Tag Archives: remote patient monitoring

Chronic Care Remote Physiological Monitoring (RPM) and its Medicare Reimbursement Codes

Chronic Care Remote Physiological Monitoring (RPM) or Remote Patient Monitoring is a healthcare practice that involves the use of technology to monitor patients in a virtual manner. This practice has gained popularity in recent years and is being utilized with great success in the treatment of chronic care patients.

Specifics of RPM

RPM is a form of real-time telehealth that employs the use of technology in the live collection of vital parameters such as heart rate, blood pressure, weight, or any other relevant measure. This information is then sent to health professionals, who can analyze the data and make informed decisions on the patient’s health. Another beneficial factor is RPM devices often notify both patients and care providers if any abnormal vitals are detected.

How do patients benefit from RPM?

An extensive RPM system gives patients increased access to healthcare. New innovations in the health-based tech industry have afforded patients with high-quality devices to track their health progress. Patients with chronic care conditions that require extensive care are able to monitor any changes to their health on a daily basis. The interactive nature of RPM allows patients to be more involved in their care. RPM is also proven to decrease both readmission and emergency situations. The combination of these factors ultimately results in higher patient satisfaction.

How do providers benefit from RPM?

RPM has given providers an opportunity to stay updated with their patients, even when they cannot physically meet with them. The rapid growth of RPM technologies has also presented care providers with additional streams of revenue. The CMS has recognized this and introduced new codes that provide reimbursement for virtual care related to RPM. RPM also increases the number of patients a clinic can serve as well as the efficiency of care.

RPM and COVID-19

The ongoing Covid-19 pandemic has brought an increased level of attention to RPM practices. Patients and providers with existing RPM infrastructure are greatly benefiting from the ability to monitor health through a virtual platform. Observing a successful model of RPM use during the pandemic will convince many providers to adopt such practices moving forward.

Different Medicare CPT Codes within RPM

Care Providers can use the following CPT codes to generate revenue from the establishment and monitoring of RPM practices.

CPT 99453

CPT 99453 is an RPM code that is used when establishing RPM technologies and educating the patient about safe practices. In 2020, the average revenue received when issuing this code is $19. It must be noted that this code can only be issued one time when installing the necessary technology. Any additional support related to technology or patient education cannot be issued using this code.

CPT 99454

CPT 99454 is an RPM code that can be used to cover the transmission of biometric recordings and program alerts. ThIn 2020, the average revenue received when issuing this code is $64. The reimbursement cost also covers the cost of the device(s) involved in the care. This code is to be issued every 30 months. In order to issue this code, all RPM devices used in the care process must be FDA approved.

CPT 99457

CPT 99457 is an RPM code that can be issued for any care that is at least 20 minutes per month and is monitored by a qualified health professional. In 2020, the average revenue received when issuing this code is $52. This code covers any non-face-to-face interactions between providers and patients that involve the patient’s RPM progress. Providers must not issue CPT 99457 or any other code for any care that is less than 20 minutes per month.

CPT 99458

CPT 99458 is a new RPM code that addresses care provided by a qualified health professional for every additional 20-minute interval after the first 20 minutes of RPM services, which is currently billed under CPT 99457. This code came into effect on January 1, 2020, and has an estimated reimbursement rate of $42. This code must be used as an add-on to the existing RPM’s CPT 99457 for billing.

Challenges with RPM

Despite the previously mentioned benefits of an RPM scheme, there are still a few challenges that have prevented such programs from being widely accepted.

Despite these challenges, RPM technology remains a promising force in the healthcare industry. Its revolutionary nature is reshaping the patient-provider relationship for the better. This care model will help move from reactive care to proactive care. Providing immediate attention will help reduce readmission rates, reduce hospital admissions, etc. thereby helps reduce the overall cost.

Schedule a demo and talk to our RPM solution experts and get your RPM started in a jiffy!

Remote Patient Monitoring helps achieve Healthcare’s Triple Aim

What is Triple Aim?

Triple Aim is a framework developed by the Institute for Healthcare Improvement that describes an approach to optimizing health system performance.

