Event Materials (Key Required)
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
- State rules and regulations for implementation
- Resources
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Suggested Attendees:
- Healthcare Executives
- Medical Officers
- Physicians and Non-Physician Providers
- Registered Nurses
- Nurse Practitioner
- Medical Billing Professionals
- Medical Coding Professionals
- Revenue Cycle Managers
- Medical Auditors
- Healthcare Providers
- IT Officers
- Compliance Officers
Presenter Biography:
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).
Additional Information:
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