What is Remote Patient Monitoring?

Remote Patient Monitoring, or Remote Physiologic Monitoring, is a tool that monitors patients with chronic conditions through the use of remote medical devices such as Blood Pressure Cuffs, Glucose Meters, and Weight Scales to collect patient data and provide that to a remote medical professional on a daily basis. Medicare and many private insurances allow for CPT billing codes 99453, 99454, 99457, 99458, and 99091 to be billed for the Remote Patient Monitoring service.

A successful Remote Patient Monitoring program involves these stages:

A successful Remote Patient Monitoring program involves these stages:

Patient Onboarding

Identify qualified candidates. Medicare, Medicaid, and many private insurers cover Remote Patient Monitoring for patients with a Chronic Condition. Learn more about the eligible Chronic Conditions for Remote Patient Monitoring

Pick an appropriate device. Remote Patient Monitoring covers devices for all types of chronic conditions, like a blood pressure cuff for hypertension, a blood glucose meter for diabetes, and more. Medek RPM supports a variety of cellular-enabled medical devices

Patient training and setup. Learn how our Patient Onboarding team makes the setup of Remote Patient Monitoring devices simple

Once trained, Medicare allows for a one-time billing of CPT Code 99453 averaging $18.80

Patient Onboarding

Data Collection and Analysis

As the patient uses their cellular-connected medical device to take daily readings of their Blood Pressure, Heart Rate, Blood Glucose, or other physiologic data, that information must be reviewed by a licensed medical provider to monitor for problems. Medek RPM allows you, as the prescribing medical provider, to do that review yourself. Or you can leverage our dedicated team of licensed medical providers to review the data 24 hours a day. Learn more about our Patient Care team.

Over time, trends in the patient’s readings emerge. With Remote Patient Monitoring, it is possible to catch problems before the patient ends up in the emergency room.

The Medek RPM Doctor portal leverages Artificial Intelligence and Data Analysis to prioritize patients who may have a problem.

Then, the Patient Care Team can spot problems and intervene on your behalf

For this analysis, Medicare allows for billing of CPT Code 99457 and CPT Code 99458 with a total reimbursement of $126.06 Monthly

Data Collection and Analysis

Patient Compliance

Patients tend to have a 30% greater compliance rate using Medek’s Remote Patient monitoring program as opposed to competitors.

Medicare allows for CPT Code 99454 at a rate of $61.90 if the patient has the device for 16 days or more in a 30-day period and achieves at least 2 or more readings or alerts.

Medek’s Remote Patient Monitoring Program achieves high compliance rates through our combination of push button cellular connected medical devices, the personalized touch of our Patient Care Team.

Patient Compliance

Billing

The Medicare CPT codes have a challenging set of requirements and disparate billing cycles. 99453 is billed once at setup. 99454 is billed on a 30-day billing cycle, if the patient achieves their compliance requirements. 99457 can be billed once monthly, while 99458 can be billed twice monthly. In addition, CPT Code 99091 can be billed in certain conditions.

Medek’s Remote Patient Monitoring program helps to simplify this process by doing all the work of calculating complaince, maintaining separate billing cycles, and generating bills without any work on your end.

Our Billing Team can handle billing Medicare, Medicaid, and Private Insurers on your behalf.

Billing

DID YOU KNOW? Medek will reach out to the patient, and coordinate a replacement if necessary.

Even with tens of thousands of devices shipped we see a very low failure rate. Our patient care team constantly monitors to see if your patients are taking their measurements and will reach out to them personally to remind them or help them with any issues.

This is not something that a fully automated system, like many competitors offer, or able to perform for you.

Find out more

Why use Remote Patient Monitoring?

Studies show the use of remote patient monitoring achieves a 75 percent reduction in hospital readmissions. Patient satisfaction with the program is 95 percent, with patients often saying the doctor cares for them more. Physicians also see a 30 percent increase in doctor’s visits from the remote patient monitoring pool.

