{"id":10858,"date":"2021-06-17T17:15:54","date_gmt":"2021-06-17T23:15:54","guid":{"rendered":"https:\/\/dsiohn098w.mpqhf.org\/corporate\/?page_id=10858"},"modified":"2024-10-09T11:30:37","modified_gmt":"2024-10-09T17:30:37","slug":"remote-patient-monitoring-providers","status":"publish","type":"page","link":"https:\/\/dsiohn098w.mpqhf.org\/corporate\/remote-patient-monitoring-home\/remote-patient-monitoring-providers\/","title":{"rendered":"Remote Patient Monitoring &#8211; Providers"},"content":{"rendered":"<p><a href=\"\/corporate\/remote-patient-monitoring-home\/\"><img decoding=\"async\" class=\"alignleft size-full wp-image-7125\" src=\"\/corporate\/wp-content\/uploads\/2021\/06\/Mountain-Pacific-Medicaid-Portal-vr2.png\" alt=\"\" width=\"775.2\" height=\"94.4\" \/><\/a><\/p>\n<div class=\"clearcontent menu-content\">\n<p><a href=\"\/corporate\/remote-patient-monitoring-home\/\"><img loading=\"lazy\" decoding=\"async\" class=\"abox card-1\" src=\"\/corporate\/wp-content\/uploads\/2021\/06\/rpm-home-icon.png\" alt=\"image\" width=\"155\" height=\"175\" \/><\/a><\/p>\n<p><a href=\"\/corporate\/remote-patient-monitoring-home\/remote-patient-monitoring-patients\/\"><img loading=\"lazy\" decoding=\"async\" class=\"abox card-1\" src=\"\/corporate\/wp-content\/uploads\/2021\/06\/rpm-patients-icon.png\" alt=\"image\" width=\"155\" height=\"175\" \/><\/a><\/p>\n<p><a href=\"\/corporate\/remote-patient-monitoring-home\/remote-patient-monitoring-providers\/\"><img loading=\"lazy\" decoding=\"async\" class=\"bbox card-1\" src=\"\/corporate\/wp-content\/uploads\/2021\/06\/rpm-providers-icon.png\" alt=\"image\" width=\"155\" height=\"175\" \/><\/a><\/p>\n<p><a href=\"\/corporate\/remote-patient-monitoring-home\/remote-patient-monitoring-resources\/\"><img loading=\"lazy\" decoding=\"async\" class=\"abox card-1\" src=\"\/corporate\/wp-content\/uploads\/2021\/06\/rpm-resources-icon.png\" alt=\"image\" width=\"155\" height=\"175\" \/><\/a><\/p>\n<p><a href=\"\/corporate\/remote-patient-monitoring-home\/remote-patient-monitoring-our-team\/\"><img loading=\"lazy\" decoding=\"async\" class=\"abox card-1\" src=\"\/corporate\/wp-content\/uploads\/2021\/06\/rpm-team-icon_gold.png\" alt=\"image\" width=\"155\" height=\"155\" \/><\/a><\/p>\n<p><a href=\"\/corporate\/remote-patient-monitoring-home\/remote-patient-monitoring-partners\/\"><img loading=\"lazy\" decoding=\"async\" class=\"abox card-1\" src=\"\/corporate\/wp-content\/uploads\/2021\/06\/rpm-partners-icon.png\" alt=\"image\" width=\"155\" height=\"175\" \/><\/a><\/p>\n<p><a href=\"\/corporate\/remote-patient-monitoring-home\/remote-patient-monitoring-contact-us\/\"><img loading=\"lazy\" decoding=\"async\" class=\"abox card-1\" src=\"\/corporate\/wp-content\/uploads\/2021\/06\/rpm-contactus-icon.png\" alt=\"image\" width=\"155\" height=\"175\" \/><\/a><\/p>\n<\/div>\n<div class=\"clearcontent main-content\">\n<h1><strong>Providers<\/strong><\/h1>\n<p>Remote monitoring of patient\u2019s health data became a pertinent care delivery tool during the COVID-19 pandemic. As a result, the benefits are now apparent to patients, clinicians, hospitals and payers. This technology is proving to be useful in preventing hospital readmissions and emergency department visits in chronically ill and post-operative patients as well as ensuring the health of children and pregnant women, especially in areas where there are significant barriers in access to care. Advancing a care management program to remote patient monitoring (RPM) moves the patient-provider relationship from episodic data entry and isolated review to concurrent, real-time monitoring and the use of key health indicators, resulting in a comprehensive strategy for improving patient health.<\/p>\n<div class=\"su-spoiler su-spoiler-style-simple su-spoiler-icon-plus spoilertitle22 su-spoiler-closed\" data-anchor=\"spoilertitle21\" data-scroll-offset=\"0\" data-anchor-in-url=\"no\"><div class=\"su-spoiler-title\" tabindex=\"0\" role=\"button\"><span class=\"su-spoiler-icon\"><\/span><strong>RPM Benefits for Providers<\/strong><\/div><div class=\"su-spoiler-content su-u-clearfix su-u-trim\">\n<p>When using RPM, providers see improvements in<\/p>\n<ul>\n<li>patient-provider collaboration;<\/li>\n<li>patient outcomes;<\/li>\n<li>chronic condition management;<\/li>\n<li>revenue streams;<\/li>\n<li>access to patient data trends.