Providers Guide to Setup Remote Patient Monitoring and Maximize Reimbursement

The healthcare system in US is moving towards value-based care, where providers are rewarded for delivering better outcomes, that prevents complications, and reduces costs. With the increase in aging population, rising chronic diseases Remote Patient Monitoring is shifting care from a reactive, episodic model to a proactive, continuous one. By using FDA-approved devices they monitor patients securely from the comfort of their home. In this blog let us see how a phased and strategic planning helps providers to setup RPM that results in better patient outcomes, optimized reimbursements, and a scalable care delivery system.

How does Remote Patient Monitoring helps Providers?

Remote patient monitoring (RPM) allows providers to extend their services beyond the premises of their clinic. They help to track and monitor chronic conditions like diabetes, hypertension, COPD, and heart failure through connected medical devices improving patient outcomes while unlocking a new stream of revenue. With CMS expanding the coverage for remote patient monitoring, it has also become a financial tool for providers giving them a new opportunity to bill Medicare and private insurers for ongoing care management, increasing patient engagement while ensuring financial sustainability.

Setting Up the RPM Program

Setting up a remote patient monitoring (RPM) program needs careful planning and training for staffs and patients. It should be an effective, human-centered system with ongoing evaluation.

Readiness and Strategic Planning

Before adopting an RPM platform organization must conduct a thorough readiness assessment.

Building the Right Team

Implementing any successful program requires a dedicated team with complete knowledge for handling the new work task.

Essential System Architecture

An effective RPM system, requires a multi-layered ecosystem built with robust technological infrastructure and core components like a secure cloud environment, real-time data analytics, and data management tools to handle the large volume of patient information. They must easily integrate and interoperable with all systems. Choose FDA approved Medical Devices that can securely collect and transmit health data in real-time.

Providing Staff Training and Patient Education

Train the staffs on how the RPM system work and give them clear roles and responsibilities like monitoring data, managing alerts, and communicating with patients. Providing a clear, standardized procedures help to have an efficient workflow.

Educate Patients on how to use their devices and make them understand their role in the monitoring process. Enlighten them with the CMS guidelines and requirements for taking measurements consistently for at least 16 days a month, for getting reimbursement.

Obtaining and Documenting Patient Consent

Before starting the monitoring process get consent from patients. It can be verbal or written but must be documented in the patient's medical record. It should be obtained by the billing practitioner before services are rendered and inform them about their co-pays or deductibles.

Managing the Data and Monitoring the outcome

Quicker clinical interventions and effective data management are the key factors for the success of RPM programs. To achieve this provider can set emergency alerts for any fluctuations in readings and appoint a dedicated team for escalating issues to the appropriate care team.

Continuous Improvement

Conduct periodic reviews and audits to check the program's success and identify inefficiencies so that it can be scaled up to a broader patient population over time.

By partnering with Shoreline Healthcare Technologies providers can effectively setup their remote patient monitoring setup and get higher revenues with a phased approach. Thereby making healthcare more efficient, patient-centered, and financially viable care model.

Shoreline Healthcare Technologies: Your RPM Billing Partner

We at Shoreline Healthcare Technologies specialize in remote patient monitoring billing. Our service includes device setup documentation and assigning correct CPT codes. We help providers with virtual assistants to enroll patients efficiently, document and track the RPM data for billing, stay in compliant with Medicare telehealth reimbursement requirements. Our expert team reduces denials and helps to get maximum reimbursement for all your services.