Improving the patient experience of care (including quality and satisfaction)
Improving the health of the populations
Reducing the per capita cost of health care

The Centers for Medicare and Medicaid Services (CMS) has emphasized the significance of achieving the “Triple Aim” objectives. Therefore, the entire healthcare industry is working to harness the Triple Aim concept to enhance overall outcomes.

Achieving the Triple Aim goals is quite challenging. Improving access to care is one of the prime drivers in achieving Triple Aim, which fundamentally helps improve patient experience of care, treatment outcomes of the population and reduce the per capita cost.

Aging Baby Boomers Drain Financial Systems

There are roughly 77 million Baby Boomers in the U.S. (born between 1946 and 1964). Of that group, about 10,000 are reaching age 65 every single day, and that trend is expected to continue into the 2030s.

It is a fact that the Centers for Medicare and Medicaid Services (CMS) cannot afford this increased cost of medical care for this large aging population. The new payment model i.e. the shift from fee-for-service to value-based reimbursement is intended to inspire and reward for providing quality care across the care continuum at a reduced cost. This also helps improve patient health outcomes, patient experience, and reduce readmission rates.

How Does Remote Patient Monitoring (RPM) help in Achieving Triple Aim?

Today, to treat patients remotely healthcare organizations are getting the entire patient data into their systems to get them in front of their physicians and specialists. Innovations and improvements in healthcare technology have allowed patients to survive diseases and get immediate medical attention when most needed. Remote Patient Monitoring is one of the solutions that play a crucial role in helping the baby boomers population, and help healthcare providers to get closer to attaining Triple Aim.

Remote patient monitoring can help providers in value-based repayments through a proactive focus on disease prevention, early involvement, care management, chronic care management, and patient monitoring. This optimized management of care to a greater extent has helped the manner in which physicians provide care and how patients manage their own health.

Improves Patient Experience

Remote patient monitoring along with other Telehealth solutions allow patients to get involved in their treatment by monitoring/updating their vitals, following care plans, diet, etc. This improves patients’ self-awareness of their medical condition and also helps them connect with their provider when needed. The care model allows patients to engage in their care on a day-to-day basis and drives patient adherence, self-involvement, and better health outcomes which means improved patient experience.

Improves Population Health

At times, elderly patients in rural/remote areas find it difficult to reach the providers when in urgent need. There may be several reasons like lack of specialties, distance, etc. In such cases remote patient monitoring can help to a very great extent facilitating medical attention at doorsteps, eliminating long-distance travel, etc. Providing medical care to people of all ages of the especially aging population will help improve the health of the population.

Helps Reduce Costs

This care model will help move from reactive care to proactive care. Providing immediate attention will help reduce readmission rates, reduce hospital admissions, etc. thereby helps reduce the overall cost.

To treat patients remotely, healthcare organizations should adopt and use technologies that help them enhance care experience, improve patient health outcomes, and reduce overall cost.

Schedule a demo and talk to HealthViewX RPM Solution experts and get your RPM started in a jiffy!

Understand the importance, value and use of Telehealth during this pandemic

Understanding Preventive Care Services

Telehealth has become increasingly important and has seen a striking evolution during this COVID 19 pandemic and is especially capable of having a huge effect on how patients communicate with providers and receive care.

Telehealth refers to a broader scope of remote healthcare services. According to the World Health Organization, Telehealth encompasses, “Surveillance, health promotion, and public health functions.”

The National Consortium of Telehealth Resource Centers has published a video on “Telehealth Policy in a Post-COVID-19 World.” In this video, Center For Connected Health Policy (CCHP) tells what temporary policy changes might remain Post-COVID-19 and what could be issues that policymakers may think merit future action. This will help policymakers, practitioners, payers, and the public understand how to accurately discuss “Telehealth” and its key components.

Understanding the dynamics of Telehealth

Telehealth is presently delivered in 2 major ways:

Video Conferencing (VC) - This is used for real-time provider-patient consultations, PCP-Specialist/ Provider – Provider.

No special software downloads for patients to connect, just click the HIPAA secure link to join the video call, share videos, file, photos, messages, etc.
Patients and providers can connect from anywhere, improved access for remote patients
Easy text or email reminders, easy reschedules, patient self-scheduling.

Remote Patient Monitoring (RPM) - This is used to provide appropriate support for patient self-management and helps in gathering patient data outside of traditional healthcare settings or helps transmit patient health information to health care providers.

