with post-incident documentation and reporting to ensure compliance and streamline follow-up processes.

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What does the onboarding process look like for new facilities?

The onboarding process with Tether Supervision is designed to be seamless and efficient. It begins with a consultation to understand your facility’s specific needs, including patient volumes, operational hours, and regulatory requirements. Once a plan is customized, Tether provides all necessary equipment, such as the Mobile Contrast Unit (MCU), and delivers comprehensive training for your team. Training includes scenario-based simulations, video modules, and readiness quizzes to ensure staff are prepared for supervision and emergency situations. Once setup is complete, your facility is connected to the Tether platform, enabling immediate access to expert supervision.

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How long does it take to get started with Tether Supervision?

Most facilities can begin using Tether Supervision within 30 days, depending on the scope of services and readiness of the facility. This timeline includes consultations, equipment delivery, and staff training to ensure a smooth implementation process.

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Are there any technical infrastructure requirements for onboarding?

Tether Supervision requires minimal technical infrastructure. Facilities only need high-speed internet and access to the Tether Mobile Contrast Unit (MCU), which includes all necessary hardware for supervision. Our team will guide you through connecting to the platform and configuring any additional components, ensuring a straightforward setup.

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What training and resources are provided during onboarding?

Tether provides robust training during the onboarding process to ensure your team is fully equipped for success. This includes scenario-based training, offering hands-on practice to prepare staff for emergency situations, and video modules that provide clear, step-by-step guidance on supervision protocols and proper use of the Tether Mobile Contrast Unit (MCU). Readiness quizzes assess team knowledge and confirm that all staff members are prepared for real-world operations. Beyond initial training, your team will have ongoing access to additional resources, support, and updates to maintain compliance and operational excellence over time.

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How do I set up Tether Supervision services at my imaging center?

Setting up Tether Supervision is simple. After the initial consultation, our team provides the necessary equipment, conducts training, and connects your facility to the Tether platform. From there, your staff can begin operating under expert supervision, with support readily available for any questions or adjustments.

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Can I schedule a demo before signing up?

Yes, Tether offers demonstrations to help facilities understand the full scope of our services and how they can be integrated into your workflow. Contact our team to schedule a demo and explore how Tether can enhance your operations.

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Will my technologists receive any orientation or support during the setup process?

Absolutely. Tether provides detailed orientation for technologists during onboarding, including equipment training and supervision protocols. Our team ensures that all staff members feel confident in their roles and responsibilities before services begin.

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Can Tether help facilities navigate state-specific regulatory or compliance issues during onboarding?

Yes, Tether provides support to facilities in understanding and adhering to applicable state-specific regulations and compliance requirements. While Tether’s supervision services are designed to align with federal standards such as CMS and ACR guidelines, our team also collaborates with facilities to address state-level requirements as part of the onboarding process. It is important to note that Tether does not provide legal advice or guarantee compliance with all state-specific laws. Facilities are encouraged to consult their legal or compliance teams for state-specific regulatory interpretations. Tether’s role is to facilitate alignment with established best practices and provide operational clarity to minimize the risk of non-compliance.

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What is included in the initial setup, such as software installation or hardware delivery?

The initial setup includes delivery of the Tether Mobile Contrast Unit (MCU), installation of the supervision platform, and configuration of any additional tools or resources your facility may require. Tether also provides comprehensive training and support to ensure a smooth transition to our services.

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Who can I contact for questions during the onboarding process?

Tether assigns a dedicated onboarding specialist to each facility to provide personalized support throughout the process. You can also reach out to our customer support team at any time for additional assistance or guidance.

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What is the pricing structure for Tether Supervision services?

Tether Supervision offers flexible pricing tailored to meet your facility’s needs. Plans are available on a daily or monthly basis, allowing facilities to choose coverage that aligns with their patient volumes and operational goals. Rates vary depending on the level of supervision, the number of centers, and additional services like training or contrast reaction kits. Contact us for a detailed quote customized for your facility.

