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2024 CMS Remote Patient Monitoring Billing, Reimbursement and Compliance Updates

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Remote Patient Monitoring (RPM) programs are becoming increasingly popular, supported by growing clinical evidence and financial benefits to providers. Simply put, Remote Patient Monitoring is a Medicare-covered service that involves the collection and analysis of patient physiologic data in real-time. Clinic staff can remotely monitor patients in between office visits. This virtual and real-time monitoring enables providers to truly meet the needs of their patients and provide timely care. Multiple studies have demonstrated improved patient outcomes and increased compliance while reducing hospital admission and readmissions. Providers also benefit financially as this is a well-reimbursed service.

RPM uptake among providers has been rapid, particularly during the COVID-19 pandemic and limited in-person care. RPM companies have been coming to marker weekly if not daily in the past 12 months. However, there is a lot of information providers need to know before contracting with the RPM vendor to be compliant. After all, the billing is done under the provider and the provider will be the one audited.

Learning Objectives:
  • Medicare and non-Medicare coverage for remote patient monitoring
  • Understand Remote patient monitoring service CPT codes (99453 and 99454)
  • Understand Remote patient monitoring management CPT codes (99457 and 99458)
  • How to stay compliant with CMS remote patient monitoring requirements
  • Learn Billing process for Medicare RPM
  • Understand the clinical and financial benefits of RPM
  • Know the CMS’s RPM rules and requirements
  • Examine the Scope of Services required to bill Medicare for RPM services
  • Assess the financial and quality implications of incorporating RPM in your practice
  • Know what services will be continued and what will be discontinued in 2024
Areas Covered in the Session:
  • CMS’s Remote Patient Monitoring (RPM) program
  • Scope of Services required to bill for RPM
  • How RPM can close care gaps and engage patients
  • Financial and quality implications of incorporating RPM
  • Sobering Statistics
  • What best describes you?
  • History of Remote Management
  • Remote Physiological Monitoring vs. Remote Patient Monitoring
  • What is RPM?
  • RPM Workflow
  • Requirements of successful RPM program
  • Consent
  • Example of Consent Template
  • Medical Necessity
  • Example of Order/ Documentation
  • Who can bill for RPM?
  • Who can NOT bill for RPM?
  • CPT 99453- Service Initiation
  • CPT 99454- Data Transmission
  • CPT 99457- Treatment Management
  • Who can you outsource RPM?
  • Interactive Communication
  • CPT 99458- Treatment Management
  • 2024 PFS Conversion Factor
  • Benefits of Implementing RPM
  • Other Benefits
  • FQHC and RHC
  • Reimbursement Opportunities
  • Programs with No Change in 2024
    • Chronic Care Management
    • Principal Care Management
  • Reduction in Reimbursement
Suggested Attendees:
  • Healthcare Provider
  • Physicians
  • Nurses
  • Doctors
  • Nurse Practitioner
  • C-Suite Healthcare Executives
  • Population Health Officers
  • Innovation officers
  • CNO/ CMO
  • Coders
  • Billers
  • PCP (MD, NP, PA)
  • Specialists (MD, NP, PA)
  • Nurse Managers
Presenter Biography:

Dr. Koyfman is a Nurse Practitioner and a Doctor of Nursing Practice with 25 years of nursing and 15 years of executive experience. Dr. Koyfman is an expert in the Patient-Centered Medical Home (PCMH), Home Health, Healthcare Start-ups, Transitional Care, Community Health, Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and Care Coordination. Dr. Koyfman is a dedicated and enthusiastic clinician with an entrepreneurial drive. She has a history of establishing 4 successful healthcare ventures, where she drove significant operational growth (up to 1,000%), built successful teams with high retention rates, and improved patient satisfaction and patient outcomes. She is a Subject Matter Expert in CCM and RPM, making her a frequent presenter at multiple conferences. As a founder of Affinity Expert, a healthcare consulting company, she has been consulting primary care providers on all aspects of CCM and its successful clinical, operational, and financial implementation. She has created a growing community of clinicians through her CCM/RPM groups on Facebook and LinkedIn where she provides free information and education to providers. She loves to give back and volunteers on multiple boards along with hands on volunteer work.


Additional Information:

System Requirement:

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  • Headset: Any decent headset and microphone which can be used to hear clearly

For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com


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TESTIMONIALS

“This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course.”
Melissa Preston, Health Information Management Staff
“David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN”
Sandie Fowler, Out of Network Billing Staff
“Great presentation. Able to do during the day. Timing was great.”
Tina Duffy, Compliance Officer

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