March 30, 2021
CMS bills for Remote Patient Monitoring

Changes affecting how CMS bills for Remote Patient Monitoring – Part One

Right before the COVID-19 pandemic changed health care, CMS was starting to really push Remote Patient Monitoring with increased reimbursements for physicians who turned to this valuable tool. After all, it was proven that by using technology and connected devices, physicians could lower the overall cost of healthcare by monitoring their patients on a regular basis.

This became even more important when COVID-19 struck and in-person interactions between a doctor and his or her patients were limited.

As we now see the end of the public health emergency (PHE), CMS released a series of clarifications in December on how they will be reimbursing physicians for utilizing Remote Patient Monitoring services and contractors, such as Medek RPM.

In this article, we’ll talk about how some of these apply to the practices we work with to provide high-level Remote Patient Monitoring services.

  • After the COVID-19 PHE ends, there must be an established patient-physician relationship for RPM services to be furnished.
    When Medek RPM works with a physician, we are simply a partner with these practices in the care of their patients. Taking much of the burden of case management and technology services off of a physician’s “to do” list.
    We work to sign up the patients to use Remote Patient Monitoring. We provide the connected devices and instructions on how to use them. We provide case management for the physician and provide the technology to allow the physician to review quickly and easily.
  • Consent to receive RPM services may be obtained at the time that RPM services are furnished.
    One of the first steps in the Remote Patient Monitoring process is working with patients to achieve that consent. We have a proven campaign program that results in a significant number of patients agreeing to receive the connected devices and work with the case management team for better health outcomes.
  • Auxiliary personnel may provide services incident to the billing practitioner’s services and under their supervision. Auxiliary personnel may include contracted employees.
    CMS realizes that to ensure Remote Patient Monitoring works properly; physicians will need to use the services of companies like Medek RPM. Our goal is to make the use of Remote Patient Monitoring as easy as possible for physicians.
  • Medical device supplied to a patient as part of RPM services must be a medical device as defined by Section 201(h) of the Federal Food, Drug, and Cosmetic Act, that the device must be reliable and valid, and that the data must be electronically (i.e., automatically) collected and transmitted rather than self-reported.
    This is one of the key aspects of why Medek RPM is the top choice of physicians for Remote Patient Monitoring. As a technology, all of our devices supplied to patients meet this definition and are connected through technology. We understand that self-reporting results are not an effective way to provide Remote Patient Monitoring.

In our next article, we’ll continue with the other clarifications from CMS on how they are providing reimbursement for Remote Patient Monitoring services.

If you have any questions or would like to see how Remote Patient Monitoring can improve your patient care and increase your revenue, reach out to us today.