FAQ

Q1: What is Remote Patient Monitoring?

What is Remote Patient Monitoring? Patient Start Guide
Remote patient monitoring means it is a digitized process through which anyone can collect medical information and an individual’s health data in a location. Through digital technology, this information is shared with the health care provider in a different location. This is a simple process using digital technology all the information about a patient and medical information collected. Then this information is transmitted to the health care provider, for which many patients get to know about the best health care facilities. In remote patient monitoring, any medical and patient in any location can be connected with a health care provider in a different location. Remote patient monitoring will help many people to know about a good healthcare provider in any location. It collects all the data of the patients very carefully. This process collects all the patients’ information to provide them with a quality health service.

Q2: Why is RPM getting improved attention during and after the pandemic?

RPM is the technique through which any patient from any location can know about different health care solutions at any location. This process is improved at the time of the pandemic. Because in this process, no one should do anything physical, and no need to go outside to know about a good healthcare system. This process is a complete untouchable process for which anyone would not be affected. To overcome the health issues during the pandemic, RPM will get improved, and also after the pandemic, this process is happily adopted by many people.

 

During a pandemic, it is very critical to go outside and to solve any health care issues. RPM will provide complete information about the health care system to anyone at any location. At the pandemic, RPM will adopt many people to safely and carefully solve their health care issues. After the pandemic situation, it also helps many people to get correct treatment from good health care providers.

Q3: What are common patient types managed via RPM?

RPM provides many health care benefits to patients. By using RPM, people get to know about their daily workout report. RPM provides some apps and devices through which anyone can manage common things like heart rate, blood sugar level, vital signs, weight, and blood pressure. RPM will help people to know about small things about their health through some devices and apps. Those who are using RPM are instructed to register their data through RPM, by which they get some benefits regarding their health. Anyone can know about their blood pressure by using RPM frequently. RPM provides some devices that will help you know about your blood pressure, heart rate, blood sugar level, and many other health details. Some common patients who want to know about small health care data can know by using RPM. This process will help patients to know about small health care information.

Q4: Does Medicare reimburse for Remote Patient Monitoring?

Medicare covers remote patient monitoring. Yes, Medicare reimburses for remote patient monitoring. Those who want coverage of their money Medicare will reimburse for remote patient monitoring. In the situation of the pandemic, many people will get coverage of their money through Medicare. Medicare will cover the money for remote patient monitoring. For people who do not get much benefitted from RPM, Medicare will cover the money of RPM. May payers are getting their money back by telehealth coverage policy. Many RPM will get reimbursed by Medicare policy. This policy will help with the pandemic, and some charges will be decreased due to the pandemic situation. Medicare reimbursement is good for Remote patient monitoring. Medicare will help to cover all the money of the Remote patient monitoring system. According to the center for connected health policy, remote patient monitoring will also be covered by 23 state Medicaid programs.

Q5: What are the Remote Patient Monitoring (RPM) CPT Codes? (99453, 99454, 99457, 99858)

CPT codes are set by the centers for Medicare and Medicaid services for remote patient monitoring. These codes help to know about different categories of remote patient monitoring. These codes are divided into some categories as per the new guideline. These codes are 99453, 99454, 99457, and 99858.

 

Code 99453

This code will reimburse you when setting off for a new remote patient monitoring at $21 per instance. This process requires patient prescription, patient consent, and data are transmitted to the selected provider. Once one patient uses this code, then it will be valid for 30 days. This code is reimbursed once for a patient, whether the patient is using multiple RPM.

 

Code 99454

This code covers the physiological data of remote patient monitoring at $69 and reimburses for 30 days. If you want to use this code, then the selected provider must be sent an alert in 16 days or 30 days.

 

Code 99457

This code provides reimbursement to Remote patient monitoring $54 for every month for a patient’s live communication with a physician, clinical staff, or health care professional.

 

Code 99458

This code is an add-on code of CPT code 99457. Using this code, providers can reimburse $42.22 for non-facility and $32.84 for facility service rendering.

Q6: How much time is required to bill CPT 99457 and 99458?

CPT code 99457 covers an amount of $54. It takes 20 minutes to bill CPT 99457 and CPT 99458. And additional time is required as per the time taken by the patients and physician communication. It takes more than 20 minutes if the patient and the physician’s communication take more time. According to CMS’s rule, these codes are covered up to an initial 20 minutes of their communication. These codes are including more time for furnishing care management services and for the required interactive communication. This code covers interactive communication plus remote care management services.

Q7: How many days must the RPM device monitor per month?

For remote patient monitoring devices, changes will be required every 16 days of the calendar month. Some CPT codes will take some more time to change. CPT code 99453 and 99454 will take 30 days to cover. These codes are monitors every 30 days. But other CPT codes are remote at every 16 days of a calendar month. Providers are making a bill for CPT codes 99453 and 99454 in 30 days; for another code, providers will bill for at least 16 days of a month. These CPT codes help remote patient monitoring to know about different uses of code and the coverage. Every 16 days and 30 days, the remote patient monitoring devices monitor for providers.

Q8: What are the RPM expenses for a Physician?

Remote patient monitoring will spend some money on the physician. According to reimbursement of expansion for a physician, there is some fee structure scheduled by remote patient monitoring. RPM provides good services to the patients, and some codes help to cover the money. For a physician, some fee structure will be made by remote patient monitoring. It reduces the time of treatment for reimbursement of eligibility. RPM allows separate payment for time initial set up and the patient training and education. Remote patient monitoring expands the reimbursement eligibility for a physician and a clinical staff. A professional health care person or a physician will work for 30 minutes for 30 days. And they get $58.68 per month reimbursement, which is justifying their works.