RPM Benefits for patients:

No travel expenses and spending time on travel as the in-person visit is not required
Less interference with personal responsibilities like childcare, elder care, etc
No exposure to other potentially contagious patients

RPM Benefits for Providers:

Increased efficiency and revenue
Better patient care and improved health outcomes
Fewer circumstances that lead to no-shows

Importance, benefits, and use of Telehealth

Telehealth provides valuable features that help providers achieve health care’s triple aim – access to care, improved patient outcomes, and reduce cost to the provider. Telehealth removes obstructions of time, distance, and specialty lack. This includes remote, rural, and medically underserved urban communities.

It helps reduce readmissions, stops unnecessary hospitalizations, and ER visits.
It provides peace of mind to patients' family members as they know the patient is receiving the proactive care they need.
It incessantly captures and analyses real-time data and integrates alert algorithms, and helps identify patients who are at risk of emergency department visits (ER Visits) or hospitalization.
It is more reliable, enhances the quality of care, care coordination, saves costs, and time for both the provider and the patient.

Related Article: Role of Telehealth In Chronic Care

How to implement Telehealth:

Implement Telehealth into your existing operation and it has to be designed to complement your standard practices and workflows.

Plan a workflow analysis to reveal how this has to fit in with standard clinical practice.
Consider this technology as another tool for the delivery of normal services with the only difference of the patient being at a remote location.
Keep it simple.

Implementing sustainable Telehealth is the need of the hour. Talk to HealthViewX solution experts to understand how to instantly launch a Telehealth Program into your practice. Schedule a demo today, get up and run quickly, get started in a jiffy irrespective of the size of the operation.

Preventive Care through Remote Patient Monitoring – Power of RPM

Understanding Preventive Care Services

Preventive Care services are to help people stay healthy and to detect or diagnose health-related issues early while there is a higher chance of recovery. Preventive Care Services include periodic health check-ups, patient counseling, and screening to prevent health-related issues.

Remote Patient Monitoring and Its Acceptance

Remote Patient Monitoring is a method of healthcare delivery that is a part of Telehealth technology to gather patient data outside the traditional care settings. It is the use of specific technology to simplify the interaction between providers and patients at a remote location (home, nursing care facility, remote area or anywhere outside of conventional clinical settings. Remote patient monitoring is one of the tools that can bridge the current gap in patient engagement.

Currently, 88% of hospitals are investing or considering to invest in remote patient monitoring. In fact, 68 percent of physicians “strongly intend” to use remote monitoring technology in the future, according to a new study by the Consumer Technology Association (CTA).

How does Remote Patient Monitoring help providers?

Providers can use remote patient monitoring to manage the health of high-risk patients, patients at-risk for hospital readmissions, monitor patients with chronic conditions, track patients post-discharge, check on senior patients, and to increase value-based care adoption. Remote Patient Monitoring helps providers detect any changes in patients before it shows visible symptoms.

How does Remote Patient Monitoring help patients?

Patient participation in the remote monitoring program helps patients avoid unnecessary clinic visits and potential emergency department visits(ER Visits). Remote patient monitoring provides monitoring and support at home to help patients reach their healthcare goals.

How does Remote Patient Monitoring help payers?

Remote patient monitoring connects all involved in the care cycle - providers, patients, and payers. Communication and exchange of information is much quicker and transparent which can help prevent emergencies, hospitalization, reduce readmissions, and mainly reduce costs. According to the KLAS Research report that surveying 25 healthcare organizations found 38% of healthcare organizations running RPM programs focused on chronic disease reported reduced admissions, and 17% cited cost reductions.

With such benefits it’s quite easy to understand why remote patient monitoring is burgeoning. As the RPM technology adoption continues to expand, it helps to have a positive effect on patients, providers, and the payers.

Adoption of various healthcare technology solutions are driven by various underlying factors like increasing healthcare costs, rise in baby boomer population, chronic conditions, and many more. Out of which chronic conditions are considered to be one of the main factors that need attention. More than 133 million Americans representing 45% of the U.S. population have at least one chronic disease. Chronic diseases are responsible for seven out of every 10 deaths in the United States, killing more than 1.7 million Americans every year.

