Why is (almost) no one billing for remote patient monitoring?

Huge Two-Day Clean Sweep Auction July 24-25th. Click Here to Bid!

Posição atual:
> This Story

Início de uma sessão ou Registo to rate this News Story
Forward Printable StoryPrint Comment




Health IT Homepage

The rise of medical device hacking: How strong is your network security? In Q3 of 2018 alone, 4.4 million medical records were compromised

Patients like the idea of telemedicine, but what about physicians? New study examines U.S. physician interest in telemedicine

Optimizing the EHR user experience Examining how we got here, and the best path to move ahead

FDA gives RaySearch green light for RayStation 8B platform First treatment planning system to offer machine learning applications

The feds want to give consumers more control over their data — are healthcare organizations prepared?

MedAustron to add health IT to proton and carbon ion treatment facilities Orders more than $13 million worth of RaySearch systems

EHR optimization for increased employee satisfaction What we need from EHRs today is different than what they were built for

CDI best practices: Capturing the true clinical story Improving the quality of the patient health record is a complex undertaking

A functional imaging IT contract enhances vendor performance over the long haul Three questions with four experts at SIIM

Blockchain may be the next great thing in healthcare — or not Cutting through the 'mysticism' of blockchain at SIIM

Why is (almost) no one billing for remote patient monitoring?

By Harry Soza

Did you know that there are eight CPT codes that could generate potentially millions of dollars of annual revenue for your organization without significantly changing provider workflows — and that would also help you deliver better care? The Centers for Medicare and Medicaid Services’ (CMS) remote patient monitoring (RPM) codes are here: however, very few organizations seem to know about them, and even fewer are taking advantage of them.

RPM codes appear to be the best-kept revenue-generation secret in healthcare today. Perhaps the main reason the codes have not been more fully embraced is the misconception that phone calls to patients are required. Trying to get a patient on the phone is difficult and the calls can be time-consuming, but the fact is that RPM codes do not require phone calls. Rather, RPM can be delivered through electronic means, such as patients’ mobile devices, to communicate and share data, which significantly reduces providers’ time commitment and workflow disruption.
Story Continues Below Advertisement


Special-Pricing Available on Medical Displays, Patient Monitors, Recorders, Printers, Media, Ultrasound Machines, and Cameras.This includes Top Brands such as SONY, BARCO, NDS, NEC, LG, EDAN, EIZO, ELO, FSN, PANASONIC, MITSUBISHI, OLYMPUS, & WIDE.

Perhaps another RPM concern among providers is being flooded with irrelevant information from patients they are monitoring. However, with the right type of mobile-enabled RPM (mRPM) platform, providers can tightly control the amount and frequency of information collected, so it’s concise and clinically meaningful, while also not a reporting burden on patients.

By launching an mRPM program, healthcare organizations can grow a significant new revenue stream. Moreover, they can improve care quality by capturing and analyzing timely and relevant data that they can use to improve chronic condition management, avoid emergency department visits, ensure safe recoveries, and bring about overall better outcomes.

The lesser-known RPM codes
Perhaps the most well-known RPM codes (99490, -487, -489) were introduced in January 2015 as part of CMS’s Chronic Care Management (CCM) service, which allowed providers to bill non-face-to-face care for patients with two or more chronic conditions. Although most patient communication in the early years of the CCM program did involve phone calls, the CMS specification allows, and even encourages, providers to use electronic communication methods as well.

Even with traditional telephone-based RPM, CMS still saved $74 per beneficiary per month from 2015 through 2016, according to a comprehensive study of the CCM program. In that time, CMS also reimbursed $105.8 million to participating physicians.

Encouraged by these results, in 2018, CMS unbundled a 16-year-old code, 99091, as a separately billable service for “collection and interpretation of physiologic data (e.g., ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified healthcare professional, qualified by education, training, licensure/regulation (when applicable) requiring a minimum of 30 minutes of time.” This code does not require treatment of a chronic condition and can run concurrent with the 2015 CCM codes.
  Pages: 1 - 2 - 3 >>

Health IT Homepage

You Must Be Logged In To Post A Comment