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Are discounts available for multi-center networks or high-volume facilities?

Yes, Tether offers discounted pricing tiers for multi-center networks and high-volume facilities. These plans are designed to maximize cost efficiency while maintaining the same high standard of service across all locations. Reach out to our team to explore pricing options for larger networks or facilities requiring extended supervision.

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Are there any upfront costs for equipment or training?

Tether’s Mobile Contrast Unit (MCU) and other essential resources may involve a one-time setup fee, depending on the plan chosen. Training sessions, including video modules and in-person simulations, can be bundled into your package or purchased separately. These details will be outlined clearly in your customized quote.

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How do I request a customized pricing plan for my facility?

To request a customized pricing plan, contact our team to schedule a consultation. During this session, we’ll discuss your facility’s specific needs, patient volumes, and desired supervision hours to design a tailored solution that maximizes efficiency and cost savings.

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Are there additional fees for services like training, the Mobile Contrast Unit, or incident reporting?

All standard services, including training, the Mobile Contrast Unit (MCU), and incident reporting, are included with monthly contracts. Additional fees may apply for supplemental services, such as advanced training modules, additional MCUs, or enhanced incident reporting features. Many of these supplemental services can be bundled into your plan at a discounted rate. During the consultation process, our team will provide a clear and transparent breakdown of all costs, ensuring you understand exactly what’s included in your plan.

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Can I upgrade or change my plan if my needs evolve?

Yes, Tether allows facilities to upgrade or modify their plans as their needs change. Whether adding more supervision hours, expanding to additional centers, or incorporating new services like training or contrast reaction kits, our team works with you to ensure your plan adapts to your growth.

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Is there a minimum contract length for Tether Supervision services?

Contract lengths vary depending on the plan selected. While hourly and daily plans have no minimum commitment, monthly plans typically require a minimum agreement to ensure facilities benefit from reduced rates. Speak with our team for more details on contract terms and conditions.

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What payment methods does Tether accept?

Tether accepts a range of payment methods, including ACH transfers, credit cards, and other electronic payment systems. Our billing team works with facilities to establish a convenient payment schedule and can accommodate specific invoicing needs upon request.

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Is Tether Supervision HIPAA compliant?

Yes, Tether Supervision is designed to comply with HIPAA regulations, ensuring the privacy and security of Protected Health Information (PHI). All data is encrypted in transit and at rest and stored securely with our partners, which operate under a signed Business Associate Agreement (BAA). Tether’s platform employs a HIPAA-compliant two-way audio-video system for virtual supervision, enabling secure and real-time communication. Access to PHI is strictly limited to authorized personnel, such as supervising radiologists and Tether’s physician leadership team, and is protected with multi-factor authentication (MFA). Tether continuously evaluates its processes to maintain compliance with HIPAA requirements.

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How does Tether ensure compliance with CMS, ACR, and ASRT guidelines?

Tether’s services align with CMS, ACR, and ASRT standards for supervision and patient care. Radiologists providing supervision through Tether are board-certified or board-eligible and meet all regulatory qualifications for direct or virtual supervision as defined by CMS. The platform integrates protocols designed to adhere to ACR guidelines for contrast administration safety, and training provided to technologists ensures compliance with ASRT’s standards for best practices. Tether also monitors regulatory updates to maintain alignment with evolving healthcare policies.

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Can Tether help with state-specific compliance questions or requirements?

Tether works closely with facilities to address state-specific regulations and ensure adherence to local laws. While Tether does not provide legal advice, its services are designed to comply with federal and state guidelines, and its team offers operational support to navigate compliance challenges. Facilities are encouraged to consult their legal teams for state-specific regulatory interpretations while leveraging Tether’s operational expertise to mitigate risks.

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What measures are in place to protect patient data and maintain privacy?