<\/li>\n<\/ul>\n<p>RPM also helps decrease hospital stays, hospital readmission rates, emergency visits and disease transmission rates. RPM also helps reduce burden on health care systems, because RPM nurses support patients at home, and patients become more acquainted with forms of digital health monitoring and telehealth services.<\/p>\n<\/div><\/div>\n<div class=\"su-spoiler su-spoiler-style-simple su-spoiler-icon-plus spoilertitle23 su-spoiler-closed\" data-anchor=\"spoilertitle21\" data-scroll-offset=\"0\" data-anchor-in-url=\"no\"><div class=\"su-spoiler-title\" tabindex=\"0\" role=\"button\"><span class=\"su-spoiler-icon\"><\/span><strong>RPM Benefits for Patients<\/strong><\/div><div class=\"su-spoiler-content su-u-clearfix su-u-trim\">\n<p>Patients who participate in RPM experience<\/p>\n<ul>\n<li>increased engagement in their health and health care;<\/li>\n<li>improved access to health information, especially through the RPM nurse, who helps identify any issues early and allows for earlier interventions;<\/li>\n<li>enhanced knowledge and understanding about their health and their diseases or conditions;<\/li>\n<li>improved adherence to care plans;<\/li>\n<li>improved quality of life.<\/li>\n<\/ul>\n<\/div><\/div>\n<div class=\"su-spoiler su-spoiler-style-simple su-spoiler-icon-plus spoilertitle24 su-spoiler-closed\" data-anchor=\"spoilertitle21\" data-scroll-offset=\"0\" data-anchor-in-url=\"no\"><div class=\"su-spoiler-title\" tabindex=\"0\" role=\"button\"><span class=\"su-spoiler-icon\"><\/span><strong>How to Establish an RPM Program<\/strong><\/div><div class=\"su-spoiler-content su-u-clearfix su-u-trim\">\n<p><a href=\"https:\/\/www.ama-assn.org\/\" target=\"_blank\" rel=\"noopener\">The American Medical Association (AMA)<\/a> has compiled the <a href=\"https:\/\/www.ama-assn.org\/system\/files\/2018-12\/digital-health-implementation-playbook-REV1.pdf?utm_source=SFMC&amp;utm_medium=email&amp;utm_term=3292021&amp;utm_content=20-000+Health+Playbook+EM+1&amp;utm_campaign=MMX_EMAIL_DigitalHealth_LeadGen&amp;utm_uid=&amp;utm_effort=\" target=\"_blank\" rel=\"noopener\">Digital Health Implementation Playbook (2018)<\/a> to walk providers through the implementation process of a full remote monitoring program. The key steps and considerations from this resource and others are summarized here:<\/p>\n<ol>\n<li>Identify a provider champion.<\/li>\n<li>Identify funding sources for equipment, monitoring software, performance of remote monitoring and care management team.<\/li>\n<li>Identify the patients who would benefit from at-home monitoring. Use a needs assessment and develop an implementation team based on the assessment results. Successful programs often start with a small group and plan for expansion. Evaluate what tools and resources are needed to support the program. RPM is often set up through a chronic care management program or a population health program.<\/li>\n<li>Assess federal, state, local and payer telehealth and telemonitoring regulations. (<a href=\"https:\/\/dsiohn098w.mpqhf.org\/corporate\/remote-patient-monitoring-home\/remote-patient-monitoring-resources\/\">See Resources for more information<\/a>.)<\/li>\n<li>Select device vendor\/data input application and monitoring software. Practices often partner with a vendor to provide a package for software, connected devices and clinical monitoring services. Determine whether the software can\/should integrate into your electronic health record system or should be a standalone platform. (<a href=\"https:\/\/dsiohn098w.mpqhf.org\/corporate\/remote-patient-monitoring-home\/remote-patient-monitoring-resources\/\">See Resources<\/a> for more information or <a href=\"https:\/\/dsiohn098w.mpqhf.org\/corporate\/remote-patient-monitoring-home\/remote-patient-monitoring-partners\/\">view our Partners webpage<\/a>.)<\/li>\n<li>Develop monitoring parameters, protocols and workflows with appropriate medical director oversight. Determine whether monitoring will be done in-house or via collaboration with a third party. Consider developing patient education materials. Clinical monitoring can provide proactive care, monitoring and alert management, education and coaching, analysis and reporting and coordination and collaboration.<\/li>\n<li>Develop patient screening, enrollment and onboarding processes with the involvement of a patient advisor. Include a patient consent form for RPM. You may also want to have participating patients sign a release of information for the caregiver.