PatientOne provides easy-to-use tools that allow healthcare providers to utilize the new Remote Patient Monitoring codes, improve patient outcomes and satisfaction scores, and generate new revenue streams.
The BIGGEST Financial Incentive in Digital Medicine's History
CMS created remote patient monitoring (RPM) billing codes in November 2018 which became eligible for reimbursement in January 2019. These codes are better suited to today’s technology and the workflow of modern staffing models. Industry experts are saying this is digital medicine’s biggest financial incentive in history.
There are two extremely noteworthy changes to the 2020 Medicare Physician Fee Schedule (MPFS) in terms of RPM. First, with the creation of CPT Code 99458 (joining codes 99453, 99454, and 99457) and secondly, the classification of RPM as a Designated Care Management Service.
Use our ROI calculator to enter your average volume of patients to calculate the additional revenue generated per physician annually.
RPM technology supports the monitoring of patients beyond the walls of a traditional clinic, such as in the home or in a remote area. The clinical staff is able to communicate and digitally transmit information to patients without having to schedule an appointment or wait on a phone call. RPM increases access to care and decreases healthcare delivery costs. It keeps patients on track and reduces readmission rates and unnecessary trips to the emergency room.
There aren’t many systems with the capability to securely track and meet the requirements of RPM while fitting into the workflow of modern staffing models. That’s where we come in.
We’ve worked closely with industry experts and a legal team to develop a user-friendly RPM system. We are constantly improving the actual patient-facing portion of our app, looking at how effective the notifications are, how we’re engaging patients, and refining how we improve those interactions going forward. This is a tool that is constantly improving the communication between the providers and their patients.
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. Private payers that are using the codes are paying almost double the average Medicare payment.
The short answer: No. PatientOne offers Remote Patient Monitoring as a Service.
Though the benefits of RPM are rarely in question, many physicians and clinic staff have voiced concerns that it would create even more work for an already inundated staff. The RPM oversight requirement has been changed to “general supervision” in the 2020 MPFS, allowing qualified healthcare professionals (QHCPs) providing RPM services to be in a different location than their supervising physician.
PatientOne offers Remote Patient Monitoring as a Service (RPMaaS). This provides the option to add our internal monitoring services to your plan. Our employed QHCPs can decrease your workload by monitoring your RPM patients, escalating critical issues to your internal staff, and providing consistent patient support.
This is because, as specified by Nixon Law, "vendors of Remote Patient Monitoring may provide their customers with the option of a completely outsourced package of services, where clinical staff contracted or employed by the vendor may monitor patient data from an off-site location and escalate potential issues to be addressed by the patient’s practice."