Hospitals that don’t make money often end up shut down. While care quality is important, clinics and hospitals that aren’t profitable have no future. To ensure that isn’t the case, chronic care management solutions like virtual care and remote patient monitoring services are necessary to keep facilities in the green. Here’s how they help improve ROI for hospitals and clinics. 

• Chronic management paves the way for RPM reimbursements

Facilities can offer chronic care management through remote patient monitoring technology such as that which leading providers Aura Health provides. Here’s the financial potential of RPM reimbursements for facilities of all kinds:

• $21 for patient education and set up of the technology
• $56 for 30-day monitoring and daily recordings
• $53/$42 for additional patient monitoring

You can get the complete breakdown of Medicare reimbursements from Aura website’s page, under Resources. Be sure to pay them a visit to find just how your clinic or hospital stands to gain from using these technologies in your chronic care management process. 

• Fewer physician visitation costs with the right technology 

Chronic care management traditionally attracts regular physician and patient appointments. For critically ill patients, physicians often have to meet them at their residences, which can be costly as facilities have to fork out allowances for doctors and also meet travel expenses, among other costs. 

However, leveraging virtual care solutions in chronic care management can reduce these costs greatly. Physicians can easily follow up with patients regarding their condition and vitals remotely without having to meet them in person. In the end, this means doctors travel less, and thus hospitals also spend less as a whole. 

• Improved clinical staff productivity that increases profitability 

Many factors shape the course of a facility’s ROI. Another critical part of the equation upon which ROI also depends is employee productivity. Chronic care management can be tedious work that causes burnout. But with virtual care solutions, clinical employee output improves leading to a better bottom line due to: 

• Decreased staff turnover which lowers rehiring costs for clinics and hospitals
• Lowered rates of absenteeism and thus facilities maximize their work hours
• Enhanced patient satisfaction levels, which leads to more referrals and new business

• Better patient engagement and satisfaction 

ROI for clinics and hospitals isn’t always a monetary metric. Patient engagement and satisfaction is also another critical ROI indicator. Chronic care management, with the intervention of RPM and virtual care solutions, can bolster patient-physician relationships by allowing patients to seek on-demand clarification and stay connected with their caregivers.

Thanks to a combination of audio and video technology involved in modern chronic care management solutions, there’s better coordination of care, improved health outcomes, and better engagement/satisfaction. In the end, this increases a facility’s brand standing and referral appeal. 

• Fewer readmissions rates and thus a healthier bottom line

Lowering readmission rates has obvious benefits for patients but it can also have positive impacts on ROI for care facilities as well.  For instance, let’s consider the financial repercussions of rehospitalization to put this into perspective: 

• High readmission leads to low patient satisfaction which increases patient turnover
• Rehospitalization piles workload burdens on healthcare staff and thus curtails productivity 
• Readmissions can attract expensive lawsuits

As you can see, hospitals and clinics have much to gain from improving chronic care management to lower readmissions, and modern technology like RPM and virtual care are the solutions. 

• Pay-as-you-use profitable model when outsourced

Often, care facilities have to bring in specialists to help with chronic care management, especially when it comes to cardiology care. This can mean adding clinical staff to a payment payroll when their services are only needed intermittently. 

Modern chronic care management solutions can again help hospitals and clinics dodge this financial bullet. RPM and virtual care solution providers like Aura Health provide these specialists and expertise on a per-use basis, which makes more financial sense and enhances ROI. 

• Virtual chronic care management can expand market base

More so for patients living in rural areas or remote locations, access to proper chronic care can be a huge headache. This also translates to an ROI problem for facilities, as they are unable to serve patients in certain geographical zones. 

However, telehealth chronic care management presents an opportunity for facilities to reach these types of consumers, and thus widen their market reach. On top of that, it also allows facilities to run beyond their occupancy, reserving admissions for high-risk cases while others are tended to remotely. 

Conclusion

Chronic care management paves the way for RPM and virtual care technologies that tremendously increase ROI even beyond the financial perspective. RPM programs alone have been shown to improve cost savings for clinics and facilities annually by over $8,375 per patient. So imagine the financial reprieve on a single facility’s bottom line when this benefit is magnified by its total patient base. If you’d like to improve your facility’s ROI, be sure to visit the Aura Health website for more details. 

The post 7 Ways Chronic Care Management Improves Hospitals & Clinics ROI appeared first on mTelehealth.

The start-up healthcare chain is designed to emphasize wellness and continuity of care through a unique NP-driven model.

KEY TAKEAWAYS

The Good Clinic’s NP model evolved from the shrinking volume of primary care practices in the United States.

Patients need more than urgent care clinics; rising chronic diseases require that healthcare do more continuity of care.

By next year 50 The Good Clinics are expected to be in operation.

A primary care clinic start-up is differentiating itself by being the first primary care group staffed only by nurse practitioners (NPs).

Minneapolis-based The Good Clinic chain is designed to emphasize patient engagement, continuity of care, and an emphasis on wellness and convenience through a unique nurse practitioner-driven model, says Larry Diamond, CEO of Mitesco Inc., which operates The Good Clinic brand.

More than half of U.S. states—26 states, Washington, D.C., and two U.S. territories—have granted patients full and direct access to care by NPs in adopting Full Practice Authority (FPA), according to the American Association of Nurse Practitioners (AANP).

FPA is the authorization of NPs to evaluate patients, diagnose, order, and interpret diagnostic tests, and initiate and manage treatments under the exclusive licensure authority of the state board of nursing. This regulatory framework eliminates requirements for NPs to hold a state-mandated contract with a physician as a condition of state licensure and to provide patient care.

SHORTAGE OF PHYSICIANS

The Good Clinic’s NP model evolved from the shrinking volume of primary care practices in the United States, which in turn, occurred because of low reimbursement rates to primary care physicians, Diamond says.

“What’s happened over time is because reimbursements are low, physicians graduating from medical school with these huge student loan bills can’t afford, even if they wanted to, to go into primary care, and so the number of new docs coming out of medical school who want to go into primary care has been waning,” he says.

“The AMA (American Medical Association) says there’s a shortage of about 25,000 to 35,000 primary care providers, which is one of the reasons why all of these urgent care centers have popped up, because in America today, it’s typically two to five weeks’ waitlist to get in to see your primary care provider for just a normal visit, a physical, or just a follow-up,” Diamond says. “So, America learned, ‘Oh, if I have an earache, a sore throat, or a cut, let me run over to the urgent care clinic,’ and the challenge there is that we stopped providing care and just started fixing problems.”