Increased Patient Health and Satisfaction


Remote Patient Monitoring catches problems before the patient ends up in the emergency room.

Patients are grateful to know someone is monitoring their health on a daily basis.

Practices with Remote Patient Monitoring generally see a 30% increase in patient visits and a 72% decrease in hospitalizations.

Read what our patients are saying about us.

Generate Significant Revenue


The average practice can generate $490,617 extra revenue per year.

There is no upfront or ongoing cost of equipment, and you can begin billing within days of sign up.

Calculate your potential revenue

Save Money and Retain Patients


Reduced hospitalizations and increased patient satisfaction translate to better patient retention and lower overall costs.

For ACOs and other groups that focus on cost-based compensation, Remote Patient Monitoring is proven to reduce hospitalizations at an average savings per patient of $2,712 per year.

Increased Patient Health and Satisfaction


Remote Patient Monitoring catches problems before the patient ends up in the emergency room.

Patients are grateful to know someone is monitoring their health on a daily basis.

Practices with Remote Patient Monitoring generally see a 30% increase in patient visits and a 72% decrease in hospitalizations.

Read what our patients are saying about us.

Generate Significant Revenue


The average practice can generate $490,617 extra revenue per year.

There is no upfront or ongoing cost of equipment, and you can begin billing within days of sign up.

Calculate your potential revenue

Save Money and Retain Patients


Reduced hospitalizations and increased patient satisfaction translate to better patient retention and lower overall costs.

For ACOs and other groups that focus on cost-based compensation, Remote Patient Monitoring is proven to reduce hospitalizations at an average savings per patient of $2,712 per year.

How does Remote Patient Monitoring work?

This Remote Patient Monitoring program delivers cellular-connected medical devices (like Blood Pressure Cuffs, Weight Scales, and Blood Glucose Meters) to your patients so they can take their measurements daily. Those measurements are then available to you, as the medical provider, to review for potential problems.

1

Reach out to us to schedule a 15-minute demo so you can see Medek RPM’s incomparable software and services

Schedule now

2

Sign-Up with no upfront costs and no risk

3

Identify patients with chronic conditions or let our onboarding team do the work for you

4

Start billing within days of sign-up. Let our Billing Team handle everything for you

5

Get paid

1

Reach out to us to schedule a 15-minute demo so you can see Medek RPM’s incomparable software and services

Schedule now

2

Sign-Up with no upfront costs and no risk

3

Identify patients with chronic conditions or let our onboarding team do the work for you

4

Start billing within days of sign-up. Let our Billing Team handle everything for you

5

Get paid

Experience Medek RPM today by scheduling a personal demonstration.

Request Demo

Reimbursement Schedule / Calculator

Medek’s Remote Patient Monitoring program delivers cellular-connected medical devices (like Blood Pressure Cuffs, Weight Scales, and Blood Glucose Meters) to your patients so that they can take their measurements daily. Those measurements are then available to you, as the medical provider, to review for potential problems.

Remote Patient Monitoring CPT Codes

CPT code

99453


Initial set-up and patient education on the use of equipment


Billing Frequency

Once at set-up

$18.80
CPT code

99454


Device supply with daily recording and programmed alerts


Billing Frequency

Every 30 days*

$61.90
CPT code

99457


Clinician spends 20 minutes in a calendar month on care management


Billing Frequency

Monthly

$48.29
CPT code

99458


Addon to 99457. Can be billed twice for each individual 20 min block.


Billing Frequency

Monthly

$77.78**
CPT code

99091


The collection & interpretation of patient data by QHCP; minimum 30 min/month


Billing Frequency

Monthly

$53.80
*Minimum of 16 days of monitoring
** Individual block is $38.89
*Minimum of 16 days of monitoring
** Individual block is $38.89

Remote Patient Monitoring Billing Breakdown

How many Medicare patients would you include in your Remote Patient Monitoring program?

0
1,500

Estimated Monthly
Revenue*

$ 40,000
*These are conservative numbers based on assumptions on variables that can vary from practice to practice. For a customized ROI created specifically for your practice, contact us today!