Are you planning for Remote Patient Monitoring, Chronic Care Management, Telehealth, Care Management, Referral Management, or other similar solutions? Schedule a demo today! We are here to help you get started!

Capitalize on the Benefits of Telehealth to Ensure Care and Business Continuity Amid COVID- 19

The adoption of telemedicine shifted into hyper-drive over the past month, with virtual health-care interactions on pace to top 1 billion by year’s end, according to analysts at Forrester Research.

Before the COVID-19 pandemic hit, many barriers obstructed the lack of adoption of Telehealth. Cost/ budget, different opinions in consensus decision-making, implementation challenges, migration from the current process, upkeep of old technology, delay in decisions, many physicians seeing technology as impersonal, etc. were all some of the barriers to adoption. But now all of those barriers have dramatically collapsed.

Shift in care delivery mode amid the COVID 19 Pandemic

Hospitals and health systems everywhere are staring at a sharp slump in revenue. To stay afloat healthcare systems are exploring and evaluating a variety of virtual care models, and ramping up Telehealth adoptions. Their technology teams are working around the clock to deliver infrastructure support to facilitate Telehealth. Health systems are urging their physicians and patients to obviate the need for in-person visits, and instead use Telehealth visits to help prevent the spread of coronavirus.

March Telehealth visits surged 50% amid the coronavirus pandemic, according to research from Frost and Sullivan consultants.

Virtual Care is the need of the hour:

Virtual care/appointments have quickly become one of the most important tools to ensure care continuity for patients while keeping safe during this pandemic. One of the Telemedicine providers has reported a spike in video requests to more than 15,000 per day. Forrester expert analysts estimate that virtual visits could top 900 million this year based on the current projections for coronavirus infections in the US.

Enabling Change – Telehealth into the spotlight

The care that used to take place only in brick-and-mortar settings can now occur digitally. Telehealth is stepping up into the spotlight and helping providers to ensure care continuity. Hospitals are enabling changes to assure care delivery, provide uninterrupted care, meet the needs of their staffs, and complement their existing workflows in the current scenario. It is evident that hospital CIOs should invest in Telehealth technology to help care continuity while also ensuring business continuity.

Telehealth is part of a larger digital transformation in health care. Telehealth technology benefits hospitals and health systems in many ways and some of them are enumerated below:

Improves patient engagement, builds capacity to expand access, improves outcomes & reduce costs
Increases specialist access availability and capacity, provides 24/7 access to care, improves access & fill gaps in care
Enables virtual care and virtual appointment
Enhances clinical relationships with partners and within specialty networks.
Implementation/expansion of value-based care models.

Apart from the ones listed above, Telehealth helps in point of access for urgent care, specialty consults, post-discharge management, health counseling, chronic care management, referral management, and many more.

Telehealth usage has expanded recently in many use cases. Some of them are listed below:

eConsult - Templated communications where PCP’s consult with specialists to send and receive information on patient care and discuss patient care.

Virtual Care - Distant specialists connect in real-time to a PCP or a clinical setting to deliver care.

Remote-patient Monitoring - Providers remotely monitor patients via connected/mHealth devices.

Virtual Appointments/ Video Visits - Provider connects directly with the patient via video to conduct the equivalent of a visit.

eVisit - Provider connects with patients via email or secure messaging to provide clinical advice or support.

Patient Acceptance of Telehealth Services - Among patients surveyed after their initial encounter, 97% were satisfied with the experience and would recommend the program, and 74% felt that the interaction actually improved their relationship with their provider.

Why Telehealth?

Health care providers saved almost $2,750 per patient when using Telehealth instead of in-person physical therapy when discharged after knee-replacement surgery.

Health systems that don’t address the expectations of their patients will be challenged by competitors and new market entrants. Telehealth helps to treat patients in a more effective way, and is an efficient way to use limited staff and resources. Telehealth will help reduce costly readmissions, improve clinical outcomes, and make healthcare services even more impactful.

Development or strengthening of health systems or hospitals can be leveraged across multiple sites by connecting physicians, specialists, imaging or diagnostic centers, hospitals, etc. Virtual care will not only improve the care quality and health outcomes but also will improve timing by eliminating travel and as well bringing in specialized care as and when needed.

Are you looking for Telehealth Services for your patients?

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