But the prevalence of chronic diseases requires that healthcare do more than simply fix problems, he says.

“Diabetes is at an all-time high, and pulmonary issues, well, they all start somewhere and it’s typically because they’re not addressed earlier in their disease process,” he says. “And the government finally has recognized that if you focus on prevention, you can avoid a lot of the costs associated with people developing chronic illnesses, and then deteriorating with them, where it always costs more to address a problem later in its cycle.”

Nursing is better aligned to primary care from a philosophy perspective than medicine, Diamond says. “Nursing is about working with a patient over time, to help them overcome some of the challenges that they’re experiencing, where medicine has evolved to be much more about ‘one and done. Let me do something and solve the problem,’” Diamond says. “And with chronic illness in America, it’s not typically a ‘one and done’ type of solution.”

WHOLE-PERSON FOCUSED

Good Clinics began when the physicians that started MinuteClinic, which has since been sold to CVS, added Diamond to their team to create a primary care model that was whole-person focused—one that considered physical health, behavioral health, stressors, and how they use the healthcare system.

“The concept is about, ‘How do I take care of a person soup to nuts?’ [by] considering complementary and alternative medicine or whatever the person is interested in—yoga, meditation, supplements, vitamins, standard medicine—and to have a relationship where we co-develop a wellness plan with that person.”

For example, the adolescent population has been struggling with depression and anxiety after COVID and are frequently prescribed antidepressants by behavioral health services.

“No. 1, they’re not looking at their physical health to understand “How is their nutrition?” because nutrition in adolescents really is the start point of how you feel mentally, behaviorally. We were finding thyroids that are not operating at the levels they should be, and we’re finding that their vitamin D and vitamin B levels are not the adequate level,” Diamond says. “Nutrition is the first starting place when you’re trying to address behavioral health issues, and unfortunately, so many of the behavioral health services operate in isolation of primary care.”

STARTING IN FPA-FRIENDLY STATES

The company’s first clinic opened in February 2021, and by the end of the year it had six clinics operating around Minneapolis. This year, it expects to open an additional 12 clinics in Minnesota, Colorado, and Arizona and by next year 50 clinics are expected to be in operation in states where NPs can freely practice at the top of their license.

And though NPs have FPA in slightly more than half of U.S. states, that doesn’t preclude The Good Clinic from expanding into states where NPs don’t have FPA, Diamond says.

“Nurse practitioners pretty much in every state have the ability to practice; what changes as you go state to state is they often have to practice under the tutelage, from a quality control perspective, of a physician,” he says. “There are different levels—a physician [may have to] review chart review or they may have to sit in on a certain number of patient visits with a particular nurse practitioner. So, you can operate our model in all 50 states; it just becomes a little bit more expensive.”

Georgia and Texas, for example, have the highest level of quality assurance, and Florida requires a physician to sit in on all medical exams. But that won’t prohibit The Good Clinic from expanding into those states.

“It just lowers it on the list,” Diamond says, “as to where we’re going to want to start.”

“NURSING IS ABOUT WORKING WITH A PATIENT OVER TIME, TO HELP THEM OVERCOME SOME OF THE CHALLENGES THAT THEY’RE EXPERIENCING, WHERE MEDICINE HAS EVOLVED TO BE MUCH MORE ABOUT ‘ONE AND DONE.’”

— LARRY DIAMOND, CEO, MITESCO INC.

The post ‘THE GOOD CLINIC’ IS THE FIRST PRIMARY CARE GROUP STAFFED SOLELY BY NURSE PRACTITIONERS appeared first on mTelehealth.

As the Center for Connected Health Policy has continued to update our Telehealth Policy Finder over the course of 2022, a few new elements are beginning to emerge in newly passed legislation and in adopted Medicaid policies.  While these may not yet be trends, they have potential to develop into trends, as it is common for states to research and copy telehealth policy language from other states. Policy elements CCHP has noted as potentially emerging trends are listed below:

In-Person Exam Requirement – Congress started this with the passage of the SUPPORT for Patients and Communities Act which requires an in-person visit occur within 6 months prior to an initial telehealth mental health visit and every 12 months afterward in the Medicare program.  A few states have picked up on this policy, but not always as it relates to reimbursement.  For example, a new Alabama law now requires in its Code regulating health professionals that if a physician or group provides telehealth medical services more than four times in a 12-month period to the same patient for the same medical condition without resolution, the physician must see the patient in person or refer the patient to a physician who can provide the in-person care.  Tennessee’s private payer law specifies that evidence of an in-person encounter between the health care provider and the patient within sixteen months prior to the interactive event is required (although there is an exception during a state of emergency).

Allowance for Out-Of-State Providers:  Prior to COVID, it was rare to find an explicit allowance for a provider from another state to practice within their state, even if delivering services to a patient that they have a prior relationship with and is a permanent resident of the state they are licensed in (as is often the case for college students and out-of-town vacationers).  CCHP has noted a few states that have recently passed legislation to make this allowance for specific professions and in certain circumstances, including Alabama, Virginia, and Illinois.

Prescribing Requirements and Payer Restrictions in Private Payer Law:  While in the past prescribing requirements were confined to telehealth practice standards within professional codes and regulation (often for pharmacists, physicians and APRNs), two states are now also including mentions of them in their private payer law.  For example, Maine is requiring that a clinical evaluation be conducted either in person or via telehealth before a written prescription is ordered, and the law also prohibits insurers from placing any restrictions on prescriptions through telehealth that is within their scope of practice.  Oklahoma also now has a similar law which prohibits insurers from placing restrictions on prescribing medications through telemedicine that are more restrictive than what is typically required in federal or state law.

Professional Telehealth Practice Standards in Medicaid Policy:  Typically, standards related to forming a provider-patient relationship are contained within states’ Professions and Occupations Code. However, Arkansas recently updated their Medicaid provider manual regulations to incorporate such standards within its policy.  As many Arkansas boards also have their own telehealth practice standards (See: CCHP AR Professional Board Standards), this can create complexity for providers navigating both policies. To keep up to date on each states’ policies, search in CCHP’s Telehealth Policy Finder; and for recent legislation, visit CCHP’s Pending Legislation webpage.

The post Emerging State Policies, CMS Telehealth Policy Updates & Hope for PHE Policy Extension appeared first on mTelehealth.

