Remote Patient Monitoring (RPM) Billing and Coding with 2022 Updates

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Remote Patient Monitoring (RPM) programs are becoming increasingly popular, supported by growing clinical evidence and financial benefits to providers. Simply put, Remote Patient Monitoring is a Medicare-covered service that involves the collection and analysis of patient physiologic data in real-time. Clinic staff can remotely monitor patients in between office visits. This virtual and real-time monitoring enables providers to truly meet the needs of their patients and provide timely care. Multiple studies have demonstrated improved patient outcomes and increased compliance while reducing hospital admission and readmissions. Providers also benefit financially as this is a well-reimbursed service.

RPM uptake among providers has been rapid, particularly during the COVID-19 pandemic and limited in-person care. RPM companies have been coming to marker weekly if not daily in the past 12 months. However, there is a lot of information providers need to know before contracting with the RPM vendor to be compliant. After all, the billing is done under the provider and the provider will be the one audited.

Learning Objective

• Review CMS’s RPM requirements
• Examine the Scope of Services required to bill Medicare for RPM services
• Identify how RPM can close care gaps and engage patients
• Assess the financial and quality implications of incorporating RPM in your practice

Areas Covered in the Session:

• RPM basics
• RPM requirements
• RPM billing
• Codes (CPT 99453, 99454, 99457, and 99458)

Suggested Attendees:

• PCP (MD, NP, PA)
• Specialists (MD, NP, PA)
• Nurse Managers
• Population Health Officers
• C-Suite Healthcare Executives

About the Presenter:

Dr. Koyfman is an enthusiastic and emotionally intelligent Nurse Practitioner with 20 years of nursing and 15 years of executive experience with excellent communication skills. She presents with a sense of humor and practical examples. Dr. Koyfman is an expert in the Patient-Centered Medical Home (PCMH), Home Health, Healthcare Start-ups, Transitional Care, Community Health, Chronic Care Management, and Care Coordination. She is considered a Subject Matter Expert in Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) and has been consulting in the space of remote patient management for many years.