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This presentation will share details on how providers can use remote patient monitoring (RPM) with telehealth and other types of telehealth to manage acute and chronic diagnoses. We will discuss the conditions that benefit most from remote patient monitoring in conjunction with telehealth. It has already been proven that these technologies improve patient outcomes, save money, reduce infection risk, and maximize time management for busy healthcare providers. Tips for helping patients use their at-home devices and the benefits of using these monitors will be discussed. Medicare and Medicaid policies, including HIPAA rules, safety-net provider policies, and licensure will be shared and also reimbursement guidelines, including CPT codes for submitting the claim, will be discussed.
Learning Objectives
Defining the different types of telehealth
Explain the benefits for patients and providers of using this technology
Identify the disadvantages and concerns of using this technology
Compare the reimbursement policies for using telehealth
Review of the United States laws applicable to telehealth
Outline the diagnoses known to have the greatest benefit from RPM
Overview of Food and Drug Administration (FDA)-approved RPM devices vs consumer devices
Areas Covered in the Session
Telehealth and RPM Overview
Types of Telehealth
Pros & Cons of Telehealth Services
Benefits of Using Telehealth
Challenges Using Telehealth
Reimbursement for Telehealth Services
93 Synchronous Telemedicine – Audio Only
95 Synchronous Telemedicine – Audio – Video
GT Interactive audio and video
GQ Asynchronous telehealth
Some Codes For Telehealth
G0320: Synchronous Audio-Video Home telehealth services
G0321: Synchronous audio-only Home telehealth services
Who can be reimbursed?
Medicare 2024 Physician Fee Schedule
Place of Service Codes for Telehealth
POS 2
POS 10
Store and Forward Reimbursement
What is Remote Patient Monitoring?
RPM Examples
Blood pressure monitors
Pacemakers
Glucose meters
Oximeters
Wireless scales
Heart rate monitors
Diagnoses that Benefit Most from RPM
Cardiovascular conditions
Mental health concerns
Infectious disease
FDA-Approved Medical Devices
More likely to be covered by third-party payers
More safety controls
Proven to meet the data needs of the attending provider
Compliant with HIPAA Privacy Rule
Laws and Regulations
The Joint Commission (TJC) New Program: Telehealth Accreditation Program
Telehealth software under Health Insurance Portability and Accountability Act (HIPAA)
The Patient Protection and Affordable Care Act (ACA)
The Centers for Medicare and Medicaid Services (CMS) regulations related to telehealth provisions
Dr. Shelley C. Safian, PhD, RHIA, CCS-P, has been teaching Health Care Administration, Health Information/ Informatics Management, and Medical Billing and Coding, both onsite and online, for more than 20 years. She has a PhD in Health Care Administration and master’s in organizational management/ health care administration/ health informatics.
In addition, she is the author of eight textbooks, including, “Let’s Code It!” 4th edition, which will be released by McGraw Hill in January 2024 and ”You Code It! 4th edition”, in January 2023. Safian is a Registered Health Information Administrator (RHIA), Health Care Information Security and Privacy Professional (HCISPP), Certified Coding Specialist (CCS-P), AAPC-Approved Instructor (COC, CPC-I).
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Course Content
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