Telehealth utilization has dropped as the pandemic emergency has waned. For telehealth utilization to meet the higher expectations set during the pandemic, the technology must be wielded for more than just episodic or urgent care.

By WAQAAS AL-SIDDIQ

May 24, 2022 at 4:53 PM

Surveys have shown that most healthcare providers thought telehealth would stay at pandemic levels or even increase. But telehealth utilization has since dropped, and while it remains higher than it was pre-pandemic, it’s not meeting those expectations. Teladoc, as well as other large telehealth providers, have seen challenges over the past few weeks after revenue results reflected these trends. Competition, market saturation, and consumers’ increased openness to seek care in-person again have all been cited as factors.

Now, we’re seeing a lot of questions about telehealth’s staying power after the pandemic. We’re also looking more closely at the model that most of the largest telehealth companies are using – companies that primarily facilitate concierge medicine and acute care services. Is virtual care sustainable in a post-covid world?

If we’re trying to understand telehealth’s impact in the future, these are the wrong questions to be asking. During the telehealth boom, we’ve focused heavily on access to urgent care virtual visits, and primary care, as well as transitional care. Telehealth, as we experienced it during the pandemic, was about expanding care geographically and/or delivering care that doesn’t require diagnostics, labs and physical contact. This approach primarily supports the type of care that can be delivered episodically or intermittently such as fevers, rashes, flus, allergies, and other similar episodes, most of which are intermittent in nature and lack high utilization. Chronic conditions, on the other hand, require continuous engagement and have high utilization but require multiple touchpoints and deep data.

In fact, 85% of our healthcare costs are attributed to chronic conditions, where continuous care delivery combined with deeper insights is a necessity for outcome improvements. The 15% of people who account for these costs need a different kind of telemedicine – one that facilitates improved care coordination and continuity of care. Whereas telehealth today is primarily focused on two use cases, episodic or urgent.  The addition of chronic care would not only grow telehealth but increase utilization.

We know that continuity of care positively influences both healthcare outcomes (Hospital readmissions) and activation/engagement, especially for chronic disease patients. If telehealth can act as a bridge to keep patients connected to providers, it can help improve management as well as provide important health education. Integrating with diagnostics, lab data, and the various touch points within the chronic patient journey will deliver deeper insights to in-person and remote care teams, driving better outcomes and utilization. This is what will move the mark on patient satisfaction and outcomes, while improving healthcare conditions. Connecting patients with a long-term provider or care team ensures continuous relationships, management, and, ideally, prevention. We need to move the needle far enough forward to allow for the prevention of disease instead of just better management.

What does this mean when it comes to telehealth strategy? Well, telehealth companies weren’t really in need of a post-pandemic strategy.  What these companies needed, was a better understanding of the best use cases for telemedicine visits – complex chronic diseases, and other healthcare concerns that really benefit from continuous provider access. Instead, telehealth companies were working on only one part of the patient journey to solve healthcare challenges that occur at multiple different points. They didn’t build the capacity to provide services throughout the full patient journey –diagnostics, treatment, management and maintenance.

Yes – the ability to see a provider through your phone, whenever you need, is incredible. But virtual concierge medicine won’t move the needle on the healthcare outcomes/challenges we need to address the most. And, as we are seeing, doesn’t have the utilization or retention rates of servicing individuals who are suffering from chronic issues and are most in need of continuous access to care. Many of the people who would benefit from telehealth the most, have yet to be able to test its potential.

Telehealth will continue to grow if it becomes most useful for patients who require frequent check-ins: individuals at risk for or diagnosed with chronic issues. Provided of course, that telehealth providers are integrated with or support the full patient journey that spans diagnostics, treatment, management, and maintenance. Telehealth, as a part of digital health, is what can help transform healthcare, but standalone it’s just one part of the patient care journey.

Ultimately, the promises of telehealth were made without understanding what it takes to address healthcare biggest challenges. Telehealth won’t revolutionize healthcare if it can only address 20% of the problem. However, when we start to address these issues and build solutions that can integrate whole person care (digital health), it will start to chip away at that eighty percent, and then we’ll start to see real transformation. Making predictions about telehealth usage based on these two very different sets of groups will not work. We’ve yet to really see how telehealth will apply in the latter case, where it will be a game-changer.

One thing is clear: We shouldn’t aim to go back to the pre-pandemic normal. Even if telehealth utilization drops, and most end up preferring in-person care, the dialogue opened on telehealth’s effects on supporting individuals with chronic issues, underserved communities and others who have trouble accessing care – will continue. Telehealth can help, but not alone.

The post Chronic care management is key to telehealth’s post-pandemic strategy appeared first on mTelehealth.

Thanks to emerging value-based models and new reimbursement allowances, remote care’s popularity has been growing rapidly. Remote care is being utilized more and more to help improve access and quality of patient care.

In honor of patient experience week 2022, we dig into how to enrich the patient experience through four primary remote care models:

1. RPM – Remote Patient Monitoring
2. RTM – Remote Therapeutic Monitoring
3. CCM – Chronic Care Management
4. HaH – Hospital-at-Home

RPM – Remote Patient Monitoring

What is it? RPM involves the collection and analysis of patient physiologic data that are used to develop and manage a treatment plan related to a chronic and/or acute health illness or condition. It provides essential data elements for clinical evaluation and assessment, which can maximize the performance of a care pathway. Specifically, it allows providers to monitor disease and symptom progression remotely and then engage with patients virtually to modify care plans and to provide education on self-care based on changes in the patient’s condition.

Use cases:  RPM involves the use of a device (for example, a cellular-enabled weight scale or blood pressure cuff) that collects and transmits patient data wirelessly to a provider. Physiological data can include vital signs like blood pressure, blood sugar, weight, SpO2, and/or heart rate information.

Value opportunity: Beyond the benefits for individual patient health, RPM reduces hospital readmissions and the length of hospital stay for patients with chronic conditions. By tracking vital data over time, RPM can help to spot abnormalities in readings and help providers to understand how treatment plans are working. Simply, RPM enables providers to proactively treat and manage their patients.

RTM – Remote Therapeutic Monitoring

What is it? RTM represents one of the latest advancements to modernize reimbursement for digital health. Introduced in 2022, these codes expand upon existing RPM codes by combining RPM with the management of therapeutic care. In RTM, various forms of objective and subjective health data are collected. These data represent signs, symptoms, and functions of a therapeutic response that providers can review and monitor supporting the optimization of a patient’s therapeutic responses.