<\/li>\n<li>Use remote monitoring data to improve individual and population health in your community. Data analysis can be done through your office, a software vendor or through a clinical call center such as the services Mountain-Pacific Quality Health provides via <a href=\"https:\/\/www.connectamerica.com\/\" target=\"_blank\" rel=\"noopener\">Connect America<\/a>.<\/li>\n<li>Integrate data into your quality improvement and clinical outcomes monitoring process.<\/li>\n<\/ol>\n<p><strong>Billing\/RPM Codes<\/strong><\/p>\n<p>Medicare covers RPM services, but it is billed under Medicare Part B as an outpatient service and is subject to the 20-percent copay. Medicaid coverage varies by state. Contact your local Medicaid office to verify coverage. Commercial payer coverage also varies, and prior authorization is recommended before starting RPM.<\/p>\n<p>Billable RPM codes are:<\/p>\n<ul>\n<li>Code 99453 &#8211; Initial set up (one-time billing code)<\/li>\n<li>Code 99454 &#8211; Device supply and daily recording (16\/30 days monitoring per 30 calendar days) (monthly billable code)<\/li>\n<li>Code 99457 &#8211; 20 to 39 minutes of clinical review or care management per calendar month (monthly billable code)<\/li>\n<li>Code 99458 &#8211; For an additional 40 minutes, bill code 99457 plus bill code 99458<\/li>\n<li>Code 99091 &#8211; 30 minutes of provider time per month<\/li>\n<\/ul>\n<p>Billing reimbursement differs by location. <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/license-agreement?destination=\/medicare\/physician-fee-schedule\/search%3FY%3d0%26T%3d4%26HT%3d0%26CT%3d3%26H1%3d99454%26M%3d5\" target=\"_blank\" rel=\"noopener\">Check the Centers for Medicare &amp; Medicaid Services (CMS) fee schedule for reimbursement amounts<\/a>.<\/p>\n<\/div><\/div>\n<div class=\"su-spoiler su-spoiler-style-simple su-spoiler-icon-plus spoilertitle26 su-spoiler-closed\" data-anchor=\"spoilertitle26\" data-scroll-offset=\"0\" data-anchor-in-url=\"no\"><div class=\"su-spoiler-title\" tabindex=\"0\" role=\"button\"><span class=\"su-spoiler-icon\"><\/span><strong>FAQs<\/strong><\/div><div class=\"su-spoiler-content su-u-clearfix su-u-trim\">\n\t\t<div class=\"faq-accordion \" id=\"faq-accordion-1\" data-accordion-group data-conf=\"{&quot;single_open&quot;:&quot;true&quot;,&quot;transition_speed&quot;:300}\">\n\t\t\t\t\t\t\t<div data-accordion class=\"faq-main\">\n\t\t\t\t\t<div data-control class=\"faq-title\">\n\t\t\t\t\t\t<h4>How is RPM different than telehealth?<\/h4>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div data-content>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"faq-content\"><p>RPM has less restrictions and can be provided to patients wherever they are located.&hellip; <a href=\"https:\/\/dsiohn098w.mpqhf.org\/corporate\/sp_faq\/how-is-rpm-different-than-telehealth\/\" class=\"read-more\">Read the rest <\/a><\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div data-accordion class=\"faq-main\">\n\t\t\t\t\t<div data-control class=\"faq-title\">\n\t\t\t\t\t\t<h4>Which patients will benefit from RPM?<\/h4>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div data-content>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"faq-content\"><p>Patients with chronic diseases and comorbidities (e.g., heart failure, chronic obstructive pulmonary disease, uncontrolled hypertension, diabetes) and\/or patients with acute illness or in surgery recovery, including COVID-19 patients and patients with a recent hospitalization.&hellip; <a href=\"https:\/\/dsiohn098w.mpqhf.org\/corporate\/sp_faq\/which-patients-will-benefit-from-rpm\/\" class=\"read-more\">Read the rest <\/a><\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div data-accordion class=\"faq-main\">\n\t\t\t\t\t<div data-control class=\"faq-title\">\n\t\t\t\t\t\t<h4>What are the benefits for my patients?<\/h4>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div data-content>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"faq-content\"><p>Patients who participate in RPM experience<\/p>\n<ul>\n<li>increased engagement in their health and health care;<\/li>\n<li>improved access to health information, especially through the RPM nurse, who helps identify any issues early and allows for earlier interventions;<\/li>\n<li>enhanced knowledge and understanding about <\/li><\/ul>&hellip; <a href=\"https:\/\/dsiohn098w.mpqhf.org\/corporate\/sp_faq\/what-are-the-benefits-for-my-patients\/\" class=\"read-more\">Read the rest <\/a><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div data-accordion class=\"faq-main\">\n\t\t\t\t\t<div data-control class=\"faq-title\">\n\t\t\t\t\t\t<h4>What are the benefits for my practice?