false
Catalog
HCCIntelligence™ Premier Webinar: Mastering E/M Co ...
Remote Patient Monitoring_HCCI
Remote Patient Monitoring_HCCI
Back to course
Pdf Summary
This resource provides comprehensive guidance for house call programs on the utilization of Remote Patient Monitoring (RPM) services. Although RPM is not classified as telehealth by the Centers for Medicare and Medicaid Services (CMS), its use and associated reimbursement opportunities are expected to persist beyond the end of the Public Health Emergency (PHE) brought on by COVID-19.<br /><br />### Introduction to RPM:<br />RPM involves using medical devices to digitally collect and transmit patient physiological data (e.g., blood glucose, blood pressure) to develop and manage treatment plans for chronic or acute conditions. The transmitted data must be automatic and not self-reported by patients or caregivers.<br /><br />### Billing and Requirements:<br />1. **Medical Necessity:** RPM must be justified as necessary for diagnosing or treating illnesses or improving body function.<br />2. **Initial Visit:** RPM services should be initiated during a face-to-face visit or via telehealth (during PHE) if the patient hasn't been seen within the past year.<br />3. **Patient Consent:** Must be obtained and documented when the services are provided.<br />4. **Medical Device Compliance:** Devices used must meet the FDA's definition of a medical device and ensure reliable data collection and transmission.<br />5. **CPT Codes:** Specific codes such as 99453, 99454, 99091, 99457, and 99458 are used for billing various RPM services, with distinct rules on how and when they can be billed.<br /><br />### Key Guidelines:<br />- RPM for new and established patients is allowed during PHE, with an ongoing requirement for an established patient-provider relationship post-PHE.<br />- Specific billing codes (CPT 99457 and 99458) designate care management services requiring interactive communication.<br />- Providers must ensure a minimum of 16 days of data collection within 30 days to bill for RPM services after PHE.<br />- RPM can be integrated with other services like Chronic Care Management, provided that time and effort are not double-counted.<br /><br />### Care Episode and Interaction:<br />An RPM care episode starts with the initiation of monitoring and ends when treatment goals are achieved. Interactive communication, an integral part of RPM, involves real-time conversations between patients and providers.<br /><br />### Resources:<br />Further assistance and educational resources are available through the HCCIntelligence Resource Center, which offers webinars, tools, and expert consultation to support home-based primary care providers.
Keywords
Remote Patient Monitoring
house call programs
CMS
Public Health Emergency
medical devices
billing codes
patient consent
data transmission
care management
HCCIntelligence Resource Center
©2022 Home Centered Care Institute. All rights reserved.
×
Please select your language
1
English