Use cases: RTM is used to provide therapy-related care specifically focused on respiratory system status, musculoskeletal system status, therapy adherence, and therapy response. This can include therapy after discharge for surgery due to an injury, as well as for certain medical conditions.

Value opportunity: A specific area that RTM benefits is medication adherence. By allowing patients to self-report information, physicians can ensure patients are properly taking their medications and managing responses to those medications.

CCM – Chronic Care Management

What is it? CCM is a specific care management service that provides coverage for patients with two or more chronic conditions for a continuous relationship with their care team. These services are provided when patients’ medical and/or psychosocial needs require the establishment, implementation, revision, or monitoring of a comprehensive care plan.

Use cases: CCM services are generally non-face-to-face services provided to patients who have multiple (two or more) chronic conditions expected to last at least 12 months. The full CMS explanation of CCM requires at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month, with the following required elements:

• Multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient 
• Chronic conditions place the patient at significant risk of death, acute exacerbation/ decompensation, or functional decline 
• Comprehensive care plan established, implemented, revised, or monitored

Value opportunity: CCM is beneficial for patients in terms of ongoing health/wellness support, enhanced communication with their care team, reduction in ED visits/hospitalization/readmissions, and increased management of their own care. For providers, benefits included increased patient satisfaction and engagement and increased revenue.

HaH – Hospital-at-Home

What is it? HaH, a trademarked name of Johns Hopkins Medicine, is a model that transforms the patient home into an environment that delivers hospital-level care using a unique methodical combination of people, processes, and technology.

Use cases: HaH is delivered remotely and powered by 24/7 clinical services. It is designed to serve as a full replacement for acute hospital care and is used to treat patients who are candidates to be hospitalized but stable enough to stay home.

Value opportunity: HaH is an opportunity for the healthcare delivery system to effectively care for certain types of patients at home. This can improve their individual experiences, conserve health system resources, and improve clinical outcomes all at the same time.

The post How to Enrich the Patient Experience through Remote Care appeared first on mTelehealth.

Remote patient monitoring (RPM) is an important branch, strong augmentation and considerable expansion of telemedicine that has altered the health business.

RPM has played a significant part in reducing the risk of Covid-19, and as a result, it has emerged as a viable alternative to in-person medical examinations. Medical practitioners may now manage patients with chronic diseases from their own homes thanks to remote patient monitoring, which has become a common term.

Specific RPM CPT codes, on the other hand, are frequently used to motivate doctors and promote remote patient monitoring. CPT 99453, CPT 99454, CPT 99457, CPT 99458, and CPT 9909 are some of the rpm billing codes. But what exactly are these codes, and how do they feature? We’ll discuss it in this post.

What are Current Procedural Terminology (CPT) codes?

CPT codes are five-digit numerical codes without a decimal point, while some also include one letter and four numbers. These are numbers allocated to each task and service that a healthcare provider does. They’re employed to bill and track medical services and assigned to various tasks.

Surgical, medicinal, and diagnostic procedures are among the current Procedural Terminology codes which insurers use to decide how much they must pay a provider.

To promote uniformity, CPT codes are the same for everyone everywhere. Some are widely used, while others are rarely used. The codes 99214 and 99213, for example, are general checkups that are frequently used.

These codes, however, do not provide a universal definition of healthcare for everyone. They also don’t guarantee that different healthcare providers get compensated for their services in the same predetermined amount: such complexities are usually spelled out in the contracts between insurers and healthcare providers.

The Healthcare Common Procedure Coding System (HCPCS) codes are quite close to CPT codes; however, they are not identical. In their papers, people that use Medicare use HCPCS codes rather than CPT codes. The American Medical Association is responsible for maintaining, developing, and copyrighting CPT codes (AMA). New codes are allocated to new services regularly, existing codes are changed, and old codes are discarded.

What role do CPT codes play in reimbursement for remote patient monitoring?

CMS developed five primary CPT codes to encourage more healthcare providers to use remote patient monitoring and enhance their revenue streams. The following are the five key CPT codes for Remote Patient Monitoring reimbursement:

• CPT 99453,
• CPT 99454,
• CPT 99457,
• CPT 99458, and
• CPT 99091

The Service Codes for RPM are CPT codes 99453 and 99454, respectively.

CPT Code 99453

CPT Code 99453 was created to help patients who aren’t tech-savvy, can’t navigate their phones, or have trouble utilizing medical devices. This service code helps individuals receive training on using these devices and compensates medical health providers for providing these services to patients.

Because the Centers for Medicare and Medicaid Services (CMS) does not reimburse for the pieces of equipment, this includes the time spent on patient education or onboarding. This code covers the RPM enrolment service code, which is reimbursable.

CPT Code 99453 can only be billed once when it is first set up. The same healthcare provider or National Provider Identifier (NPI) number cannot be used twice.

CPT Code 99454

After a patient has been enrolled in RPM and monthly services have begun, CPT Code 99454 is used. CPT Code 99454, which is used to alert transmissions and report the administration of healthcare devices for health-related data, is reimbursable for these services. The programming and delivery of health-related devices are covered by CPT Code 99454.

CPT Code 99457

CPT Code 99457 reimburses for up to 20 minutes per calendar month spent remotely monitoring physiologic measures such as weight, blood pressure, respiratory flow rate, pulse oximeter, etc. It also includes management services and time spent in interactive communication sessions with patients or caregivers by physicians, clinical staff, and other certified healthcare professionals during the month. The billing cycle for this code is once per calendar month.

CPT Code 99458

CPT Code 99458 is a monthly add-on code for CPT Code 99457 that reimburses health care professionals for each additional twenty minutes of interactive monitoring sessions. Each calendar month, this code can be billed up to two times.

CPT Code 99091

Although CMS still considers CPT Code 99091 valid, the codes listed above better depict the numerous medical circumstances requiring billing. It is limited to data acquired over the course of 30 days and cannot be billed in the same month as CPT Codes 99457 and 99458.

The CCM Health offers a cutting-edge telemedicine platform that helps you improve patient compliance and retention, expand your practice, and generate more revenue. You can create your own virtual care program through RPM in just a few simple steps by joining The CCM Health family! For additional information, visit The CCM Health.

The post Chronic Care Remote Physiological Monitoring: Essential CPT Codes appeared first on mTelehealth.

