Remote Patient Monitoring for Managed Care ACO
Simon Censon, CEO of leading Remote Patient Monitoring and Virtual Care provider CENSON Health noted "An estimated 117 million adults have one or more chronic health conditions, and one in four adults have two or more chronic health conditions."
"For example, managed care ACO provided remote patient monitoring can be used to monitor a patient’s oxygen saturation levels using pulse oximetry."
CMS is allowing physicians to supervise their clinical staff using virtual technologies when appropriate, instead of requiring in-person presence.
These services are not considered “telehealth” services and were never subject to telehealth limitations. They do have other factors that limit how they can be used so make sure you check the definition for the codes.
More than 21 state Medicaid programs provide reimbursement for remote patient monitoring (RPM).
Mr Censon stated "We are often asked if Medicare already covers Remote Patient Monitoring for Managed Care ACO? The answer is Yes. Even before the new codes, Medicare already offered separate reimbursement for RPM services billed under CPT code 99091. That service is defined as the “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 healthcare professional, qualified by education, training, licensure/regulation (when applicable) requiring a minimum of 30 minutes of time.”
Remote Patient Monitoring and Telehealth are best used in combination in order to provide significant healthcare benefits, including:
- Reduced readmission rates
- Improved patient care outcomes
- Increased revenue potential for providers
- Raised CMS ratings for providers
"There are many benefits that managed care ACO can provide to patients by providing remote patient monitoring" stated Mr Censon.
30 N. Gould Street
Sheridan, WY 82801 USA
Toll Free: +1-877-999-9563
CENSON Health is a leading provider of remote patient monitoring, virtual care, and telehealth services around the globe, with over 15 years of experience in healthcare services and provider solutions.
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