Remote Patient Monitoring (RPM) programs are becoming increasingly popular, supported by growing clinical evidence and financial benefits to providers. Simply put, Remote Patient Monitoring is a Medicare-covered service that involves the collection and analysis of patient physiologic data in real-time. Clinic staff can remotely monitor patients in between office visits. This virtual and real-time monitoring enables providers to truly meet the needs of their patients and provide timely care. Multiple studies have demonstrated improved patient outcomes and increased compliance while reducing hospital admission and readmissions. Providers also benefit financially as this is a well-reimbursed service.

RPM uptake among providers has been rapid, particularly during the COVID-19 pandemic and limited in-person care. RPM companies have been coming to marker weekly if not daily in the past 12 months. However, there is a lot of information providers need to know before contracting with the RPM vendor to be compliant. After all, the billing is done under the provider and the provider will be the one audited. 

Learning Objectives

• Review CMS’s RPM requirements
• Examine the Scope of Services required to bill Medicare for RPM services
• Identify how RPM can close care gaps and engage patients
• Assess the financial and quality implications of incorporating RPM in your practice
•  Understand new changes for 2024
• Know what services will be continued and what will be discontinued

Areas Covered in the Session

• Remote Patient Monitoring
  • Sobering Statistics
  • History of RPM
  • What is RPM
  • RPM Workflow
  • Requirements of Successful RPM program
  • Who can bill for RPM?
  • Who can NOT bill for RPM?
  • Benefits of Implementing RPM
• CPT Codes
  • Clinical Staff CPT Definition
  • CPT 99453- Service Initiation
  • CPT 99454- Data Transmission
  • CPT 99457- Treatment Management
  • CPT 99458- Treatment Management
  • CPT 99091- Interpretation and Analysis
• Consent
• Example of Consent Template
• Medical Necessity
• Example of Order/Documentation
• Interactive Communication
• Reimbursement Opportunities
• Reduction in Reimbursement
• Live Q&A Session

Attendees

• Healthcare Provider
• Physicians
• Nurses
• Doctors
• Nurse Practitioner
• C-Suite Healthcare Executives
• Population Health Officers
• Innovation officers
• CNO/ CMO
• Coders
• Billers
• PCP (MD, NP, PA)
• Specialists (MD, NP, PA)
• Nurse Managers