Chronic care management (CCM) is a model of care recognized by the Centers for Medicare and Medicaid Services (CMS) for the treatment of chronic care patients. First introduced in 2015, CPT® Code 99490 for CCM services has been joined by four other CPT Codes in the years since, including revisions as recently as January 1, 2022. With that in mind, here’s an updated look at CCM codes in 2022.

CCM Codes: A Brief History

In 2015, the first CCM code was introduced. CPT Code 99490 provided for at least 20 minutes of time per calendar month for the treatment of a patient with two or more chronic conditions. Care was to be delivered by clinical staff, under the direction of a physician or other qualified health care professional. (This is usually abbreviated as QHP, or sometimes QHCP, and refers to a specialist or advanced practitioner like a physician assistant or nurse practitioner.)

In 2017, code G0506 was introduced to extend payments for care management and planning for patients with chronic conditions that go “beyond the usual effort” (in the AAFP’s words). G0506 is not a CPT Code but a HCPCS code, designed as an “add-on” to provide additional reimbursement for time spent providing CCM not covered in 99490.

By 2019, three more CCM codes were added to the list. CPT Code 99491 covered 30 minutes of time provided directly by a physician or other qualified health care professional (QHP, or sometimes QHCP). CPT Code 99487 and CPT Code 99489 reimbursed complex chronic care management, with 99487 covering 60 minutes of clinical staff time and 99489 covering each additional 30 minutes of time.

These CCM codes remain in place today, with some revisions to care criteria and reimbursement amounts over the years. Further changes can be expected, too, as the use of CCM gains traction in the United States, especially in conjunction with CPT Codes for remote patient monitoring (RPM, also known as remote physiologic monitoring).

With that in mind, let’s take a look at the current CCM codes in 2022.

CCM Codes in 2022: 99490, 99491, 99487, 99489 and G0506

Please note that the reimbursement amounts presented here represent non-facility national averages. Commercial amounts for each of these codes may differ by region. You can consult a local Medicare Administrative Contractor (MAC) to find out the exact reimbursement rates for your region.

CPT Code 99490

What is CPT Code 99490?

CPT Code 99490 reimburses time spent by clinical staff — under the direction of a physician or QHP — of care coordination for patients with two or more non-complex chronic conditions. Code 99490 covers 20 minutes of time for non-face-to-face care, per patient per month (PPPM).

What’s the reimbursement amount for code 99490?

CPT Code 99490 allows for $64.02 in reimbursement, PPPM (non-facility national average).

Any other details?

Code 99490 covers basic patient coordination services such as arranging follow-up appointments, refilling prescriptions, and requesting and updating medical records. All services must be included in the patient’s care plan.

CPT Code 99491

What is CPT Code 99491?

CPT Code 99491 reimburses time spent directly by a physician or QHP to manage care for patients with two or more non-complex chronic conditions. Code 99491 covers 30 minutes of time PPPM, with a maximum monthly amount of 60 minutes.

What’s the reimbursement amount for code 99491?

CPT Code 99491 allows for $86.17 in reimbursement, PPPM (non-facility national average).

Any other details?

Code 99491 covers care coordination that’s carried out by a physician or QHP, as opposed to other clinical staff under their direction, which is covered by 99490. And, as with 99490, all services provided must be included and documented in the patient’s care plan.

CPT Code 99487

What is CPT Code 99487?

CPT Code 99487 covers complex CCM, defined as patients with two or more chronic conditions who require “moderate or high complexity medical decision making,” as per CMS guidelines. Code 99487 reimburses 60 minutes of time spent by clinical staff under the direction of a physician or QHP.

What’s the reimbursement amount for code 99487?

CPT Code 99487 allows for a reimbursement of $134.27 PPPM (non-facility national average).

Any other details?

It’s important to note that a billing practitioner is not allowed to report both complex and non-complex CCM for any single patient. In other words, 99487 cannot be reported for the same patient in the same calendar month as 99490 or 99491.

CPT Code 99489

What is CPT Code 99489?

CPT Code 99489 covers each additional 30 minutes of complex chronic care management PPPM under the direction of a physician or QHP of care coordination, to be reported after the initial 60 minutes allowed for by 99487.

What’s the reimbursement amount for code 99489?

CPT Code 99489 allows for a reimbursement of $70.60 PPPM (non-facility national average).

Any other details?

“Report 99489 in conjunction with 99487,” as per CMS guidelines. “Do not report 99489 for care management services of less than 30 minutes additional to the first 60 minutes of complex CCM services during a calendar month.”

CCM Code G0506

What is CCM Code G0506?

CCM code G0506 covers comprehensive assessment and care planning for patients with two or more chronic conditions, as provided by a physician or QHP.

What’s the reimbursement amount for code G0506?

Code G0506 allows for a one-time reimbursement of $62.04 (non-facility national average).

Any other details?

G0506 is a Healthcare Common Procedure Coding System (HCPCS) code, designed by CMS to supplement CPT Codes. (CPT Codes, considered “Level I,” begin with numbers, while HCPCS codes, considered “Level II,” begin with letters.) So, G0506 can be billed separately from 99490, 99487 and 99489. But keep in mind, advises the AAFP, “that the time and effort described by G0506 cannot also be counted toward another code,” and that “G0506 can only be billed once per patient per provider.”

The post CMS CPT Codes 99490, 99491, 99487, 99489 & G0506: A Guide to Chronic Care Management (CCM) Codes in 2022 appeared first on mTelehealth.

By: Collin Couey on March 25, 2022

Imagine spending precious time and money setting up a remote patient monitoring program at your practice only to realize it’s too costly to maintain. If you’re on the fence about setting up such a program, you can avoid that worst-case scenario. We’ll break down the ins and outs of remote patient monitoring reimbursement so you can feel confident that it makes financial sense for you.

 What is remote patient monitoring?

Remote patient monitoring is a healthcare delivery model that uses tech to monitor patients’ health outside of your clinic or practice. Put simply, remote patient monitoring uses electronically transmitted patient health data to assess and monitor patient vitals remotely.

Practices that can master the reimbursement component shouldn’t hesitate to reap the many benefits of a remote patient monitoring program. For you, it’s a chance to get a more complete look at your patient’s overall condition while boosting your marketing and patient retention efforts. For patients, remote monitoring helps them establish a chronic care management routine and gives them more control over their health.

