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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.

  • 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.

  • Our OpenRPM offers three different pricing models based on how you can best support your patients using RPM: (1) Free Tier for VBC Organizations; (2) Licensing for Reimbursement; (3) RPMaaS, where we provide monitoring for your patients.

  • Our Free Tier is designed for Value-Based Care Organizations to improve patients outcomes and lower costs of care. It includes all RPM services offered by our licensed tier, but does not allow for payer reimbursement.

  • We charge a simple licensing fee for organizations that seek to be reimbursed for monitoring. The fee is $6 per patient per month with a sliding scale applied for greater patient volume. Our lowest rate is $3 per patient per month for high volume organizations.

  • RPMaaS is RPM as a Service. We provide the staffing and care team to monitor your patients. RPMaaS is a revenue-sharing model, allowing your organization to generate new revenue streams by implementing RPM as a means to improve patient outcomes and reduce costs. Please contact us for more 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.

  • 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.

  • Our OpenRPM offers three different pricing models based on how you can best support your patients using RPM: (1) Free Tier for VBC Organizations; (2) Licensing for Reimbursement; (3) RPMaaS, where we provide monitoring for your patients.

  • Our Free Tier is designed for Value-Based Care Organizations to improve patients outcomes and lower costs of care. It includes all RPM services offered by our licensed tier, but does not allow for payer reimbursement.

  • We charge a simple licensing fee for organizations that seek to be reimbursed for monitoring. The fee is $6 per patient per month with a sliding scale applied for greater patient volume. Our lowest rate is $3 per patient per month for high volume organizations.

  • RPMaaS is RPM as a Service. We provide the staffing and care team to monitor your patients. RPMaaS is a revenue-sharing model, allowing your organization to generate new revenue streams by implementing RPM as a means to improve patient outcomes and reduce costs. Please contact us for more information.

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