COVID-19 pandemic has influenced the rapid adoption of telehealth by providers across the country. During these times many providers were forced to completely switch to telehealth. Both providers and their patients experienced the benefits of telehealth.
While this is a great first step, it is time to start thinking about where telehealth including Remote Patient Monitoring (RPM) fits in the healthcare system beyond the pandemic. Providers are still hesitant to fully commit to digitally transforming their care delivery models. Some of the key concerns include reimbursement, the accuracy of patient data received, the devices being used for monitoring, patient compliance, workflow integration, and the time required to monitor patients. All these concerns are valid. By understanding the requirements for reimbursement, devices, and data transmission as well as the benefits that the program brings, providers can be more informed when deciding on the program.
The reimbursement policies are an important consideration when deciding to implement a new service into your practice. If there is no reimbursement by CMS and other private payers, providers and patients will likely not participate in such services because of the associated costs they have to bear.
When it comes to remote patient monitoring services, the pandemic has influenced policymakers to take into serious consideration these services and their coverage. CMS has a defined remote physiological monitoring reimbursement policy and a set of CPT codes that the providers can use to bill for such services. In addition, many private payers are also adding such codes as a response to the increased demand by the providers and patients in their networks.
Vivadox RPM was built by following CMS guidelines on remote physiological monitoring. The platform provides an audit trail of completed tasks with appropriate linkage to billable CPT codes.
Tip: Before enrolling a patient into a remote monitoring program, it is beneficial to do insurance verification and confirm that the remote monitoring services are covered.
Devices and Data
In order for a device to be qualified for remote patient monitoring program reimbursement by CMS, the device has to meet the requirement of being an FDA-listed device. There are many different devices available on the market, so it is important that you make sure that the device of your choice fits the defined criteria before enrolling the patients.
Another requirement for CMS reimbursement is that the patient data is not self-reported but digitally transmitted to the provider. Vivadox RPM uses cellular devices that automatically transmit the data from the patient’s device to the provider’s platform without a need for Wi-Fi or any additional patient action. The process of automated data synchronization also assures that the data is not self-reported, which is another requirement for appropriate reimbursement.
By receiving patient data on the daily basis, providers will be able to form a better picture of the patient’s condition and make more informed decisions when it comes to the treatment.
Tip: Make sure that the devices that you choose for your patients fulfill the requirements of the FDA-listed device. We recommend cellular devices as they are easy to use for the patient, do not require Wi-Fi, Bluetooth connectivity/setup, or any additional app to transmit the data.
We understand that providers have hectic schedules and are always pressed for time. If implemented properly, a remote patient monitoring program can help providers save time and while providing better patient care. That is why it is important to find the right platform that can be seamlessly integrated operationally. Vivadox RPM allows for customization of patient thresholds and alerts, which means that providers will only be alerted when their attention is required. With an automated task-oriented workflow for each patient, providers will be prompted to complete billable tasks throughout each billing cycle.
Tip: Make sure that the workflow allows for customization of alerting and thresholds so that you can avoid unnecessary over-alerting and pay attention only when needed.
In conclusion, remote patient monitoring is somewhat new to many providers out there. As a provider, it is important to be open-minded and consult the appropriate resources to decide whether remote patient monitoring is right for you and your patients. Remote patient monitoring is in no way a replacement for the existing care practices, but an additional tool that can help both you and your patients better manage their health.
More about Vivadox RPM
Vivadox offers a reliable and auditable tool for remote patient monitoring program implementation. The cellular devices that we offer fulfill FDA-listed device requirements and they automatically transmit every patient reading directly to your portal. Our automated task-based workflow provides reliable CMS compliant guidance so that the provider always knows what the next step is.