FAQ - RPM
The 2020 Final Rule was published in the Medicare 2021 Fee Payment Schedule, released in November 2020.
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The first 3 CPT Codes (99453, 99454, 99457) became available on January 1, 2019. An additional CPT Code, 99458, was added on January 1, 2020.
CPT 99457 allows RPM services to be performed by the physician, qualified healthcare professionals or clinical staff (RNs and Medical Assistants) st.
“Incident to” billing allows outpatient services provided by a non-physician practitioner who provides medical support under the supervision of a physician to bill for medical services rendered via RPM.
Yes, these codes may be furnished by auxiliary personnel and can be billed to Medicare in the name of the physician, subject to certain requirements.
No, the patient need not be located in a rural area or any specific originating site. Medicare pays for RPM services under the same conditions as in-person physicians’ services with no additional requirements of originating sites or rural geographies.
No, the patient need not be located in a rural area or any specific originating site. Medicare pays for RPM services under the same conditions as in-person physicians’ services with no additional requirements of originating sites or rural geographies.
Yes, patient consent is necessary to provide RPM services.
We will provide resources and help guide you through this process. Our dedicated staff onboards, educates and trains patients.
RPM program can be set up in days after signing the contract.
A primary care physician with an average number of Medicare patients could generate over $275,000 per year monitoring 200 patients.
Our system makes it easy to bill your medical services. Simply export a .xls file at the end of each month that can be sent to your billing team.
The patient must have one or more chronic conditions and consent to the program
Devices must be registered with the FDA conforming to CMS guidance.
We provide high quality devices such as wireless blood pressure cuffs, weigh scales, pulse oximeters, peak flow meters devices, glucometers, and ECG .
FAQ - CCM
The 2022 Final Rule was published and released in March 2022.
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CPT 99490/99439 allows CCM services to be performed by the physician, qualified healthcare professionals or clinical staff (RNs and Medical Assistants) st.
“Incident to” billing allows outpatient services provided by a non-physician practitioner who provides medical support under the supervision of a physician to bill for medical services rendered via RPM.
Yes, patient consent is necessary to provide CCM services.
We will provide resources and help guide you through this process. Our dedicated staff onboards, educates and trains patients.
CCM program can be set up in days after signing the contract.
A primary care physician with an average number of Medicare patients could generate over $270,000 per year monitoring 200 patients.
Our system makes it easy to bill your medical services. Simply export a .xls file at the end of each month that can be sent to your billing team.
The patient must have two or more chronic conditions and consent to the program.
Yes, you can bill for both services for the same month
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