CMS codes allow for reimbursement to clinicians for the time they invest with patients between clinical visits or outside of traditional clinical settings. 

Known as remote physiologic monitoring or remote patient monitoring, clinicians can now be reimbursed for device supply, on-boarding, patient education, monitoring, and the management of a patients’ conditions.

Now is a good time to consider adding a remote patient monitoring (RPM) program to your practice. The ability to provide added value to your patients, increase your service offerings, and having a pathway to additional revenue for your business simply makes the most sense.

Available CMS Codes for RPM Reimbursement

 

Code

Description

Payment amount*

CPT 99453 Initial; set-up and patient education on use of equipment. This is for the monitoring of parameter(s) such as respiratory flow rate, blood pressure, pulse oximetry, blood pressure). up to $26.20, one-time fee
CPT 99454 Device(s) supply with daily recording(s) or programmed alert(s) transmission, with 16 daily transmissions required in each 30 day period. up to $87.01, each 30 days
CPT 99457 Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified healthcare professional time. This code requires at least one interactive communication with the patient/caregiver during the month. up to $64.38, monthly
CPT 99458 Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month which can be billed up to two times a month; additional 20 minutes up to $53.46, monthly
CPT 99091 Collection and interpretation of physiologic data (e.g., ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified health care professional, qualified by education, training, licensure/regulation (when applicable) requiring a minimum of 30 minutes of time, each 30 days up to $77.19, each 30 days

*Payment amount (PFS) varies by locale

Improve patient outcomes for acute and chronic care patients with remote monitoring:

  • Clinically Monitor acute and chronic patients such as patients with Hypertension, Diabetes, CHF, and COPD Monitor patients with Hypertension, Diabetes, CHF, COPD
  • An effective way to manage patients between health care visitsBetter manage patients that cannot travel to the office
  • Lower healthcare cost, Lower costs, increase efficiency, and improve quality of care and patient outcomes while driving revenue
  • Easily access patient data to make informed decisions and timely intervention to help prevent hospitalizations and lower overall health care costs

Why Clear Arch Health® is the best choice:

  • Easy to use tablet and wireless Bluetooth devices
  • Our device kits are ready to use when shipped
  • No large volume requirements
  • Clinical Pathways available for chronic conditions as well as flexible program options available
  • Administrative and Operations Support for program planning
  • Clinical Service Support
    • Clinical Pathways Programs for Chronic Diseases which include defined parameters, patient specific education and health surveys
    • Clinically relevant patient specific education
    • Health surveys to obtain clinical data and aid with patient engagement and satisfaction
    • Innovative, intuitive clinical dashboard
    • Ability to easily conduct video visits
  • Complete EHR integration
  • Per patient Per Month (PPPM) Lease
  • Competitive pricing, no capital expenditure

Simplified setup. Simplified logistics. Simplified support

If you would like to learn more about our products, CMS reimbursement and/or pilot opportunities, please fill out our form and we will contact you.

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