Patient Monitoring
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There are some basic rules to follow when billing for remote patient monitoring. First, the RPM device must actively record data for at least 16 days in a 30-day billing period. If the RPM device is not used for at least 16 days in a billing period, the physician must use non-RPM billing codes. Then, the remote patient monitoring software can be easily installed and used by medical staff to provide better patient care.

RPM Services

You may wonder why your practice does not offer remote patient monitoring (RPM) services. It’s because you may not be aware of how they work. RPM is a type of remote health monitoring that monitors the physiologic data of patients with chronic conditions. This can help identify problems before they become chronic and prevent a patient’s condition from worsening. As a result, RPM services can improve patient health outcomes. CMS has recently announced that it plans to require RPM programs to engage with clinicians monthly. The agency asserts that providers will do the work of monitoring patient health data, assessing it, and attempting to contact patients.

RPM services can be provided by a physician or a non-physician professional. However, they must have sufficient training and experience to provide the services and be qualified to perform them. CMS has not yet expanded the coverage of this service, but private insurers are increasingly offering it. As a result, you should consider offering remote patient monitoring to your patients. Doing so will improve the quality of care for your patients and save money.

Direct Practice Expense Input Code

Remote patient monitoring devices are used to record physiological data on patients. The machines are considered direct practice expenses, so it is important to consult with a certified billing expert for the appropriate CMS device billing. A remote patient monitoring device must be used for at least 16 days during 30 days to qualify for Medicare reimbursement. Further, healthcare providers must follow specific instructions, including transmitting data to the appropriate Medicare-certified billing service, to determine whether the device is eligible for reimbursement.

The remote patient monitoring CMS guide is invaluable for coding and billing RPM services. This resource will help physicians accurately report their RPM expenses. In addition, the CMS guide will help physicians maximize their reimbursements for these services. The CMS website includes the finalized work time and cost relative value units (WRUs) for 70 supply and equipment codes. The new guide will also help practices determine whether remote patient monitoring is a qualified practice expense.

Complementary to Population Health Management

Remote patient monitoring (RPM) is a technology platform that helps physicians monitor the continuous health data of their patients. This enables them to monitor patient health outcomes and preemptively manage care, ultimately improving patient outcomes and reducing health system costs. The technology allows physicians to prescribe health monitoring devices, including a blood pressure monitor, glucose meter, digital scale, pulse oximeter, and thermometer. This technology primarily uses chronic conditions and allows real-time information to improve healthcare outcomes.

RPM technology developers need to transition from model building to optimal data operationalization. This can help them deliver higher value to HCOs. The data science process results in abstract models, which need to be translated into meaningful observations. The remote monitoring process needs to be well integrated with HCO operations to be effective. And it must be cost-effective and scalable. With these benefits, remote monitoring will continue to improve health outcomes.

Not Billable During the Pandemic

The COVID-19 pandemic prompted organizations to tap into remote patient monitoring to cope with the sudden influx of COVID-19 patients. But the program also has wide-ranging potential in chronic care. It can be used for chronically ill patients, those who need rehabilitation services, and those who have been transferred to skilled nursing facilities. Moreover, the telehealth system can fill in longstanding gaps in care.

In the current COVID-19 epidemic, remote patient monitoring is becoming a staple in care delivery. It has become so common in the healthcare system that virtual visits accounted for 53% of outpatient encounters at the peak of the crisis. As a result, remote monitoring became integral to the COVID-19 patient management strategy. Healthcare providers need to understand the requirements for billing for remote monitoring services because it will help them create an effective care plan for their patients.


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