RPM Reimbursements In 2021

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RPM Reimbursements In 2021
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RPM Reimbursements In 2021
Federal Register, the Centers for Medicare
Medicaid Services has amended the 2021 Physician
Fee Schedule to clarify reimbursement for remote
patient monitoring (RPM) programs. In the final
rule, to qualify for reimbursement under CPT
codes 99457 and 99458, CMS mandated at least 20
minutes of interactive communication time between
provider and patient over a calendar month, but
that interactive communication couldnt be part
of the 20 minutes of RPM care. The agency has now
clarified that interactive communication can
include both in-person and connected health
channels. RPM Reimbursements CPT Codes CPT Code
99453 Remote monitoring of physiologic
parameter(s) (eg, weight, blood pressure, pulse
oximetry, respiratory flow rate), initial set-up
and patient education on use of equipment This
code represents the initial setup and patient
education on how to use connected devices as well
as best practices on when to take measurements.
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RPM Reimbursements In 2021
CPT Code 99453 covers one-time reimbursement for
the time spent setting up a remote monitoring
device and teaching the patient how to use it, as
well as any additional services needed to enroll
the patient on-site. Providers may bill for this
code once every 30 days and once per episode of
care, but they must record at least 16 days of
readings within that 30-day billing period. CPT
Code 99454 Remote monitoring of physiologic
parameter(s) (eg, weight, blood pressure, pulse
oximetry, respiratory flow rate), initial
device(s) supply with daily recording(s) or
programmed alert(s) transmission, each 30
days CPT Code 99454 can be billed monthly and
reimburses healthcare providers for the cost of
leasing a connected home health care device for a
patient, as well as the cost of the software
needed to run it. The device must be a leased
item that was ordered by the patients physician
or qualified healthcare professional (QHP) and
must not have been previously owned by the
patient. It must also be intended for home use
and must automatically upload the patients
health data to their care provider each day. CPT
Code 99091 CPT Code 99091 is the collection and
interpretation of physiologic data digitally
stored and/or transmitted by the patient and/or
caregiver to the physician or other qualified
health care professional. To bill for CPT Code
99091, the initial provider service must occur in
the physicians office or other applicable sites.
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RPM Reimbursements In 2021
If you want a one-stop solution for your RPM
Reimbursement procedure, then you can get in
touch with us. We are team of HIPAA compliant
experts who can optimize billing process and help
in increasing the top line of the organization.
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