Understand how remote patient monitoring coverage works

Remote patient monitoring reimbursement is pretty simple from a coverage perspective because it’s covered by Medicare as well 27 state Medicaid services. Additionally, many commercial insurance providers cover remote monitoring using their telehealth coverage policies. In fact, the number of commercial insurance providers who offer remote patient monitoring coverage has increased due to the COVID-19 pandemic.

When planning a remote patient monitoring program, it’s important to take stock of your practice’s patient population to determine whether your practice is a good candidate to make a continual profit. For instance, if you have a lot of Medicaid and Medicare patients with chronic conditions (heart disease, high blood pressure, diabetes, etc.), you probably have enough patients to set up a remote patient monitoring program right away.

On the other hand, if you’re a smaller independent physician who mostly sees privately insured patients who don’t experience chronic conditions, you might not be well set-up to start a remote patient monitoring program today.

Additionally, remote patient monitoring should be one of your first thoughts for patients with chronic conditions who prefer telehealth, telemedicine, or at-home treatment who are insured or qualify for Medicare or (in some cases) Medicaid services because they are covered and your reimbursement process will be simple.

 Key considerations: If you want to start a remote patient monitoring program, it’s important to have a firm grasp on your patient population. Running patient surveys to gauge interest is a great place to start once you know if your patient population can support a robust and profitable remote patient monitoring program.

Know which CPT codes are crucial for remote patient monitoring reimbursement

If you want to be reimbursed, you need to know which Current Procedural Terminology (CPT) codes are important for remote patient monitoring services.

The five primary Medicare RPM codes are CPT codes: 99453, 99454, 99457, 99458, and 99091. Remote patient monitoring codes are considered evaluation and management (E/M) services and can be ordered and billed only by a healthcare provider or non-physician provider who are eligible to bill Medicare E/M services.

Most remote patient monitoring services will be billed under four codes that are split into two categories: service codes and timed remote patient monitoring management codes.

Remote patient monitoring service codes

CPT code 99453 and 99454 are practice expense only codes specifically related to device set-up and education and are valued to cover clinical staff time, supplies, and equipment, including the medical device for remote monitoring.

Remote patient monitoring management codes

• CPT code 99457 reimburses medical professionals and healthcare organizations for their time spent performing duties related to interpreting remote monitoring physiologic data such as medical decision-making to assess patient stability, communication with patients either in person or via telehealth service, and oversight of the management and coordination of service.
• CPT code 99458 is an add-on code to 99457 for each additional 20 minutes of remote physiologic monitoring treatment management service provided in a 30-day calendar month.
• CPT code 99091 is for the collection and interpretation of physiologic data digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified healthcare professional. It can also be billed monthly but has more requirements than CPT codes 99457 and 99458.

 Key considerations: Practices risk financial losses if they fail to code care correctly with the Center for Medicaid and Medicare Services (CMS), so if your care organization is thinking about adopting a RPM service, you need to know what CPT codes to worry about and how they affect your practice.

For a much more detailed breakdown of how CMS and remote patient monitoring work together, check out A Guide to Remote Patient Monitoring and CMS.

Calculate how much Medicare pays per CPT code assigned to remote patient monitoring

It’s important to understand how much you can expect to get paid per patient for your remote monitoring services.

Here’s how remote patient monitoring reimbursement breaks down using average Medicare reimbursement:

• Using CPT code 99453, Medicare pays a one-time payment of $18.48 for initial patient enrollment into the program. This includes the setup of the remote patient monitoring device, the delivery of the device, patient education, and receiving initial remote patient monitoring services.
• Using CPT code 99454, Medicare provides a base monthly payment of $55.77 for continuously monitoring patient data transmitted from the device (like blood pressure or blood sugar levels) as well as ongoing management of the device.
• Using CPT code 99457, Medicare provides a monthly payment of $50.18 for 20 minutes of communication between the patient and caregiver or practitioner specifically pertaining to the data transmitted by the device.
• Using CPT code 99458, Medicare provides an additional $40.84 if the time spent exceeds 20 minutes but is less than 40 minutes. If you spend more than 40 minutes per month, Medicare will provide an additional $40.84 dollars. There is no additional reimbursement after 40 minutes.
• Using CPT code 99091, Medicare provides a monthly payment of $56.41 for collecting and interpreting the transmitted and stored physiologic data provided by the remote patient monitoring device. The amount of time spent interpreting and analyzing must be at least 30 minutes to qualify for reimbursement.

A single remote patient monitoring patient will earn your healthcare organization $2,928.48 per year, assuming you get reimbursed the maximum reimbursement per month.

If your practice enrolls 50 patients into a remote monitoring program, and, assuming you get reimbursed for the maximum amount you can each month for each payment, you’d earn $147,348 in annual Medicare remote patient monitoring reimbursement. Even after you factor in the cost of remote patient monitoring software, you’d still be yielding a significant and consistent amount of revenue.

 Key considerations: Realistically, your care organization will likely only meet the initial 20 minutes for reimbursement, and you also might not consistently meet CPT code 99091 each month, so it’s important to factor in how much time you can feasibly devote to each patient enrolled in the program when calculating potential revenue.

Understand which CMS guidelines pertain to remote patient monitoring reimbursement

You must understand the CMS guidelines for remote patient monitoring to reduce the likelihood that your claims get denied.

In order to even qualify for reimbursement, CMS expects your practice to follow these remote patient monitoring requirements:

• Charge Medicare Part B patients a 20% copayment.
• Receive verbal or written consent from a patient to receive remote patient monitoring services.
• Ensure the remote patient monitoring services are ordered by a physician or other “qualified healthcare professional” (nurse practitioner, certified nurse specialist, or physician assistant).
• Monitor patients for at least 16 days per billing period.
• Verify physiologic data can be wirelessly synced for evaluation.
• Confirm each remote patient monitoring device meets the U.S. Food and Drug Administration’s definition of a medical device.
• Ensure the remote patient monitoring device can digitally and automatically upload patient physiologic data which cannot be self-recorded or self-reported by the patient.

Key considerations: Meeting these requirements should be relatively easy for any healthcare organization, but it’s important to have a complete understanding of them in order to avoid claims denials and scrutiny.

Remote patient monitoring allows practices to provide an important service while also being reimbursed

Remote patient monitoring is swiftly becoming more important than ever for patient care because of the shifting necessity and popularity of telehealth, telemedicine, and virtual care. It’s also an aspect of value-based care, which is a pricing model that incentivizes your practice based on the quality of services you provide to patients.

