An Ounce of Prevention
Just saying the word "audit" is a surefire way to make a practitioner's heart skip a beat. So, while we apologize for including the word in our title, we're glad to have grabbed your attention. It was only a matter of time before remote patient monitoring (RPM) received federal scrutiny. That’s why it wasn’t surprising to see RPM included in a January 2021 announcement by the Office of Inspector General that the Centers for Medicare & Medicaid Services (CMS) would be conducting a series of audits of Medicare Part B telehealth services in two phases (with RPM part of the second phase).
The use of telemedicine and telehealth, fueled by the pandemic, are quickly solidifying its place as a permanent facet of modern healthcare. Within telehealth, some of the most positive — and exciting — developments are occurring with the use of remote patient monitoring (RPM). The expanding usage of RPM, also referred to as remote physiological monitoring, is improving patient health outcomes, reducing the overall cost of healthcare, and improving the quality of life for many patients with chronic diseases. One of the most beneficial uses of RPM is for those suffering from heart failure. Outpatient care techniques that leverage home monitoring for heart failure management are proactively working to reduce the rates of acute exacerbation, keeping heart failure patients out of the hospital and healthier for longer than ever before.
In an unusual development — albeit a welcomed one — the Centers for Medicare & Medicaid Services (CMS) has issued a correction to the 2021 Medicare physician fee schedule final rule that clarifies several areas of confusion concerning the billing requirements for remote patient monitoring (i.e., remote physiological management).
Update: The story below provided a brief overview of this breaking news. As of 2022, the information remains accurate. If you are interested in learning about noteworthy changes for 2022, view an on-demand webinar here.
The U.S. healthcare system has made some big advancements in the acceptance and usage of telemedicine and remote patient monitoring devices. While the benefits of these services are proving to be valuable for all patients, they are even more important for patients with chronic conditions, including those with lung diseases such as asthma, chronic obstructive pulmonary disease (COPD), and bronchiectasis. With the looming threat of COVID-19 exposure, it may no longer be realistic or safe to continue permitting vulnerable patients to visit a practice for respiratory services. However, the exciting news is that peak expiratory flow can now be measured and monitored remotely with the help of a connected smart peak flow monitor.
The COVID-19 pandemic has fueled the adoption of telehealth, with millions of Americans taking advantage of virtual care options over the past several months — many for the first time. While rates of telehealth utilization have recently declined as in-person care resumed, EHR company Epic reported that telehealth visits still accounted for 21% of all visits in July compared to a rate of less than 0.01% prior to the health crisis. A significant contributor to this remarkable increase in usage of telehealth by consumers is the embracing of remote patient monitoring (RPM) by practices and patients, as well as payers and the federal government. When we look at some of the more common examples of remote patient monitoring applications, it is easy how RPM has the potential to transform the delivery of care in the United States.
LOS ANGELES, Oct. 1, 2020 -- Prevounce Health, creators of the Prevounce Care Coordination Platform, announces its release of a remote patient monitoring (RPM) module tailored to the needs of pulmonologists, their practices, and their patients.
Considering the vast challenges associated with confronting a global health crisis, it's no surprise that 2020 is bringing new advancements to the way healthcare is delivered in the United States. One of the more substantial developments concerns remote patient monitoring (RPM). RPM has technically been around since the early 1970s, but it's been thrown into the spotlight during the pandemic and is experiencing rapid adoption. That comes as no surprise considering the significant and wide-spread benefits of remote patient monitoring.
Whether your practice is already delivering or is planning to deliver RPM services to Medicare and/or Medicaid patients this year, you must understand the CMS rules for remote patient monitoring services in 2020. Without this knowledge, you run the risk of not getting paid appropriately for remote patient monitoring by CMS (Centers for Medicare & Medicaid Services) and possibly running afoul of requirements that can jeopardize your reimbursement and lead to regulatory headaches. To help ensure you receive appropriate and timely payments for remote patient monitoring from CMS and avoid legal scrutiny for RPM services, here are three key things to know.
The story below provides a brief overview of this breaking news. If you are interested in a more in-depth discussion and analysis, you can watch a recent webinar we hosted on the topic here. The Centers for Medicare & Medicaid Services (CMS) has released its 2021 Medicare physician fee schedule proposed rule, which includes many proposed changes to remote patient monitoring (RPM).