ResourcesFAQs

FAQs

Get all your queries answered here.

FAQs

Where can I find the final rule on the Remote Patient Monitoring (RPM)?

The 2020 Final Rule was published in the Medicare 2021 Fee Payment Schedule, released in November 2020.
Click here for a copy

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When did the RPM reimbursements go into effect?

The first 3 CPT Codes became available on January 1, 2019. An additional CPT Code, 99458, was added on January 1, 2020.

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How much time does it take to get reimbursed for CPT 99457?

At least 20 minutes per calendar month.

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Who Can Deliver RPM services?

CPT 99457 allows RPM services to be performed by the physician, qualified healthcare professionals or clinical staff (RNs and Medical Assistants) st.

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How does CPT 99457 affect CPT 99458?

CPT 99458 will be used in conjunction with CPT 99457 to add on every additional 20 minutes of RPM services to your reimbursements.

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What is “Incident to” billing?

“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.

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Are medical professionals required to be present in the vicinity of the RPM services provider for “Incident to” billing?

As of January 1, 2020, Medicare is allowing general supervision for “Incident to” billing. The physician and auxiliary personnel are not required to be in the same building at the same time.

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Can RPM CPT 99457/99458 be billed “Incident to”?

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.

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Must the patient be in a rural area for RPM reimbursement?

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.

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What type of technology qualifies under the new RPM codes?

CMS has not offered any specifics in the final rule on what technology qualifies for RPM Codes yet, but CMS does plan to issue forthcoming guidance to help inform practitioners and stakeholders on these issues.

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Will Medicare pay for setting up the RPM devices and patient education?

Yes, CPT 99453 offers separate reimbursement for the initial work associated with onboarding a new patient, setting up the equipment and patient education on the use of the equipment.

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Must the patient give consent for RPM services?

Yes, patient consent is necessary to provide RPM services.

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Will patients receive assistance with setting up the RPM services?

We will provide resources and help guide you through this process. Our dedicated staff onboards, educates and trains patients.

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How long does it take to set up the services?

RPM equipment can be set up in minutes.

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How Much Revenue Could I Generate?

A primary care physician with an average number of Medicare patients could generate over $350,000 per year monitoring 200 patients.

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How can I bill my services on AURA?

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.

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Can I choose specific services?

Yes, customers can pay only for what they use and cancel at any time.

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Which patients qualify for RPM services?

The patient must have one or more chronic conditions and consent to the program

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What type of devices qualify for RPM?

Devices must be registered with the FDA conforming to CMS guidance.

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What kind of devices does AURA provide?

We provide high quality, reimbursable equipment such as wireless blood pressure cuffs, scales, pulse oximeters, peak flow meters devices.

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