Adopting a remote patient monitoring program will help your healthcare organization get a more complete look at your patient’s overall condition, give your patients more control over their health, and will make your practice more marketable while helping retain patients.

The post 4 Remote Patient Monitoring Reimbursement Tips for Your Practice appeared first on mTelehealth.

Care management services are reimbursable remote medical services that provide ongoing care to patients between traditional or remote doctor’s office visits. Such services include chronic care management (CCM), remote patient monitoring (RPM), behavioral health integration (BHI), and many others, with even more services emerging regularly.

Since their inception, care management services have largely been conceptualized as a series of discrete services that are implemented separately from each other and other telehealth services. Since the COVID-19 public health emergency began, Medicare and other payers have permanently widened the scope and increased the reimbursement of care management programs, supporting the creation of multi-service wellness programs that improve patient outcomes and engagement. These developments have also provided fee-for-service healthcare organizations with a strong, recurring source of revenue and risk-sharing organizations with substantial savings.

This column will largely focus on the economics of creating and implementing a comprehensive care management program. But before diving into this subject, I thought it may be helpful to provide some clarification regarding common misunderstandings surrounding care management programs, telehealth, and telemedicine.

We begin with a note about telehealth: Telehealth as a term encompasses the full spectrum of remote healthcare, including virtual visits, care management services, health applications, and connected medical devices. The ability to manage patients outside of the confines of an office has always promised to change the course and accessibility of modern medicine, and the pandemic has prompted much faster adoption than anyone could have anticipated.

Care management services are an important aspect of telehealth, yet the services are often thought as discrete, as noted above. It is becoming clearer that such conceptualization does a disservice to patients and providers. For patients, this interpretation is causing confusion about the value of care management services, why they are worth enrolling in and, when required, why they are worth paying co-insurance for. For many providers, the increasing number of care management service types creates uncertainty around value and investment, and how to fit care management into their organization’s workflow and goals.

As will be discussed, there is substantial value to providers and patients in implementing care management services as a more fluid set of tools in an overall comprehensive patient care program — essentially an à la carte menu that can be tailored to provide patients with care management they need in timelier and more efficient manner. Such a program is not just beneficial for patients. With the recent coverage and reimbursement changes, a comprehensive care management program can also make a significant difference in a healthcare organization’s bottom line.

Changed landscape of care management

The issuing of the 2022 Physician Fee Schedule (PFS) final rule made it even more apparent that organizations seeking to expand or implement patient care management programs will be best served by taking a comprehensive approach — one that allows patients to receive a wider range of services tailored to their individual needs while better ensuring reimbursement for all aspects of those services.

These terms all speak to a program that combines the offering of CCM and RPM services, which are sometimes supplemented by additional care management and preventive services. Regardless of how you describe the program, developing such a program can deliver significant benefits to patients and providers. For patients, a comprehensive care management program will help them receive more timely, personalized, preventive care that contributes to overall better health and improved access to care. This naturally translates to fewer hospitalizations and readmissions as well as lower costs for patients and the healthcare system.

That alone makes offering comprehensive care management to your patients worthwhile. But the thick icing on the cake is that by combining CCM, RPM, and, when appropriate, other patient-specific care management services, the bottom line of organizations will benefit from a consistent, high-revenue-generating service. That’s the focus of this column.

To help you gain a better understanding of the economics behind a comprehensive care management program, we’re going to take a high-level look at the three most common patient cohorts that would be covered under such a program. We’ll discuss how CCM and RPM services would apply to these cohorts and how these services are currently covered and reimbursed by Medicare.

Patient cohort #1: Two or more chronic conditions + RPM device

This first patient cohort is likely to reflect the most common comprehensive care management service opportunity: a patient with two or more chronic conditions receiving CCM services whose health and wellness is further supported by an RPM device.

Consider that data show nearly 70% of Medicare beneficiaries have two or more chronic conditions, with the most common including hypertension, obesity, congestive heart failure, chronic obstructive pulmonary disease, and diabetes. These beneficiaries would be eligible for CCM services.* This includes the development of a comprehensive, patient-specific care plan with goals and then ongoing, monthly support to help patients achieve those goals and reduce the need for additional healthcare services.

If one of the chronic conditions can be supported by an RPM device, such as a blood pressure monitor, weight scale, blood glucose meter, or pulse oximeter, organizations can provide patients with a device and bill for furnishing RPM services. This includes providing the device to beneficiaries and educating them on its use, and then the ongoing capture and review of device-transmitted data.

Now that we’ve established a general understanding of CCM and RPM, let’s look at a common patient scenario for this cohort and what organizations would bill for supporting such a patient. Mr. Jones has been diagnosed with hypertension and diabetes. He is enrolled by his provider in a comprehensive care management program and provided a blood pressure monitor that captures and transmits systolic, diastolic, and heart rate readings to his provider. Mr. Jones receives monthly CCM and RPM services delivered by the provider’sclinical staff for the next 12 months. Here’s what the provider could bill for the services:

• For the CCM services, about $62 per month for up to 20 minutes of services. (Note: Each additional 20 minutes in a given month, up to two times, is billable at about $47 each, but most patients will not require services more than 20 minutes).
• For the RPM device services, the provider would bill about $18.50 for the service initiation. It would then bill about $54 for the monitoring and management of the monthly data transmission.

Over 12 months, assuming CCM services do not exceed 20 minutes in any given month, the organization would receive $1,410.50 in Medicare reimbursement for delivering comprehensive care management services to this individual patient — $744 in CCM-related services and $666.50 in RPM-related services.

*Depending upon the severity of a patient’s chronic conditions, they may be eligible for complex CCM, which requires more extensive services but is also reimbursed higher. Since most patients will not require complex CCM, we’re going to focus our discussion on non-complex CCM.

Patient cohort #2: Two or more chronic conditions, no RPM device

For this second cohort, we look at patients with two or more chronic conditions who cannot use or are not provided an RPM device. Considering the rapid growth in the availability of RPM devices to support various chronic conditions, most patients will be able to benefit from an RPM device. But there are scenarios where a patient does not have a chronic condition that can be supported by a device or the provider is unable to provide one — either by choice or if the patient has already been provided an RPM device by another provider.

Consider Mrs. Smith, who has osteoporosis and arthritis. She is enrolled in a comprehensive care management program to receive support for these conditions. Over 12 months, assuming CCM services do not exceed the initial 20-minute reimbursement threshold in any given month, the organization could bill Medicare the same $744 as was billable for the CCM-related services discussed in patient cohort #1.

