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    Remote Patient Monitoring in 2022

    Introduction: Why RPM is Important

    Introduction: Why RPM is Important

    With the many different healthcare technologies and RPM programs, achieving positive patient healthcare has never been easier. Practices that want to deliver systems for patients with chronic conditions need to know why RPM can play an important part of their practice.

    Remote Patient Monitoring (RPM), is an open and flexible platform that allows you to provide medical services in your own way, for your patients with chronic conditions, and has a new form of healthcare delivery with the best technology available. RPM is a solution that really delivers on the needs of your practice and allows you to grow with it. It is one of the most flexible, open, and intuitive programs in healthcare.

    You can customize your practice to suit your unique needs and goals, whether it is expanding in the service area or opening a second location to fulfill the demand in  communities near you.

    The RPM platform delivers on the need for practices to grow while staying efficient. However, RPM is not just a platform, it’s also a philosophy. The RPM philosophy provides the framework to develop a successful practice of any size and type. We provide the tools necessary for your practice to succeed and grow, while helping your patients stay healthier.

    How does a Remote Patient Monitoring Device work?

    How does a Remote Patient Monitoring Device work?

    Remote Patient Monitoring Devices are used to monitor patients at their homes or in a care facility. These electronic devices that monitor the health of a patient and their vital signs send that information through an encrypted service to the server for your practice.

    Patients’ vital signs with an effective Remote Patient Monitoring plan can be seen in real time with the following devices:

    – Pulse Oximeters: These measure the oxygen level in a patient’s blood by attaching it to their finger or earlobe.

    – Activity monitors: These monitor the activity levels of patients who are bedridden or have difficulty moving around on their own.

    – Glucose monitors: These measure blood sugar levels and can warn patients when they need insulin injections.

    – Blood pressure monitor: Measure blood pressure to detect heart-related diseases.

    -Weight Scale: Helps patients track and monitor weight in order to stay healthy.

    These devices deliver health care data from the patients’ readings directly to the doctor. They can see the home health status of the patient and allow them to prevent a worsening of the condition. If any other changes are needed, our team can make recommendations and track the status throughout the entire process.

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    RPM benefits overview

    Remote physiologic monitoring provides an alternative to in-person visits for patients who live far from their healthcare provider. it allows for more frequent and timely monitoring of a patient’s health status than traditional methods of communication with patients.

    The monitoring program empowers patients to care for their own health. It allows providers to focus on patient support and management of chronic conditions.

    This system can be used for chronic diseases, as well as acute events. This system has been used in remote areas where there is  limited healthcare access.Presently, its use is growing throughout the United States. This has benefitted public health nationwide.

    The Remote Patient Monitoring system allows for Medicare reimbursement, often referred to as CPT codes. These are 99453, 99454, 99457, and 99458 can be billed at different time intervals.

    • CPT code 99453 is used for an initial set-up and patient education on the use of the equipment and can be billed once.
    • CPT code 99454 is used for device supply with daily recording and programmed alerts and is billed every 30 days with a minimum of 16 days of monitoring.
    • CPT code 99457 is used when a clinician spends 20 minutes in a calendar month on care management and can be billed once a monthly
    • CPT code 99458 is used as an addon to 99457 and can be billed twice for each individual 20 min block.

    These CPT codes allowed a constant source of income for the practice. The codes are excellent for generating revenue as automatic payments. RPM also helps maintain relationships with patients. Medek Health can help you automatically do this with our team of billers, reviewers, and onboarding.

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    Conclusion and Takeaways

    The benefits of remote monitoring are clear. The technology allows patients to be monitored with no doctor’s visit, it can help reduce health care costs. It helps patients feel more in control and less reliant on doctors for every minor symptom. This technology has also helped doctors to monitor the health of their patients better, which has led to reduced mortality rates.

    On top of that, it can be a rewarding and lucrative part of any practice.

    If you want to learn more about how your practice can earn more and help your patients contact us today!

