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  • Medicare has placed fewer restrictions on the Remote Patient Monitoring (RPM) codes compared to the codes for Telehealth Services. Specifically, the physician and patient do not have to be located in rural or medically underserved areas to qualify for reimbursement. Nor is there any “originating site” requirement for RPM services. You can provide RPM services anywhere the patient is located, including at the patient’s home, or while out and about.

  • Private payers may reimburse for RPM services, but they are not required to do so. Private payers that do reimburse for RPM services may have different requirements for billing. Make sure to check with the commercial payers in your region to find out whether services are reimbursable and what requirements your practice has to meet for billing.

  • Yes, for Medicare beneficiaries. As with other Medicare Part B services, RPM codes are subject to a 20% beneficiary copay. With limited exceptions, practices may not choose to waive the Medicare copay. Private payers may establish their own copays, or may choose not to require a patient copay.

  • No. A practice may recommend RPM services for any patient who would benefit from some form of remote patient monitoring.

  • Typically, it takes 3-4 weeks for full implementation, but the final timeframe depends on the size and complexity of the practice.

  • Short answer - Yes.

  • Please contact us for pricing information.

  • Medicare has placed fewer restrictions on the Remote Patient Monitoring (RPM) codes compared to the codes for Telehealth Services. Specifically, the physician and patient do not have to be located in rural or medically underserved areas to qualify for reimbursement. Nor is there any “originating site” requirement for RPM services. You can provide RPM services anywhere the patient is located, including at the patient’s home, or while out and about.

  • Private payers may reimburse for RPM services, but they are not required to do so. Private payers that do reimburse for RPM services may have different requirements for billing. Make sure to check with the commercial payers in your region to find out whether services are reimbursable and what requirements your practice has to meet for billing.

  • Yes, for Medicare beneficiaries. As with other Medicare Part B services, RPM codes are subject to a 20% beneficiary copay. With limited exceptions, practices may not choose to waive the Medicare copay. Private payers may establish their own copays, or may choose not to require a patient copay.

  • No. A practice may recommend RPM services for any patient who would benefit from some form of remote patient monitoring.

  • Typically, it takes 3-4 weeks for full implementation, but the final timeframe depends on the size and complexity of the practice.

  • Short answer - Yes.

  • Please contact us for pricing information.

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