Frequently Asked Questions

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  • What do providers need to deliver RPM services?

    The Steps to set up programs will vary, since each RPM program is different, and the work the healthcare providers have to complete depends on the RPM program. Below are some of the steps taken by providers who choose to deliver RPM services to their patients:

    • Get details from private players to determine coverage.
    • Establish your patients base by evaluating your patients who are willing to take the RPM program.
    • Identification of the conditions which can be managed from your end.
    • Selection of devices you will use to provide RPM.
    • Set up procedures in place which takes into account such as: Initiating the patient care process and Training patients on the use of RPM devices.
    • Maintenance of RPM devices
    • Addressing equipment problems.
    • Establish policies and procedures
    • Training of staff.
    • Market RPM program.
    • Get clarifications if the RPM program vendor can perform many of the above steps, thereby reducing the effort and management costs.
  • Who can deliver RPM services?

    Under the general supervision of the billing provider, clinical staff can furnish and manage RPM of patients. Physicians and other qualified healthcare professionals (QHCP's) can provide and bill for RPM.

  • Who can receive RPM services?

    RPM is used for the treatment and management of chronic illness as well as to evaluate and treat acute illness in patients by physicians and other qualified healthcare professionals. If the captured patient's medical data is relevant to managing or a medical necessity due to the patient's condition, and such justification documented in the patient's medical record a provider can order/prescribe RPM.

  • To receive RPM services what patients need to have?

    This will depend on the type of RPM device supplied and takes care of the transmission of patient data to providers. Some devices require patients to access one or more of the following like WIFI, smartphone, tab, or a personal computer. Some devices may only require only cellular data for the transmission of medical data.

  • Must the Patient be in a Rural Area for RPM Reimbursement?

    No. Previously there was a requirement that telehealth services could only be rendered in HSPA or rural areas for Medicare reimbursement. Now it’s not a requirement that the patient has to be in a rural area to get RPM reimbursement.

  • Will Medicare Pay for Setting Up the RPM Device and Patient Education?

    Yes. For the work associated in onboarding a new patient, Education on the use of the RPM device to the patient and for setting up the RPM device will get reimbursed using CPT Code 99453.

  • Do private payers reimburse for Remote Patient Monitoring (RPM) services, or is reimbursement limited to Medicare?

    RPM services offered may be reimbursed by private payers, but they are always not required to do so. Make sure to check with the private player’s requirements your practice has to meet for billing.

  • What are the common RPM devices widely used?

    The most widely used RPM devices are blood pressure monitors, weight scales, pulse oximeters, and blood glucose meters.

  • What type of medical data is collected via RPM devices?

    Healthcare providers can collect a range of the patients’ medical data such as blood pressure, vital signs, weight, heart rate, and blood sugar levels to name a few.


Do You Have Any Questions?

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