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    Remote Patient Monitoring (RPM) may be one of the best defenses against the stubborn challenges of medical inflation. Other names for this rapidly-growing patient care intervention are: Remote Physiologic Monitoring and Remote Therapeutic Monitoring. In this article, the Medek RPM Patient Care Team will describe how this technology can help to improve patient outcomes as well as practice revenues. The High Cost of Excellent Patient Care The costs of running a successful medical practice have been rising steeply in recent decades. Like any other business, a medical practice is subject to inflationary pressures. The year-over-year US inflation rate is currently at an astounding rate of 8.4%.1 This has a major effect on healthcare providers and their patients. The COVID-19 pandemic, labor shortages, supply-chain disruptions, and other economic predicaments2 have levied immense financial strain on healthcare providers as they work tirelessly to provide high quality, cost-effective patient care. In order to compensate for significant labor shortages, particularly in the healthcare fields, medical practices are offering significantly higher wages to attract skilled employees.3 Payment structures of insurance carriers are unpredictable and convoluted, making financial solvency especially difficult for those in private practice.4 Boosting Revenues While Tackling Medical Inflation Oftentimes, administrators in medical practices have the impression that the only way to increase revenue is to take on more patients. Particularly for physicians in small-to-medium private practices, this would mean longer hours as well as increases in supporting staff for tasks such as billing and office management. Revenues from increased patient load might be largely canceled out by the increased costs of running a business. The Centers for Medicare and Medicaid Services (CMS), recognizes the value of connected technology interventions, such as Remote Physiologic Monitoring. Thus, they have designated a series of CPT codes that cover patients throughout the continuum of care.5,6 CPT Code 99453 – Initial set-up and patient education ⇒Physicians are reimbursed simply for starting an RPM service. Initial patient education is provided by the Medek Patient Care Team. CPT Code 99454 – Data recording and programmed alerts ⇒Each day that patients use these connected devices, biometrics such as weight, blood glucose, pulse oximetry, and blood pressure are transferred seamlessly to the designated providers. This includes alerts that need special medical attention. CPT Code 99457 – 20 minutes per calendar month (cumulative) on patient care management ⇒This reimbursement does not require a patient visit. Interactions with patients can be completed by other providers besides physicians. CPT Code 99458 – Subsequent 20-minute blocks of time beyond the initial 20 minutes ⇒Covers additional time for patient care, which helps to ensure that patients remain as healthy as possible. Case Example If a physician sees a patient once per quarter for diabetes management at a cost of $100 per office visit, this would mean $400 per year for the medical practice. The allowable Medicare reimbursements for Remote Patient Monitoring/Remote Physiologic Monitoring may total as much as $180 per month in addition to revenue from inpatient visits. ADDITIONAL RESOURCE: Get an estimated monthly revenue for your Medicare patients who receive RPM Medical Conditions Treated with RPM In its Final Policy Fact Sheet, CMS clarified that RPM may be medically necessary for acute as well as chronic conditions.7 Here are just a few examples of diagnoses that can be treated with RPM: Hypertension and other cardiovascular conditions Diabetes Obesity Weight loss Chronic obstructive pulmonary disease (COPD) Cerebral-Vascular Accident (CVA) Hyperlipidemia8,9 ADDITIONAL RESOURCE: Using Remote Patient Monitoring for COVID-19 The Major Positive Impact on Rural Healthcare10 RPM is an essential strategy in our nation's rural communities. A large rural hospital system found that 87% of enrolled patients had no emergency room visits. Joseph Bianco, MD, a family practice physician in rural Minnesota strongly supports RPM as an alternative to hospitalization: “Hospitals are not always safe places for patients, especially older adults who are frail. But these patients also might not be safe if they are sent home, ... Remote Patient Monitoring program allows providers to notice subtle changes in a patient’s vitals or behavior and intervene before the patient’s condition worsens.”[para. 6,7]11 RPM, therefore, is not only helpful for revenue, but also is a key factor in illness prevention and keeping patients out of hospitals. The Big Picture Navigating through the “perfect storm” of medical inflation, COVID-19, and staff shortages is a strain for private practice providers and large healthcare systems alike. The Deloitte Center for Health Solutions, an international healthcare research and consulting firm, sees all types of virtual care as a catalyst for financial solvency and positive patient outcomes. RPM tools maximize virtual check-ins, adding value to the entire patient experience.12,13 Getting Started with Remote Physiological Monitoring Even though the Medek onboarding process is comprehensive, it’s fast and easy with these 5 steps: Schedule a demo. Sign on with no initial costs or risks. Identify patients who would benefit from RPM (or let Medek do the work for you). Medek specialists begin the billing process. Start earning additional revenue without increasing patient loads. The best part of our process? There are no up-front costs for you or your patients. At Medek, we invite you to partner with a highly-skilled group of healthcare professionals for your financial health as a business and for the long-term health of your patients. Contact Us Today to Learn More About Medek’s Full Service Remote Patient Monitoring Program Sources Amadeo, K. (2022, October 13). What is the current US inflation rate? The Balance. Burrill, S., Gerhardt, W., Arora, A. (2020). Hospital revenue trends: Outpatient, home, virtual, and other care settings are becoming more common. Deloitte Insights. (Author). (2022, February 14). Inflation In Medicine and What Future Holds For Doctors.,past%20year%20inflation%20%282021%29%20of%207%25%20per%20year Arana, N. (2022, March 29). Top 5 way medical practices can combat inflation. AdvancedMD. Centers for Medicare and Medicaid Services. (2020, December 1). Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2021. Lacktman, N.M., Ferrante, T.B., Goodman, R.B. (2020, December 7) 2021 Medicare Remote Patient Monitoring FAQs: CMS Issues Final Rule. Foley and Lardner, LLP. Centers for Medicare and Medicaid Services. (2020, December 1). Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2021. Health Resources and Services Administration (n.d.) Leveraging remote patient monitoring in your practice. Medek RPM. (n.d.) Frequently Asked Questions. Mead, A. (2021, July 14). Remote patient monitoring helps rural patients recover at home. Rural Health Information Hub. Ibid. [paragraphs 6 and 7] Burrill, S., Gerhardt, W., Arora, A. (2020). Hospital revenue trends: Outpatient, home, virtual, and other care settings are becoming more common. Deloitte Insights. PwC Health Research Institute (2021). Medical cost trend: Behind the numbers, 2022. [Chart Pack]. Additional Source - MedekRPM Website

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