Patient cohort #3: One chronic condition + RPM device

Statistics indicate that close to 90% of Medicare beneficiaries report at least one chronic illness. If we assume that 70% have two chronic conditions, that leaves us with about 20% with a single condition. These patients would not be eligible for CCM. In such a situation, the patient is likely to “default” to care management via RPM.

A patient enrolled in full RPM services has a chronic condition that’s less severe and/or requires less direct management than dictated by the structure of CCM regulations. As such, RPM services at this time do not require the creation of an individualized care plan for enrollees but still reimburse care teams for time spent managing these patients.

Such patients who would only receive RPM services are those with acute conditions and then post-acute procedure support. Common examples:

• Patient is taking part in a medical weight loss program
• Patient has COVID-19 and receives a pulse oximeter to report back for the duration of the disease
• Patient gets an ablation for heart rhythm issues, then receives an ECG monitor post-discharge for one month of monitoring
• Patient is pregnant and receives a blood pressure monitor to watch for gestational hypertension

The reimbursement math on this scenario is straightforward: Mr. Williams is obese and receives a weight scale as a part of his weight loss program. The provider would bill about $18.50 for the service initiation and then could receive $54 for each month of monitoring and management of the monthly data transmission.

What is important to note about this cohort is that although the 2022 fee schedule lowered the RPM device-supply reimbursement, a well-run RPM program can still prove profitable in 2022. The decision by CMS to decrease RPM reimbursement can be inferred as the agency further encouraging organizations to bring RPM under a broader comprehensive care management program.

Comprehensive care management program by the numbers

We’ve thrown a lot of information and numbers at you, so we thought it would be helpful to represent what we’ve covered in a chart. The following identifies the cohorts we’ve discussed, estimated reimbursement for enrollment and monthly services (these will vary with geography and other factors), key requirements to know for each cohort, and the CPT codes you may use for billing each of the cohorts

* Each CPT code has its own set of documentation requirements. Always consult a medical billing professional to make sure you are following all requirements.

Looking at the above chart, let’s consider a cardiologist with a patient population of 400 medium- and high-risk patients. Of those, assume 200 have hypertension and hyperlipidemia and are provided a blood pressure cuff; 150 have just heart failure and are given a weight scale; and the remaining 50 have two chronic conditions but don’t require an RPM device.

Assuming these 400 patients are enrolled in a care management program and the minimum amount of time is allocated for each patient interaction (20 minutes), here’s a breakdown of the monthly fee-for-service revenue the cardiologist can expect to generate:

• For the 200 patients with hypertension, hyperlipidemia, and a blood pressure cuff: ~$24,000 per month (200 x $119.47)
• For the 150 patients with heart failure and a weight scale: ~$7,500 per month (150 x $50.18)
• For the 50 patients with two chronic conditions and no device: ~$3,200 per month (50 x $64.02)

Over a 12-month period, these patients will generate more than $416,000 in revenue for the cardiologist. This does not include the one-time enrollment fee for each of the 400 patients, which would generate an additional $22,000 in revenue.

Taking care management to an even higher level

CCM and RPM are just a few of the components that organizations should incorporate into their comprehensive care management programs. The strongest programs will use a mix of the care management services best suited to meet patients’ specific conditions and risks, with those services evolving to reflect any changes in a patient’s conditions and/or health and wellness goals. When care management services are incorporated into a program and delivered effectively, providing organizations and their patients reap significant clinical and financial benefits.

The post The economics of a comprehensive care management program in 2022 appeared first on mTelehealth.

CMS shows strong support for Chronic Care Management by increasing reimbursement and adding more codes in 2022

CMS released their 2022 Medicare Physician Fee Schedule Final Ruling last month and it has some really good news for Chronic Care Management, Complex Chronic Care Management, and Principal Care Management for the year 2022 while some not-so-good news for Remote Patient Monitoring reimbursement. Below is the overview of the codes that have been added as well as their national average rates as compared to 2021. As usual, make sure to check with your local geographic area adjustments, MAC’s and your billing department for guidance.

1: Expanded set of codes for chronic care management and increased reimbursement

CMS explanation of CCM is as follows:

Chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month, with the following required elements: 

• Multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient 
• Chronic conditions place the patient at significant risk of death, acute exacerbation/ decompensation, or functional decline 
• Comprehensive care plan established, implemented, revised, or monitored

Chronic Care Management reimbursement comparison 2021 vs 2022

2: Complex Chronic Care Management reimbursement

Complex Chronic Care Management includes everything from CCM + Moderate or highly complex decision making. It is interesting to note that if you spend 60 min of clinical staff time with a patient, you can either bill for 99487 or a combination of 1 unit of 99490 and 2 units of 99439. The former pays ~$130 while the later pays ~$156 so with a ~$26 difference, there is little reason to bill for Complex Chronic Care Management.

Complex Chronic Care Management reimbursement comparison 2021 vs 2022

3: Principal Care Management

A qualifying condition for Principal Care Management (PCM) services may be expected to last between three months to one year or until the death of the patient. The initiation of a PCM service will typically be triggered by an exacerbation of the patient’s chronic condition or recent hospitalization. The patient’s primary care physician will still supervise the patient’s overall care, but a specialist will manage services for the specific chronic condition.

This code is a great opportunity for specialists to manage their patient’s disease-specific condition(s) while removing the burden of managing additional chronic conditions the patients have that are not relevant to the physician’s specialty.

Principal Care Management reimbursement comparison 2021 vs 2022

4: Remote Patient Monitoring

Remote patient monitoring has seen explosive growth in adaption especially after the outbreak of Covid-19. VA is set to spend $1 billion to expand its roll-out of RPM. Unfortunately, CMS has decided to cut down the reimbursement of the device code 99454 by about 9$ in spite of stakeholders’ complaints that the original fee schedule was not enough to pay for these hi-tech devices. RPM can be a tricky roll-out and practices that have worked with companies like mTelehealth have benefitted tremendously from the deep experience of patient engagement and interactions.

Complex Chronic Care Management reimbursement comparison 2021 vs 2022

The post New Chronic Care Management (CCM), Complex Chronic Care Management, Principal Care Management (PCM), and Remote Patient Monitoring (RPM) Reimbursement Codes for 2022 appeared first on mTelehealth.