New CMS Codes for Remote Patient Monitoring in 2019New CMS Codes for Remote Patient Monitoring in 2019New CMS Codes for Remote Patient Monitoring in 2019New CMS Codes for Remote Patient Monitoring in 2019
  • HOME
  • SOLUTION
    • Daily Patient Engagement
    • Rеmоtе Patient Monitoring
    • Patient Health Management
    • Patient Medication
    • Telehealth
  • PRODUCT
  • COMPANY
    • HealthKOS Leadership
  • MEDIA
    • HealthKOS Video
    • Educational Videos
  • CONTACT
  • REGISTER
  • HOME
  • SOLUTION
    • Daily Patient Engagement
    • Rеmоtе Patient Monitoring
    • Patient Health Management
    • Patient Medication
    • Telehealth
  • PRODUCT
  • COMPANY
    • HealthKOS Leadership
  • MEDIA
    • HealthKOS Video
    • Educational Videos
  • CONTACT
  • REGISTER
LOGIN
✕
Dr. Anjali Basin
HealthKOS Announces Appointment of Chief Medical Officer
January 7, 2019
Patient Dignity in Patient Chronic Care Management
Patient Dignity in Chronic Care Management
January 16, 2019
Published by Dr. Naveen Goel at January 14, 2019
Categories
  • Reimbursement
Tags
  • CPT Codes
  • Reimbursement
  • Remote Patient Monitoring
  • RPM

New CMS Codes for Remote Patient Monitoring in 2019

New CPT Codes released by CMS in 2019 are meant to incentive providers to offer better quality Remote Patient Monitoring (RPM) services, especially for those patients diagnosed with chronic diseases. These rules also give healthcare providers greater leeway to collaborate with digital health companies to provide RPM services.

2019 RPM CPT Codes Explained

CPT 99453:  This code reimburses certain costs associated with initial device set-up and patient education on the use of devices such as blood pressure cuffs, pulse oximeters and even scales. This is necessary because patients may know how to use these devices on their own but they may not understand how to sync them to a device in order to transmit the data remotely. Reimbursement for this charge is minimal but overlooking it could cost your organization a one-time reimbursement of $21 per patient participating in a remote monitoring care plan.

CPT 99454: Allows for the reimbursement of remote monitoring of physiologic parameter(s). For example, weight, blood pressure, pulse oximetry and respiratory flow rate. This code is also meant to cover the initial supply and set-up of devices. CMS specifically noted these devices should be capable of “daily recording(s) or programmed alert(s) transmission, each 30 days.” However, most devices cannot function without a platform to help transmit the data. In addition, they may depend on software to help recognize abnormalities or declining health status and alert providers. CMS will reimburse approximately $69 per patient, per month.

CPT 99457: This code covers remote physiologic monitoring treatment management services. CMS requires 20 minutes or more of professional time from clinical staff, physicians or other qualified healthcare professionals, along with interactive communication with the patient or caregiver, each calendar month. The reimbursement for this service is approximately $59 per month.

Capturing Chronic Care Management Reimbursement

In addition to revenue generated by Remote Patient Monitoring, providing these services could be a catalyst to offering Chronic Care Management services under CPT codes 99490 and 99487 which allow for reimbursement of approximately $43 and $94 respectively. The difference is 99490 requires 20 minutes of Chronic Care Management and 99487 requires 60 minutes of Chronic Care Management. However, creating better patient engagement and acquiring a more robust and timely set of health data from Remote Patient Monitoring would help providers offer better Chronic Care Management services to their patients.

Requirements for Billing

Providers should note that there are additional requirements to bill for Remote Patient Monitoring. Three of the most important requirements are:

  • Patients must be diagnosed with 2 or more chronic conditions
  • The devices used to collect and transmit data must be cleared by the FDA
  • RPM must be ordered by a qualified healthcare professional

An End-to-End Solution for RPM

HealthKOS™ has created an end-to-end solution that provides your organization with the tools needed to offer true remote patient management and capture the revenue generated by providing these enhanced services to your patients.

For more information on the HealthKOS Platform, or to request a demo, please contact us at 1-855-227-3567 or info@healthkos.com.

Share
0
Dr. Naveen Goel
Dr. Naveen Goel
Dr. Naveen Goel is a practicing interventional Nephrologist looking to disrupt how current Healthcare is being done. He is a strong believer in utilizing technology to drive this change. Dr. Goel began to do his part to impact the community creating change through saving a significant amount of cost by reducing ‘dialysis access related’ admissions to the hospital. In addition to the creations and development of HealthKOS, Dr. Goel working with the government of developing countries to enable them in providing quality care to their people especially underprivileged population in the rural area leveraging HealthKOS technology. Dr. Goel’s areas of expertise include Population Health, Digital health, Health IT, Connected Care, Telehealth or Telemedicine, Remote Monitoring, Medication management and compliance.

Related posts

February 4, 2019

Remote Patient Monitoring vs Tele-health Services


Read more

About HealthKOS

HealthKOS offers an end-to-end patient management solution that was developed by doctors to improve patient engagement, compliance and outcomes.
SITE MAP

Connect on Social Media


HealthKOS is HIPAA Compliant

Corporate Office

10200 State Road 84,
Davie, FL 33324,
United States
Freephone: +1 855 227 3567
E-mail: info@healthkos.com
© 2018 HealthKOS. All Rights Reserved.  Terms of Use   Privacy Policy  | VCOMSYS WEB DESIGN
Disclaimer: "The HealthKOS, MyAva name and logo is the property of Sentara Technologies LLC. It is not associated or affiliated with the marks of any other company or person"
    LOGIN
    • Sitemap
    • Blog