Tether employs multiple layers of security to protect patient data and ensure privacy. All data is encrypted during transmission and at rest, and real-time supervision is conducted through a HIPAA-compliant, secure two-way audio-video platform to safeguard data privacy. Protected Health Information (PHI) is securely stored in a HIPAA-compliant environment under a signed Business Associate Agreement (BAA). Access is restricted to authorized personnel, such as supervising radiologists and leadership, and protected by multi-factor authentication (MFA). Additionally, a comprehensive incident response plan is in place to address any potential data breaches or unauthorized access swiftly. These measures ensure compliance with HIPAA and other relevant regulations while minimizing the risk of data exposure.

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How does Tether handle emergency situations to meet federal and state regulations?

Tether equips facilities with the tools and protocols needed to respond to emergencies effectively and in compliance with federal and state regulations. Supervising radiologists are available in real-time via Tether’s HIPAA-compliant audio-video platform to guide technologists through adverse reactions, such as anaphylaxis or extravasation. Incident reports are generated promptly and stored securely in compliance with HIPAA. Facilities are also provided with contrast reaction kits and detailed emergency protocols to ensure immediate action and adherence to regulatory requirements.

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What training and certifications are required for supervising physicians?

Supervising physicians on the Tether platform are required to be board-certified or board-eligible radiologists who meet the qualifications outlined by CMS and ACR for direct and virtual supervision. They must also complete Advanced Cardiac Life Support (ACLS) training and pass a rigorous competency exam to ensure they possess the requisite knowledge and skills to manage contrast reactions effectively. These requirements are designed to maintain the highest standard of care during emergencies. Collectively, Tether’s team of radiologists has over ten thousand hours of contrast supervision experience, reflecting their deep expertise and commitment to patient safety.

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What kind of record-keeping practices are in place to ensure compliance?

Tether maintains robust record-keeping practices to meet federal and state compliance requirements. Incident reports, supervision logs, and training records are securely stored in a HIPAA-compliant system. Access to these records is restricted to authorized personnel and available for review during audits or regulatory inquiries. Facilities can request documentation as needed to support their compliance efforts.

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What happens if a compliance issue arises while using Tether services?

In the event of a compliance issue, Tether works closely with the facility to address and resolve the matter. This includes providing detailed documentation, supporting audits, and implementing corrective actions if necessary. Tether’s incident response plan ensures that issues are managed promptly and professionally to minimize risks and maintain regulatory alignment. Facilities are also encouraged to involve their compliance teams for additional support.

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What technical support options are available if issues arise?

Tether provides dedicated technical support to address any issues you may encounter. Our support team is available during operational hours via phone, email, or our online support portal to assist with troubleshooting, platform navigation, or equipment concerns. For critical issues, priority escalation ensures timely resolutions, minimizing any disruption to your workflow.

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How quickly can Tether resolve platform or equipment issues?

Tether prioritizes quick resolution of any platform or equipment issues to ensure uninterrupted supervision. Most issues are resolved within minutes, and critical problems are escalated immediately to our technical team for expedited handling. In the rare case of equipment failure, backup units can be shipped or remote workarounds provided promptly.

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Does Tether provide training and resources for new staff members?

Yes, Tether offers ongoing training and resources for new staff members as part of its support services. This includes video modules, user guides, and bi-annual scenario-based training sessions to ensure all team members are fully prepared to operate under Tether’s supervision platform. Additional training can be scheduled as needed to address staff turnover or skill gaps.

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How can facilities contact Tether for support?

Facilities can reach Tether’s support team through multiple channels, including email, phone, and the online support portal. Dedicated onboarding specialists are also available to provide personalized assistance during the initial implementation phase.

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Does Tether provide assistance with reporting or documentation after incidents?

Tether assists facilities with post-incident reporting and documentation, ensuring compliance with regulatory requirements. Supervising radiologists collaborate with staff to draft detailed incident reports, which can be securely stored and accessible for audits or follow-up reviews.

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What happens if our facility expands or changes its operational hours?

Tether’s services are designed to scale with your facility. Whether you add new locations or extend operational hours, Tether can adjust your plan to meet these evolving needs. Contact our team to discuss updates to your supervision schedule or coverage requirements.

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