Remote Patient Monitoring - HCCIntelligence™ Premier Resource - 2024-Remote Patient Monitoring

Remote Patient Monitoring - 2024

Pdf Summary

This resource provides guidance for house call programs on the use of remote patient monitoring (RPM) services to care for patients, particularly in the context of the COVID-19 pandemic. RPM involves using technology to collect and analyze patient physiological data in order to develop and manage a treatment plan. It is important to note that RPM is not designated as telehealth by the Centers for Medicare and Medicaid Services (CMS), but it can still be used and reimbursed after the end of the Public Health Emergency (PHE). <br /><br />The document outlines the requirements for billing RPM services, including the need for medical necessity, initiation during a face-to-face visit or telehealth, obtaining patient consent, and the use of FDA-defined medical devices. CMS allows for RPM services to be provided to both new and established patients during the PHE, but after the PHE, an established patient-provider relationship is required to bill for RPM services. <br /><br />The document also explains the different CPT codes associated with RPM, such as CPT 99453 for initial setup and patient education, CPT 99454 for device supply, CPT 99091 for collection and interpretation of digitally stored data, CPT 99457 for remote physiologic monitoring treatment management services, and CPT 99458 as an add-on code for additional time. It is important to follow the sequencing and timing of these codes as outlined by CMS.<br /><br />The resource also provides definitions for key terms related to RPM, such as RPM care episode, interactive communication, and RPM care plan. It includes information on how RPM services can be billed in conjunction with other care management services and provides details on the payment and work relative value units (wRVU) associated with each CPT code.<br /><br />The document concludes by highlighting additional resources available through the HCCIntelligence Resource Center, such as webinars, tools, and tip sheets, to support providers in implementing RPM services.

Keywords

house call programs

remote patient monitoring

RPM services

COVID-19 pandemic

telehealth

billing RPM services

CPT codes

patient consent

medical devices

RPM care plan