Frequently Asked Questions

Data such as, daily recording(s) or transmission are collected via RPM

There are many different types of devices available for Remote Patient Monitoring but the most common types of Remote Patient Monitoring Devices are:

• Remote Blood Pressure Monitor
• Remote Pulse Oximeter
• Remote Blood Glucose Monitor
• Remote Weight Scale

Physicians and other qualified Healthcare professionals (QHCPs) can provide and bill for RPM. Clinical staff can furnish and manage RPM under the general supervision of the billing provider.

Any patient. With that said, a provider should only order/prescribe RPM if captured data is directly relevant to managing a patient’s condition(s) (i.e., medical necessity), with such justification documented in the medical record.

This program is the new standard of care that many Doctors are using & after the pandemic. This service helps Doctors monitor the hypertensive medical status of their patients. The BP parameters will be transmitted to the doctors computer in real time. Also, in the RPM service; patients will have a clinician( RN , LPN & MAs)  available on a monthly basis. Clinicians will review BP readings and help patients with medical concerns or their lifestyle changes.

Remote Patient Monitoring refers to the use of a specific technology device to facilitate interaction with the patient at home, RPM is a subset of telehealth that uses technology tool to track patients data outside of the standard healthcare setting, RPM focuses on the collection, transmission, evaluation & communication of patient health data from the electronic device. Telehealth is a term that refers to a broad range of technologies and services used to provide care & services at a distance, conducted through telecommunications technology.

Patients will need to provide consent to proceed with the enrollment  process in RPM. 

Our Platform follows HIPAA guidelines, all medical practices and clinicians keep their patient data secure and ensure that it is secure while sharing, accessing, and saving that data. We trained our staff on HIPAA compliance & procedure. We planned our policies and procedures for our staff to follow HIPAA at all times. Our HIPAA compliance training is ongoing and not a one-time exercise. Our Staff signed a HIPAA policy form at the time of the hiring process. 

RPM programs such as Blood Pressure, blood oxygen, weight and blood glucose monitoring, dementia and fall surveillance and home monitoring for heart failure, etc are available to providers.

Although most of the payers cover RPM services, deductibles and copays are to be looked out for, for commercial insurances. Claims are sent to insurances for reimbursement based on the eligible daily recording(s) or transmission, one time set up and education on the use of the equipment, and monthly care management

Yes, with CPT 99453 Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on the use of equipment is covered.

Yes there are rules, however, since RPM is a fairly new service, which is why we are seeing it undergo ongoing and, at times, significant regulatory changes.

As of March 2021, they are as follows:

CPT code 99453 (Setup):

Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on the use of equipment.

CPT code 99454 (Device & Monitor):

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, every 30 days.

CPT code 99457 (Patient Engagement):

Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician / other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month.

CPT code 99458 (Additional 20 Minutes):

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; additional 20 minutes

* Amounts identified are approximate. Reimbursement varies among Medicare administrative contractors (MACs).

Note: CPT code 99091 was the original way to bill for remote patient monitoring. Over the past several years, its limitations and requirements had made it rarely reported due to the availability of the newer codes listed above. However, the 2021 Medicare physician fee schedule final rule might change the frequency that CPT 99091 is reported as CMS now permits billing the code with newer codes. In other words, providers can bill for “complex” RPM management when the provider must spend significant time managing the patient and their RPM care plan. CMS also stated that 99091 can be billed each 30 days whenever such complex provider management occurs without affecting the practice’s ability to bill clinical staff time via CPT 99457 each calendar month.

99457 reimburses for time spent by the billing physician, QHCP, or clinical staff, in accordance with laws.

No. Providers may recommend RPM services for any patient who may benefit from the service.

99454 can only be billed once per patient every 30 days. This is regardless of whether the patient is using a single device or multiple devices.

 Yes, co-payment is associated with RPM services

For years the traditional healthcare model was built around in-office care delivery. Through technology advancement, the collection of valuable patient data is now possible outside of the clinic via RPM. This program can treat conditions from debilitating, chronic diseases to recovery from acute episodes of care, without the patient getting out of their home setting. RPM limits the risk of in-person patient visits and ensures the continuation of quality care for the most at-risk patient population. RPM is being leveraged for the good of patients and doctors during the COVID-19 pandemic. 

If you have not taken your BP measurements in a long period of time, Healthmote sends a letter reminding you to take your measurements. You will receive calls from the technicians to set up your blood pressure monitor and monthly calls from your care coaches for care management.

This is in regard to the Remote Patient Monitoring service, your doctor ordered this service from healthmote. He will like you to be part of the program. This Program is the new standard of care that many doctors are using during & after the pandemic. This service helps doctors monitor your medical status while you are at home. Medical parameters will be transmitted to the doctor’s computer in real-time. You will learn and be more involved in your health status

 You will either be talking with technicians for setting up your blood pressure machine or your care coaches for care management

There are no out-of-pocket costs for eligible patients using Healthmote RPM, however, you may be asked to pay for the device if you are not actively using the service.

 Healthmote provides plans as follow – Gold, Silver, and Bronze

Gold: In the Gold plan, healthmote covers the setup and education of patients on using the equipment(s), care management, address verification, order fulfillment, technical and billing support, and the RPM platform.

Silver: In the Silver plan, healthmote does not cover set up and education, care management, and address verification.

Bronze: In this plan, healthmote only covers order fulfillment, technical and billing support, and the RPM platform.