Frequently Asked Questions

What will RPM cost me as the medical provider?

You pay nothing until you are paid by Medicare. There is zero risk to you.


What does RPM cost the patients?

There is no cost to the patients.


How do I bill for RPM?

You can let our full-service staff take care of that critical piece for you. Billing for RPM can be complicated because the different codes have specific requirements and billing cycles that must be adhered to. Our software platform automatically does all the heavy lifting of figuring that out for you and generating the billing forms.


What chronic conditions are authorized for remote patient monitoring?

All 21 chronic conditions can be covered by Remote Patient Monitoring: Alcohol Abuse, Alzheimer’s Disease and Related Dementia, Arthritis (Osteoarthritis and Rheumatoid), Asthma, Atrial Fibrillation, Autism Spectrum Disorders, Cancer (Breast, Colorectal, Lung, and Prostate), Chronic Kidney Disease, Chronic Obstructive Pulmonary Disease, Depression, Diabetes, Drug Abuse/ Substance Abuse, Heart Failure, Hepatitis (Chronic Viral B & C), HIV/AIDS, Hyperlipidemia (High cholesterol), Hypertension (High blood pressure), Ischemic Heart Disease, Osteoporosis, Schizophrenia and Other Psychotic Disorders, Stroke


Why Choose Medek RPM

Medek RPM is a full-service remote patient monitoring system that is focused on making it as simple and easy for the physician as possible. It starts with our proven method of onboarding patients with chronic conditions with a team of specialists. It continues with our high-end assortment of connected devices, like scales, glucose meters, and more, along with our custom, easy-to-use software package. Finally, our care professionals are ready to monitor all chronic patients on a day-to-day basis and are prepared to work with physicians to keep patients healthy. Find out more about Medek RPM’s essential customized tools with our core features and proven processes to yield success below.

Other companies tend to onboard you, jam as many patients onto the platform as possible, and then move on without any regard to the ongoing performance of the program because more patients for them means more venture capital funding.

We’re a self-funded organic company that’s been in the telemedicine space for several years. Our network has treated millions of patients.

We know that it’s not enough just to get patients signed up – they need to be satisfied with the system. You and they both need to feel that is a valuable and irreplaceable part of their care.

Medek RPM Process vs. Other RPM Vendors

Medek RPM can help you throughout the lifespan of your RPM program with every aspect, while other RPM companies are only concerned with adding patients to increase their bottom line. Medek RPM prioritizes your patients’ experience and health.

Medek RPM

Other Vendors

Onboarding

Data Collection

Patient Compliance

Insurance Billing

Support

Increased Patient Health and Revenue

Questions for Competitors

Before you sign up with another Remote Patient Monitoring company, be sure to ask them some questions:


Do you provide full-service patient care, onboarding, and billing teams/services?

Is the entirety of your company and technology that has access to sensitive patient data based entirely within the United States?

If a patient has problems with a device or isn’t taking their measurements, will a human being reach out, or will you try to text and email an 82-year-old grandmother?

Do you rely solely on computer programs and artificial intelligence to spot trends, or do you have a human element to your solution that understands the nuances of every patient? Can your AI develop a personal relationship with these patients and make them feel happy and cared for on a day-by-day basis?

After I sign up with your program, what is your vested interest in making sure that it operates smoothly, that my patients stay compliant, and that I understand the intricacies of running a remote patient monitoring program? Are you signing me up to become a partner or so that you can increase your bottom line to look suitable to Silicon Valley investors?

Testimonials

“This gives me so much peace of mind knowing someone is watching my mother’s blood sugar.’”

Yvonne P.

Daughter of Patient

“I loved the quick response to my low blood pressure reading.”

Brian H.

Patient

“The support staff is amazing. “

Kenneth W.

Patient

Ready to Learn More about Medek RPM?

Contact us today to discuss how remote patient monitoring can profoundly impact your patient’s health and the revenue of your practice.