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 staff (i.e. RN, MA, based on state regulation).
How does it work?
An RPM program is like a CCM program, in fact, the same patient can be enrolled into RPM to manage their vitals.
Identify and enroll patient into program (requires patient consent)
Setup Programmable Alerts (i.e. BP value within certain range) & educate patient how to use device(s).
Review device data and communicate with patient as per program guidelines.
Disenroll/Re-Enroll patient as required.
Please check State Medicaid and Private Payer for similar reimbursements
CPT Code 99453 (Approximate payment $18)
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 $62)
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 $51.63, while each add-on code (up to 2) pays $42.23. Thus, total reimbursement for an hour or more of RPM services is $136.09
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-Ox. Scale, Glucometer, and Wearable; logistics and device configuration training and support; patient education; and ongoing review service.
To learn more
Free Choice of Medical Device i.e. BP Cuff, Pulse Ox, Scale, Glucose Monitor, and Wearable
No long term contracts
Free Smartphone* and wireless service for qualified patient through Govt. programes
Configure 15+ Programmable Alerts
Automated Data Management Time Tracker (tracker for CMS billing codes 99457,99458)
Data analysis dashboards (Web and App) for Biller, Administrator, and Program manager
Vitals Data Visualization ready Widgets for EHR Integration
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
Patient may continue to use App even after un-enrolled from Program
Comprehensive SaaS (Software as Service) Platform
Easy to manage program life cycle (Enroll, Programmable Alerts, Track, Unenroll etc.)
Included module: Secure Messaging (secure chat, video conference) And Provider Directory
Ready to integrate with any leading video conference platform
Ready to use App (& white label) OR use Simplified InstaMD Hub – no SmartPhone, WiFi required
Highly scalable, HIPAA Compliant (Ready to sign BAA)
Enterprise Grade (configurable identity management, MFA, encryption, data access, customizable)
If you have further questions