What is Remote Patient Monitoring (RPM)?
Remote Patient Monitoring (RPM) is a technology that enables monitoring of patients outside of conventional clinical settings, which may increase access to care and decrease healthcare delivery costs. Key features of RPM, like remote alerts and trend analysis of physiological parameters, enable early detection of deterioration, reducing emergency department visits, hospitalizations, and duration of hospital stays.
Incorporating RPM in chronic disease management can significantly improve an individual’s quality of life. It allows patients to maintain independence, prevent complications, and minimize personal costs. RPM facilitates these goals by delivering care right to the home. In addition, patients and their family members are comforted to know they are being monitored and will be supported if a problem arises.
Why Should a Medical Practice Consider an RPM Program?
In addition to patient satisfaction and clinical benefits there is huge financial incentive. Medicare (and in some states Medicaid and Private Payers) started reimbursing for RPM (approximately $200 per patient per month). Each Physician (or Qualified Healthcare professional) may earn an extra $400K with minimum supervision and training to clinical staffs (i.e. Registered Nurse or even Medical Asssistant).
How does it work?
An RPM program is like a Chronic Care Management(CCM) program, in fact, the same patient can be enrolled into RPM to manage their vitals.
Identify , get patient consent, place order to enroll into RPM program
Setup goals e.g. programmable alerts (i.e. BP value within certain range) & educate patient how to use device(s) and its importance etc.
Review device data and communicate with patient as per program guidelines.
Submit claims to Medicare (and supported secondary payer) monthly bais
Please check State Medicaid and Private Payer for similar reimbursements
CPT Code 99453 (Approximate payment $20)
Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, Wt. Scale etc.), initial; set-up and patient education on use of equipment
CPT Code 99454 (Approximate payment $69)
Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days
CPT Code 99457 & 99458
Effective January 1, 2020, a practitioner can bill CPT 99457 for the first 20 minutes of clinical staff time spent performing RPM activities and CPT 99458 for the second and third 20-minute increments. Payment for CPT 99457 is $51, while each add-on code (up to 2) pays $42. Thus, total reimbursement for an hour or more of RPM services is $136
If you have further questions
InstaMD developed a one-stop RPM rollout solution for Healthcare Providers of any size (Medical Offices, House Call, Home Health, Telemedicine Service Providers, CCM Service Provider etc.). Our solution consists of a comprehensive SaaS platform; choice of devices such as BP Monitor, Pulse Oximeter, Weight Scale, Glucometer, Thermometer, and Wearable. All the devices are fully configured and no further setup required e.g. pairing etc. We also provide on site rollout planning, support, patient eudcation, retaintion, review services to support practice.
To learn more
Multiple Choice of FDA Approved Medical Device i.e. BP Cuff, Pulse Ox, Scale, Gluccometer, Thermometer etc.
Contract options i.e. No contract and limited contract
Free On site support* and training for first rollout
Simple to setup multiple devices alerts paramters
Automated Review Time tracker (auto call tracking for 99457,99458)
Data analysis Platform for Administrator and Program manager
Ready Widgets for EHR Integration and Patient RPM Reports for EHR import
HIPAA Compliant (ready to sign BAA)
Enterprise Ready (identity integration, app branding, real-time data integration)
Highly scalable SaaS Solution, no additional internal IT infrastructure & support required
Mutiple options for Patient using Smartphone & App or InstaMD Hub or even IoT Devices
Patient may add additional devices and wearable for personal use after completing program
Comprehensive SaaS (Software as Service) Platform
Easy to manage program life cycle (Enrollment management, Programmable Alerts, Tracking )
Included module: Secure Messaging (secure chat, video conference) And Provider Directory
Ready to integrate with any leading video conference platform
Multiple options using InstaMD Hub or IoT Device or even Smartphone App
Scalable and HIPAA Compliant (Ready to sign BAA)
Enterprise Ready (supports most standard dentity management, MFA, encryption, APIs)
If you have further questions