Running an RPM program is a complex and time consuming process, and there’s a lot that can go wrong. From billing codes and reimbursements to choosing the right device if you don’t know what you’re doing, something WILL go wrong. Here are 5 simple tips for ruining an RPM program, getting audited, repaying reimbursements, or worse:
1. Use the wrong device to save money
Not all devices are created equal. Some devices are compatible with an RPM program and some are not. If you use a Store Forward device you could be risking an audit down the road and having to return reimbursements. The other mistake is to use it to cheap out and use Bluetooth or WiFi devices. With the wrong device, data won’t be collected as effectively and you won’t have the complete picture of your patients’ conditions that RPM can provide. We use cellular enabled devices. Cellular devices don’t rely on apps, or any external connection, data is sent straight from the device to our Patient Portal.
2. Wasting Review Time
Did you know that you can’t bill for 19 minutes of review? Or 39? Or 43? You can only bill for 20 minutes blocks, exactly. Padding your time is not a strategy -- review time should be responsive to actual readings or patient requirements. We have a patented software that cuts our wasted review time by 53%? And we never charge for partial blocks. If we don’t achieve a full 20 minute block – we don’t charge you for it.
3. Fee Splitting!
Medicare laws are very clear about this but many RPM programs and doctors’ offices run afoul of the law. Your RPM provider cannot collect reimbursements for you. Your RPM provider cannot take a “cut” of the reimbursement. You cannot split your fees with the RPM provider. Any violation is a violation of Stark Laws and must be avoided. Don’t risk an audit, or worse!
4. Focusing on the wrong patients
A patient that consistently has a high blood pressure is concerning. But not nearly as concerning as a patient whose blood pressure jumps 20 points in a quick period of time. If you don’t have Smart Sort – a Medek RPM exclusive Artificial Intelligence – you’re probably focusing on the wrong patients first. Time is health.
5. Picking the wrong Partner
Medek Health has been doing RPM since day 1. And for the entire time, we have encountered companies whose RPM partners brought more problems than solutions. Lack of transparency, poor devices, lazy billing practices, limited review times, we've seen it all. And we have helped those companies fix those issues and delivered the service the practices, and more importantly, their patients deserve.
Do you have questions about your RPM program? We’re here to help! We’ve been doing this since the beginning. We can help you avoid common pitfalls, legal problems, and losing money.