 

A physician of RPM will get reimbursement through other codes. According to the code, the money will be calculated. For clinical staff, the reimbursement code is different.

Q9: How often must the RPM device be used?

The remote patient monitoring device is used every 16 days of the month. But some CPT code which is 99453 and 99454 is used in 30 days by the provider. The remote patient monitoring device is used according to different codes. In some codes, the remote patient monitoring device will be used 16 days per month. In some special codes, the provider has used the remote patient monitoring device in 30 days. The remote patient monitoring service will help the patients to know about the different health care providers at different places. It provides the patients with some devices which help them to know about some health care issues. The RPM will use some come for coverage. These codes will help to know the use of RPM devices.

Q10: What is the supervision level required?

For remote patient monitoring, the physicians have required some supervision level. Medicare sets these levels. These are some different supervision levels set by Medicare- general supervision, direct supervision, and personal supervision. In general supervision, a physician who performs a diagnostic role will take care of some equipment and some responsibility.

 

Direct supervision means the physician must present at the time office furnishing and must complete all the responsibilities. Personal supervision means the physician must visit the room and attend to the patient during the procedure’s performance. These three levels are most important for a physician for supervision. These three supervision levels will help the physician to perform all the responsibilities perfectly.

Q11: Will Medicare pay for setting up the RPM device and patient education?

Yes, Medicare will pay for setting up remote patient monitoring and patient education. Some CPT codes like 99453 offer separate reimbursement for new patients. To set the equipment, Medicare also pays remote patient monitoring. Different codes are provided by CMS for the reimbursement of remote patient monitoring. Those who are new and registered in remote patients monitoring Medicare will cover the money for this. For patient education, the CPT code 99453 offers some separate reimbursement to remote patient monitoring. These codes will help remote patient monitoring to cover the money for various purposes. CMS provides different codes to the RPM for reimbursement.

Q12: Who can order RPM services?

Remote patient monitoring can be ordered by those providers who are ordering from Medicare for E/M services. These providers are eligible to order remote patient monitoring services. For getting remote patient monitoring facilities, there are different eligibility criteria set for providers and patients. Those providers who are ordering from Medicare for E/M are eligible for ordering remote patient monitoring services. CMS provides some rules for those who want to register with remote patient monitoring services. Any providers have to clear some eligibility criteria, and then only the provider will be able to order from RPM. Any providers who are firstly ordering from Medicare for E/M are only the providers who are eligible for an order for remote patient monitoring services.

Q13: What are the benefits of using RPM?

By using remote patient monitoring services, many people will find many benefits. Those who are using remote patient monitoring are getting the benefit of health. People are getting more health by using remote patient monitoring service. Remote patient monitoring will help to reduce hospitalization and readmissions. This is helping to reduce the hospital length to stay. It reduces patients and providers. It also reduces the overall health care cost. Remote patient monitoring will help the older user and disable to stay at home and get all the medical facilities at home without moving to any nursing facility. People who are using remote patient monitoring services, they get the best benefits with a reasonable price. Remote patient monitoring helps to reduce the cost of hospitalization through various ideas. People who are using remote patient health care systems get a benefit of fewer readmissions.

Q14: How is remote patient monitoring different from telehealth?

Remote patient monitoring service is different from telehealth. Remote patient monitoring is a part of telehealth. Anyone can say RMP is part of telehealth, but telehealth is not a remote patient monitoring service. In remote patient monitoring service, it works as a device to interact with providers and patients outside of the providers’ organization, where telehealth is the process of communicating with long-distance clinics and patients and many other professionals. In the process of telehealth, the electronic communication device will work to connect long-distance patients with clinical care. Telehealth will help to know about health care education, public health, and health administration. Remote patient monitoring service will only work as a device to interact with patients and health care providers.

Q15: Can the patient be at home for RPM Reimbursement?

Yes, the patients who are at home can receive remote patient monitoring services at their homes. Remote patient monitoring services will help those who are older and especially able to provide health care services at home. For which they are not going outside to take any health care services. During the pandemic, the remote patient monitoring service will help older people and young people get health benefits at home. Remote patient monitoring provides health care services to older people, kids, and disabled persons at home. All the health care data they will get at home without going outside. People who cannot go outside to take the health care service can get good quality health care service at any location by remote patient monitoring services. RPM will help many people to get health care services from professional health care service providers at home. This device will help older people stay at home and get all the healthcare system benefits.

Q16 :Is the onboarding process a simplified one?

The onboarding process is different for patients and also different for providers. Yes, the onboarding process is simple. But it takes some to register with a remote patient monitoring service for a patient. The onboarding processes of a patient need some data to provide the remote patient monitoring service. Some rules and regulations are being provided by CMS to register with remote patient monitoring services. Accordingly, the providers who want to join remote patient monitoring services also have to follow some rules that are provided by CMS. After that, the patient and the provider will successfully register with remote patient monitoring services and get many benefits by using this. This very simple way to process the onboarding work of a patient and provider for remote patient monitoring services. The onboarding process is different for both patient and provider. And these processes are proven by CMS.

Q17: Are Remote Patient Monitoring (RPM) services only reimbursable for patients with multiple chronic conditions?

In 2019 remote patient monitoring services are only reimbursable for patients with multiple chronic conditions, as per the rules of CMS the patients who have multiple chronic conditions are only reimbursable. But in 2021, the CMS will provide some different rules. To furnish RPM services remotely, collect the physiological data with accurate condition with chronic data. All the paints with multiple chronic conditions are eligible for reimbursement. And those who are helping to collect physiological data remotely as per the new rule of CMS they are also eligible for reimbursable. Patients having multiple chronic conditions are eligible for reimbursement. As per the purpose rule of 2021, the patients collect physiological data and have chronic conditions. They are eligible for reimbursement.