<\/h4>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div data-content>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"faq-content\"><p>When using RPM, providers see improvements in<\/p>\n<p>patient-provider collaboration;<br \/>\npatient outcomes;<br \/>\nchronic condition management;<br \/>\nrevenue streams;<br \/>\naccess to patient data trends.<br \/>\nRPM also helps decrease hospital stays, hospital readmission rates, emergency visits and disease transmission rates. RPM also helps reduce &hellip; <a href=\"https:\/\/dsiohn098w.mpqhf.org\/corporate\/sp_faq\/what-are-the-benefits-for-my-practice\/\" class=\"read-more\">Read the rest <\/a><\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div data-accordion class=\"faq-main\">\n\t\t\t\t\t<div data-control class=\"faq-title\">\n\t\t\t\t\t\t<h4>What is the return on investment (ROI)?<\/h4>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div data-content>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"faq-content\"><p>While the ROI widely varies, the most prevalent cost savings is seen with the decreased hospital readmission rates and decreased emergency department visits.&hellip; <a href=\"https:\/\/dsiohn098w.mpqhf.org\/corporate\/sp_faq\/what-is-the-return-on-investment-roi\/\" class=\"read-more\">Read the rest <\/a><\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div data-accordion class=\"faq-main\">\n\t\t\t\t\t<div data-control class=\"faq-title\">\n\t\t\t\t\t\t<h4>Does health insurance cover RPM?<\/h4>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div data-content>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"faq-content\"><p>Medicare pays for RPM, and there are no requirements regarding location, originating site or rural community. Because Medicaid varies by state, contact your state\u2019s Medicaid office for coverage details. Private payer coverage also varies, so we recommend obtaining prior authorization &hellip; <a href=\"https:\/\/dsiohn098w.mpqhf.org\/corporate\/sp_faq\/does-health-insurance-cover-rpm\/\" class=\"read-more\">Read the rest <\/a><\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div data-accordion class=\"faq-main\">\n\t\t\t\t\t<div data-control class=\"faq-title\">\n\t\t\t\t\t\t<h4>What are the barriers to establishing a successful RPM program?<\/h4>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div data-content>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"faq-content\"><p>Patients who have poor Internet coverage or no Internet will run into issues tracking and sharing their health data. Patients may also have physical or mental limitations and be unable to use the monitoring devices. If a patient\u2019s health insurance &hellip; <a href=\"https:\/\/dsiohn098w.mpqhf.org\/corporate\/sp_faq\/what-are-the-barriers-to-establishing-a-successful-rpm-program\/\" class=\"read-more\">Read the rest <\/a><\/p><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Patients who have poor Internet coverage or no Internet will run into issues tracking and sharing their health data. Patients may also have physical or mental limitations and be unable to use the monitoring devices. If a patient\u2019s health insurance &hellip; <a href=\"https:\/\/dsiohn098w.mpqhf.org\/corporate\/sp_faq\/what-are-the-barriers-to-establishing-a-successful-rpm-program\/\" class=\"read-more\">Read the rest <\/a><\/p>","protected":false},"author":17,"featured_media":0,"parent":10814,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"class_list":{"0":"post-10858","1":"page","2":"type-page","3":"status-publish","5":"entry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Remote Patient Monitoring - Providers - Mountain Pacific<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dsiohn098w.mpqhf.org\/corporate\/remote-patient-monitoring-home\/remote-patient-monitoring-providers\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Remote Patient Monitoring - Providers - Mountain Pacific\" \/>\n<meta property=\"og:description\" content=\"Patients who have poor Internet coverage or no Internet will run into issues tracking and sharing their health data. 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